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Index
CONTENTS
FIGURES
TABLES
CONTRIBUTORS
PREFACE
PART I THE CONCEPTUAL FRAMEWORK OF MUSCLE FATIGUE
CHAPTER 1 DEFINITIONS OF MUSCLE FATIGUE
INTRODUCTION
DEFINITIONS OF FATIGUE
IDENTIFICATION AND MEASUREMENT OF FATIGUE
MECHANISMS OF FATIGUE
CONCLUSION
FIVE KEY PAPERS THAT SHAPED THE TOPIC AREA
GLOSSARY OF TERMS
NOTES
REFERENCES
CHAPTER 2 MEASUREMENT METHODS OF MUSCLE FATIGUE
OBJECTIVES
INTRODUCTION
MEASUREMENT METHODS OF MUSCLE FATIGUE
Part I: tools and procedures for force/power measurement
Part II: techniques and procedures to evaluate neuromuscular mechanisms of fatigue
Force recordings
EMG recordings
Electric or magnetic stimulation?
Part III: techniques and procedures to evaluate metabolic mechanisms of fatigue
Informational content of a 31P MR spectrum
Technical considerations
Reproducibility of measurements
Between-subject variability
Within-subject variability
Standardisation procedures
Future investigations
CONCLUSION
FIVE KEY PAPERS THAT SHAPED THE TOPIC AREA
GLOSSARY OF TERMS
ACKNOWLEDGEMENTS
REFERENCES
CHAPTER 3 CELLULAR MECHANISMS OF SKELETAL MUSCLE FATIGUE
OBJECTIVES
INTRODUCTION
METHODS USED TO STUDY FATIGUE AT THE CELLULAR LEVEL
CHANGES IN METABOLISM DURING FATIGUE
CHANGES IN FORCE PRODUCTION DURING FATIGUE
CHANGES IN [Ca2+]i DURING FATIGUE
Failure of action potential propagation
Metabolic effects on the SR Ca2+ release channels
Ca2+-Pi precipitation in the SR
Failure of SR Ca2+ release due to glycogen depletion
Reduction of SR Ca2+ release after fatiguing stimulation
CHANGES IN MYOFIBRILLAR FUNCTION DURING FATIGUE
Acidosis and myofibrillar function
Pi and myofibrillar function
ROS/RNS and myofibrillar function
CHANGES IN SHORTENING VELOCITY AND POWER OUTPUT DURING FATIGUE
CHANGES IN RELAXATION DURING FATIGUE
CAUSES OF EXERCISE LIMITATION
CONCLUSION
FIVE KEY PAPERS THAT SHAPED THE TOPIC AREA
GLOSSARY OF TERMS
REFERENCES
PART II FATIGUE AND EXTRANEOUS FACTORS
CHAPTER 4 MUSCLE FATIGUE IN CHILDREN
OBJECTIVES
INTRODUCTION
FATIGUE DURING PROLONGED EXERCISE
Age-related differences
Explanatory factors
Higher stride frequency
Higher ventilatory cost
Higher coactivation
“Non optimal” body mass
Locomotion style
Other factors
Summary
FATIGUE DURING HIGH-INTENSITY EXERCISE
Age-related differences
Explanatory factors
Smaller body dimensions
Lower neuromuscular activation
Higher percentage of type I fibres
Oxidative and glycolytic profiles
Depletion and recovery rates of PCr
Summary
CASE STUDY EXAMPLE: PROBLEM AND RESOLUTION
CONCLUSION
FIVE KEY PAPERS THAT SHAPED THE TOPIC AREA
GLOSSARY OF TERMS
REFERENCES
CHAPTER 5 MUSCLE FATIGUE IN ELDERLY PEOPLE
OBJECTIVES
INTRODUCTION
MUSCLE FATIGUE IN OLDER ADULTS
Effect of contraction mode in studies of fatigue
Effect of muscle strength and contraction intensity in studies of endurance
Does muscle fatigue vary by muscle group?
