Muscle fatigue: from observations in humans to underlying mechanisms studied in intact single muscle fibres

Place, Nicolas ; Yamada, Takashi ; Bruton, Joseph ; Westerblad, Håkan

In: European Journal of Applied Physiology, 2010, vol. 110, no. 1, p. 1-15

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    Summary
    Prolonged dynamic exercise and sustained isometric contractions induce muscle fatigue, as manifested by decreased performance and a reduction in the maximum voluntary contraction force. Studies with non-invasive measurements in exercising humans show that mechanisms located beyond the sarcolemma are important in the fatigue process. In this review, we describe probable cellular mechanisms underlying fatigue-induced changes in excitation-contraction (E-C) coupling occurring in human muscle fibres during strenuous exercise. We use fatigue-induced changes observed in intact single muscle fibres, where force and cellular Ca2+ handling can be directly measured, to explain changes in E-C coupling observed in human muscle during exercise