Changes in electromyographic activity of trunk muscles within the sub-acute phase for individuals deemed recovered from a low back injury

Evidence indicates that previous low back injury (LBI) is a strong predictor for re-injury. The purpose of this study was to examine whether neuromuscular patterns remain altered in a LBI group who were deemed recovered. Surface electromyograms from 12-abdominal and 12-back extensors sites and motion variables were recorded from 33 LBI individuals (sub-acute phase) and 54 asymptomatic controls. Pain-related variables were recorded and a clinical assessment performed for LBI participants. Subjects performed a symmetrical lift and replace task in two reaches. Pattern recognition techniques were applied to normalized activation amplitude patterns to extract key recruitment strategies. Mixed model ANOVAs tested for effects (p < 0.05). Despite similar task performance, significantly (p < 0.05) different recruitment strategies were observed for the LBI group. There were higher activation amplitudes for LBI subjects in all muscles (except posterior external oblique) and greater co-activation between abdominal and back extensor sites compared to controls. Local abdominal and back extensor sites showed altered responses to increased physical demands in the LBI group. Despite outcomes indicating recovery, the LBI group had altered neuromuscular patterns compared to asymptomatic controls supporting that residual alterations remain following recovery.     

Neuromuscular alterations during walking in persons with moderate knee osteoarthritis.

This paper compared the neuromuscular responses during walking between those with early-stage knee osteoarthritis (OA) to asymptomatic controls. The rationale for studying those with mild to moderate knee OA was to determine the alterations in response to dynamic loading that might be expected before severe pain, joint space narrowing and joint surface changes occur. We used pattern recognition techniques to explore both amplitude and shape changes of the surface electromyograms recorded from seven muscles crossing the knee joint of 40 subjects with knee OA and 38 asymptomatic controls during a walking task. The principal patterns for each muscle grouping explained over 83% of the variance in the waveforms. This result supported the notion that the main neuromuscular patterns were similar between asymptomatic controls and those with OA, reflecting the specific roles of the major muscles during walking. ANOVA revealed significant (p<0.05) differences in the principal pattern scores reflecting both amplitude and shape alterations in the OA group and among muscles. These differences captured subtle changes in the neuromuscular responses of the subjects with OA throughout different phases of the gait cycle and most likely reflected changes in the mechanical environment (joint loading, instability) and pain. The subjects with OA attempted to increase activity of the lateral sites and reduce activity in the medial sites, having minimal but prolonged activity during late stance. Therefore, alterations in neuromuscular responses were found even in this high functioning group with moderate knee OA.     

A surface electromyography based objective method to identify patients with nonspecific chronic low back pain,presenting a flexion related movement control impairment

Movement control impairments (MCI) are often present in patients with non-specific chronic low back pain (NS-CLBP). Therefore, movement control exercises are widely used to rehabilitate patients. However, the objective assessment remains difficult.The purpose of this study was to develop a statistical model, based on logistic regression analysis, to differentiate patients with NS-CLBP presenting a flexion-related MCI from healthy subjects. This model is based on trunk muscle activation patterns measured by surface electromyography (sEMG), during movement control exercises.Sixty-three healthy male subjects and 36 male patients with a flexion-related MCI participated in this study. Muscle activity of the internal obliques, the external obliques, the lumbar multifidus and the thoracic part of the iliocostalis was registered. Ratios of deep stabilizing to superficial torque producing muscle activity were calculated to examine trunk muscle recruitment patterns during 6 different exercises. Logistic regression analyses were performed (1) to define the ratios and exercises that were most discriminating between patients and non-patients, (2) to make a predictive model. K-Fold cross-validation was used to assess the performance of the predictive model.This study demonstrated that sEMG trunk muscle recruitment patterns during movement control tests, allows differentiating NSCLBP patients with a flexion-related MCI from healthy subjects.     