MECHANISMS OF MUSCLE FATIGUE IN ELDERLY ADULTS
Bioenergetic basis of fatigue resistance in the elderly
Neural factors and fatigue in the elderly
IMPORTANCE OF STUDY POPULATION ON MUSCLE FATIGUE: RETAINING THE FOCUS ON SENESCENCE
Effects of health
Effects of activity level
Effect of age and sex
MUSCLE FATIGUE AND PHYSICAL FUNCTION IN THE ELDERLY
CONCLUSION
FIVE KEY PAPERS THAT SHAPED THE TOPIC AREA
GLOSSARY OF TERMS
ACKNOWLEDGEMENT
REFERENCES
CHAPTER 6 SEX DIFFERENCES IN MUSCLE FATIGUE
OBJECTIVES
INTRODUCTION
SEX AND MUSCLE FATIGUE
Strength and muscle perfusion
Muscle metabolism
Central drive
Peripheral excitation
SEX AND AGE IN MUSCLE FATIGUE
CONCLUSION
FIVE KEY PAPERS THAT SHAPED THE TOPIC AREA
GLOSSARY OF TERMS
ACKNOWLEDGEMENTS
REFERENCES
CHAPTER 7 FATIGUE AND TRAINING STATUS
OBJECTIVES
INTRODUCTION
TRAINING BACKGROUND AND FATIGUE
Fatigue in untrained, endurance-trained and sprint/ power-trained individuals
Single-sprint performance
Repeated-sprint performance
Factors that determine fatigue profile during high-intensity exercise
Muscle fibre composition and metabolic profile
Influence of initial force/power output
Evaluating performance and fatigue during high-intensity exercise
Aerobic fitness: maximal oxygen uptake and aerobic contribution to energy supply
Aerobic fitness: oxygen uptake kinetics
Aerobic fitness: effects on PCr resynthesis
Muscle buffering capacity and ionic regulation
Neural factors
Key points (training background and fatigue)
INCREASES IN ACTIVITY LEVEL AND FATIGUE: EFFECTS OF SYSTEMATIC TRAINING
Fibre type transformations after training
Sprint and strength training
Endurance training
Muscle enzymes
Sprint training with repeated short bouts (<10s)
Sprint training with repeated long bouts (30s)
Sprint training versus traditional endurance training
Molecular signalling for mitochondrial adaptations
Capillarisation and blood flow
Capillary supply and fatigue resistance
Regulation of ionic balance
Improvement of K+ regulation with sprint training
Lactate and H+ regulation
Changes in muscle buffering capacity
Key points (effects of systematic training)
REDUCTIONS IN ACTIVITY LEVEL AND FATIGUE: EFFECTS OF DETRAINING AND IMMOBILISATION
Effects of detraining
Neuromuscular adaptations and fibre type shifts
Changes in muscle enzymes and capillarisation
Detraining and muscle fatigue
Effects of immobilisation/disuse
Changes in muscle mass and function
Changes in fatigue resistance
Key points (effects of detraining and immobilisation)
CASE STUDY EXAMPLE: PROBLEM AND RESOLUTION—REDUCTION OF FATIGUE IN SOCCER
Background
Problem
Resolution: repeated-sprint training
Repeated short bouts
Repeated longer (30s) bouts
Caution
CONCLUSION
FIVE KEY PAPERS THAT SHAPED THE TOPIC AREA
GLOSSARY OF TERMS
REFERENCES
CHAPTER 8 ERGOGENIC AIDS AND FATIGUE DURING MULTIPLE-SPRINT EXERCISE
OBJECTIVES
INTRODUCTION
MULTIPLE-SPRINT EXERCISE
Terminology
Quantifying fatigue during multiple-sprint exercise
Reliability of fatigue scores
Interpretation of fatigue scores
Summary
POTENTIAL MECHANISMS LIMITING PERFORMANCE DURING MULTIPLE-SPRINT EXERCISE
Peripheral fatigue
Energy supply
ADENOSINE TRIPHOSPHATE
PHOSPHOCREATINE
MUSCLE GLYCOGEN
AEROBIC METABOLISM
Metabolite occumulation
AMMONIA (NH3)
HYDROGEN ION (H+) ACCUMULATION
POTASSIUM (K+)
REACTIVE OXYGEN SPECIES
Central fatigue
