The effects of accumulated muscle fatigue on the mechanomyographic waveform: implications for injury prediction.
OBJECTIVE
Muscle fatigue has been identified as a risk factor for spontaneous muscle injuries in sport. However, few studies have investigated the accumulated effects of muscle fatigue on human muscle contractile properties. This study aimed to determine whether repeated bouts of exercise inducing acute fatigue leads to longer-term fatigue-related changes in muscle contractile properties.


METHODS
Maximum voluntary contraction (MVC), electromyographic (EMG) and mechanomyographic (MMG) measures were recorded in the biceps brachii of 11 participants for 13 days, before and after a maximally fatiguing exercise protocol. The exercise protocol involved participants repetitively lifting a weight (concentric contractions only) equal to 40 % MVC, until failure.


RESULTS
A significant (p < 0.05) acute pre- to post-exercise decline of biceps brachii MVC and median power frequency (MPF) was observed each day, whilst no difference existed between pre-exercise MVC or MPF values on subsequent days (days 2-13). However, decreases in number of lift repetitions and in pre-exercise MMG values of muscle belly displacement, contraction velocity and half-relaxation velocity were observed through to day 13.


CONCLUSIONS
Whilst MVC and MPF measures resolved by the following day's test session, MMG measures indicated an ongoing decrement in muscle performance through days 2-13 consistent with the decline in lift repetitions observed. These results suggest that MMG may be more sensitive in detecting accumulated muscle fatigue than the 'gold standard' measures of MVC/MPF. Considering that muscle fatigue leads to injury, the on-going monitoring of MMG derived contractile properties of muscles in athletes may aid in the prediction of fatigued-induced muscle injury.
Department of Anatomy and Developmental Biology, School of Biomedical Sciences, The University of Queensland, St. Lucia, 4072, Australia. danijel.tosovic@uqconnect.edu.au.
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Tosovic
Department of Anatomy and Developmental Biology, School of Biomedical Sciences, The University of Queensland, St. Lucia, 4072, Australia.
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Than
Department of Anatomy and Developmental Biology, School of Biomedical Sciences, The University of Queensland, St. Lucia, 4072, Australia.
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Brown
D000293:Adolescent; D000328:Adult; D000465:Algorithms; D003936:Diagnosis, Computer-Assisted / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D009119:Muscle Contraction / Q000502:physiology*; D018763:Muscle Fatigue / Q000502:physiology*; D018482:Muscle, Skeletal / Q000293:injuries / Q000502:physiology*; D009213:Myography / Q000379:methods*; D010807:Physical Endurance / Q000502:physiology*; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D055815:Young Adult
Electromyography; Fatigue; Injury prediction; Mechanomyography; Muscle