Coral recruitment and early benthic community development on several materials used in the construction of artificial reefs and breakwaters

Artificial reefs are increasingly being promoted as a means to mitigate impacts from human activities in coastal urban areas. Coastal defense structures such as breakwaters are becoming recognized as large-scale artificial reefs that support abundant and diverse marine communities and play important roles in coastal ecology and management. However, there is limited understanding of how substrate materials used to construct artificial reefs or breakwaters can influence the development of habitat-forming benthic organisms. To assess the influence of substrata on coral recruitment and overall benthic community development, we deployed standard-size tiles of materials used in the construction of breakwaters and artificial reefs (concrete, gabbro, granite, and sandstone), along with terra-cotta for comparative purposes, at two breakwaters (DDD, PRT) and two natural reef sites (NR1, NR2) in Dubai, United Arab Emirates, for one year. Kruskal-Wallis ANOVA with post-hoc Mann-Whitney U-tests were used to examine differences in coral recruitment among sites and materials. Coral recruitment was highest at the DDD (4.9 ± 0.5 recruits 100 cm^− 2), while recruitment was low and did not differ among other sites (PRT: 0.1 ± 0.04, NR1:0.3 ± 0.1, NR2: 0.1 ± 0.03 recruits 100 cm^− 2). There were significant differences in coral recruitment among materials at DDD, where gabbro had higher recruit densities than concrete and sandstone; sandstone also contained less coral recruits than terra-cotta. Variability associated with low coral recruit densities precluded significant differences among materials at other sites. Overall benthic community structure differed more as a result of differences among sites than among substrate materials. Higher community dissimilarity was observed among sites than among material in SIMPER analysis, and significant differences were only observed among sites in ANOSIM. Univariate comparison of the benthos correlated with community differences in NMS ordination also showed significant differences among sites but not material. Overall, these results indicate that site-specific differences in recruitment patterns are more important in determining early benthic community structure and coral recruitment than are differences among substrate material. However, where coral recruitment is high, these results suggest that gabbro should be used preferentially over concrete or sandstone where it is feasible, but that granite may be a suitable alternative where it is the dominant stone. Coral recruitment on terra-cotta was comparable to all materials but sandstone, supporting its continued use in recruitment studies. These results also indicate that using stone amenable to coral recruitment is unlikely to influence the wider benthic community.     

Motor unit recruitment for dynamic tasks: current understanding and future directions

Skeletal muscle contains many muscle fibres that are functionally grouped into motor units. For any motor task there are many possible combinations of motor units that could be recruited and it has been proposed that a simple rule, the ‘size principle’, governs the selection of motor units recruited for different contractions. Motor units can be characterised by their different contractile, energetic and fatigue properties and it is important that the selection of motor units recruited for given movements allows units with the appropriate properties to be activated. Here we review what is currently understood about motor unit recruitment patterns, and assess how different recruitment patterns are more or less appropriate for different movement tasks. During natural movements the motor unit recruitment patterns vary (not always holding to the size principle) and it is proposed that motor unit recruitment is likely related to the mechanical function of the muscles. Many factors such as mechanics, sensory feedback, and central control influence recruitment patterns and consequently an integrative approach (rather than reductionist) is required to understand how recruitment is controlled during different movement tasks. Currently, the best way to achieve this is through in vivo studies that relate recruitment to mechanics and behaviour. Various methods for determining motor unit recruitment patterns are discussed, in particular the recent wavelet-analysis approaches that have allowed motor unit recruitment to be assessed during natural movements. Directions for future studies into motor recruitment within and between functional task groups and muscle compartments are suggested.     