Summary
ERGOGENIC AIDS
Caffeine
Classification and usage
Possible mechanisms
Effects on multiple-sprint performance
Creatine
Classification and usage
Possible mechanisms
Effects on multiple-sprint performance
Carbohydrates
Classification and usage
Possible mechanisms
Effects on multiple-sprint performance
Alkalising agents
Classification and usage
Possible mechanisms
Effects on multiple-sprint performance
CONCLUSION
FIVE KEY PAPERS THAT SHAPED THE TOPIC AREA
GLOSSARY OF TERMS
REFERENCES
PART III FATIGUE AND PATHOPHYSIOLOGY
CHAPTER 9 FATIGUE AND NEUROMUSCULAR DISEASES
OBJECTIVES
INTRODUCTION
SITES OF FATIGUE
Central components of fatigue
Peripheral components of fatigue
MULTIPLE SCLEROSIS
Fatigue in multiple sclerosis
Peripheral components of fatigue
Central components of fatigue
Exercise in MS patients
POST-POLIOMYELITIS SYNDROME
Muscle strength in PPS
Fatigue in PPS
Peripheral components of fatigue
Central components of fatigue
Exercise in PPS
MYASTHENIA GRAVIS
Weakness in myasthenia gravis
Fatigue in myasthenia gravis
Peripheral factors in fatigue
Central factors in fatigue
Exercise in MG
SPINAL CORD INJURY
Muscle strength
Fatigue after spinal cord injury
Exercise after SCI
CASE STUDY
CONCLUSION
FIVE KEY PAPERS THAT SHAPED THE TOPIC AREA
GLOSSARY OF TERMS
ACKNOWLEDGEMENTS
REFERENCES
CHAPTER 10 MUSCLE FATIGUE IN MUSCULAR DYSTROPHIES
OBJECTIVES
INTRODUCTION
DYSTROPHINOPATHIES
MYOTONIC DYSTROPHY
FACIOSCAPULOHUMERAL DYSTROPHY
LIMB GIRDLE MUSCULAR DYSTROPHIES
EXPERIENCED FATIGUE
Assessment of experienced fatigue
Prevalence and impact of experienced fatigue
DETERMINANTS OF FATIGUE
Pathophysiological studies of muscle fatigue
Peripheral versus central fatigue
Vicious circle of physical inactivity
Perpetuating factors of experienced fatigue
Experienced fatigue and psychiatric disorders
TREATMENT OF FATIGUE
Training studies in animals
Training studies in muscular dystrophy patients
Medication for muscle fatigue and experienced fatigue
Cognitive behaviour therapy
CONCLUSION
FIVE KEY PAPERS THAT SHAPED THE TOPIC AREA
GLOSSARY OF TERMS
REFERENCES
CHAPTER 11 FATIGUE AND WEAKNESS IN PATIENTS WITH INFLAMMATORY MYOPATHIES: DERMATOMYOSITIS, POLYMYOSITIS AND INCLUSION BODY MYOSITIS
OBJECTIVES
INTRODUCTION
CLINICAL EVALUATION
MAGNETIC RESONANCE IMAGING OF MUSCLE MORPHOLOGY
MRI quantification with T1 and T2 relaxation times
METABOLIC ABNORMALITIES RELATED TO WEAKNESS AND FATIGUE
ADDITIONAL FACTORS RELATED TO FATIGUE AND WEAKNESS
Lung involvement
Relationships between carbohydrate and fat metabolism
Hypoperfusion as a contributor to muscle deficiency
TREATMENTS FOR ALLEVIATION OF WEAKNESS AND FATIGUE
Exercise therapy to improve strength and fatigue
Creatine supplementation for improved energy metabolism
Creatine and magnesium supplementations
CASE HISTORIES SHOWING CLINICAL ASPECTS
CONCLUSION
FIVE KEY PAPERS THAT SHAPED THE TOPIC AREA
GLOSSARY OF TERMS
REFERENCES
CHAPTER 12 MUSCLE FATIGUE IN METABOLIC MYOPATHIES
OBJECTIVES
INTRODUCTION
MITOCHONDRIAL MYOPATHIES
MUSCLE GLYCOLYTIC DEFECTS: MCARDLE DISEASE AND RELATED DISORDERS
CASE STUDY
Clinical history
Evaluation: rationale
Exercise testing: results
Interpretation/implications
CONCLUSION
FIVE KEY PAPERS THAT SHAPED THE TOPIC AREA
GLOSSARY OF TERMS
REFERENCES
INDEX
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