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1 Department of Neuroscience, Karolinska Institutet, Stockholm, Sweden; Department of Sport and Health Sciences, University College of Physical Education and Sport, Stockholm, Sweden
* To whom correspondence should be addressed. E-mail: maria.nordlund{at}neuro.ki.se.
This study aimed to investigate central and peripheral contributions to fatigue during repeated maximal voluntary isometric plantar flexions. Changes in joint torque, level of activation (LOA) resting twitch amplitude (RT) electromyographic signals (EMG) and presynaptic inhibition of Ia-afferents were investigated during 9 bouts of 10 isometric maximal voluntary plantar flexions (MVCs). MVCs lasted for 2 s and were separated by 1 s. The interval between bouts was 10 s. Electrical stimulation was applied to the tibial nerve; at rest, to evoke RTs, M-waves and two (1.5 s interval) H-reflexes; with the soleus EMG at 30 % of that during MVC, to evoke M-waves and two H-reflexes; and during MVCs, to measure LOA. Over the 9 bouts, LOA decreased by 12.6 % and RT by 16.2 %. EMG-rms during MVCs remained unchanged for the soleus and tibialis anterior muscles, but decreased for medial gastrocnemius. Peripheral fatigue (decrease in RT) was positively correlated to LOA, whereas central fatigue (decrease in LOA) was not. Depression of both H-reflexes suggests that presynaptic inhibition after the 1st bout was partly induced by homosynaptic post activation depression of the Ia-terminal. The H-reflex to M-wave ratio increased with fatigue in both passive and active states with no change in the ratio of the 2nd H-reflex to the 1st, thereby indicating a decrease of presynaptic inhibition during fatigue. The results indicate that both central and peripheral mechanisms contributed to the fatigue observed during repeated maximal voluntary isometric plantar flexions, and that the development of peripheral fatigue was influenced by level of voluntary activation and initial plantar flexor torque.
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