Trunk and hip muscle activity during the Balance-Dexterity task in persons with and without recurrent low back pain

Coordination of the trunk and hips is crucial for successful dynamic balance in many activities of daily living. Persons with recurrent low back pain (rLBP), both while symptomatic and during periods of symptom remission, exhibit dysfunctional muscle activation patterns and coordination of these joints. In a novel dynamic balance task where persons in remission from rLBP exhibit dissociated trunk motion, it is unknown how trunk and hip musculature are coordinated. Activation of hip and trunk muscles were acquired from nineteen persons with and without rLBP during the Balance-Dexterity Task, which involves balancing on one limb while compressing an unstable spring with the other. There were no between-group differences in activation amplitude for any muscle groups tested. In back-healthy control participants, hip and trunk muscle activation amplitudes increased proportionally in response to the added instability of the spring (R = 0.837, p < 0.001). Increases in muscle activation amplitudes in the group in remission from rLBP were not proportional (R = 0.113, p = 0.655). Instead, hip muscle activation in this group was associated with task performance, i.e. dexterous control of the spring (R = 0.676, p = 0.002). These findings highlight atypical coordination of hip and trunk musculature potentially related to task demands in persons with rLBP even during remission from pain.     

Spectral properties of electromyographic and mechanomyographic signals during dynamic concentric and eccentric contractions of the human biceps brachii muscle

The purpose of this study was to describe and examine the variations in recruitment patterns of motor units (MUs) in biceps brachii (BB) through a range of joint motion during dynamic eccentric and concentric contractions. Twelve healthy participants (6 females, 6 males, age = 30 ± 8.5 years) performed concentric and eccentric contractions with constant external loading at different levels. Surface electromyography (EMG) and mechanomyography (MMG) were recorded from BB. The EMGs and MMGs were decomposed into their intensities in time–frequency space using a wavelet technique. The EMG and MMG spectra were then compared using principal component analysis. Variations in total intensity, first principal component (PCI), and the angle θ formed by first component (PCI) and second component (PCII) loading scores were explained in terms of MU recruitment patterns and elbow angles. Elbow angle had a significant effect on dynamic concentric and eccentric contractions. The EMG total intensity was greater for concentric than for eccentric contractions in the present study. MMG total intensity, however, was lower during concentric than during eccentric contractions. In addition, there was no significant difference in θ between concentric and eccentric contractions for both EMG and MMG. Selective recruitment of fast MUs from BB muscle during eccentric muscle contractions was not found in the present study.     

Application of mathematical models in the spatial analysis of early tree seedling distribution patterns within a treefall gap at Gwangneung Experimental Forest, Korea

A spatial analysis was conducted on the characteristics of seedling recruitment and one-year mortality of two temperate deciduous tree species: Quercus serrata Thunb. ex Murray (QUSE) and Carpinus laxiflora (Siebold & Zucc.) Blume (CALA). A systematic grid of 64 seedling plots was established within a typhoon-induced treefall gap in a rare old-growth deciduous stand at Gwangneung Experimental Forest, South Korea. Inverse model, Ripley’s K function, and semivariogram tools were introduced to examine spatial relationships among seedling recruitment, one-year seedling mortality, and trees. Overall QUSE germinant density more than tripled that of CALA. Results suggest that dispersal patterns differ between the two species: for QUSE, 2Dt model yielded the best fit whereas the lognormal model was best fitted to CALA. Those differences may reflect different regeneration strategies between the two species. One-year mortality rates were similar for QUSE (76.15%) and CALA (72.25%). Mortality for both species exhibited substantial variance that was indicated as autocorrelation by the semivariogram, suggesting that mortality was not random for either species. Tree spatial patterns were also shown to be autocorrelated. Together, the observed spatial patterns in germination and first-year mortality indicate that the single treefall gap is among the factors that maintain the community structure associated with this forest type.     

Assessment of isometric muscle strength and rate of torque development with hand-held dynamometry: Test-retest reliability and relationship with gait velocity after stroke

Isometric rate of torque development examines how quickly force can be exerted and may resemble everyday task demands more closely than isometric strength. Rate of torque development may provide further insight into the relationship between muscle function and gait following stroke. Aims of this study were to examine the test-retest reliability of hand-held dynamometry to measure isometric rate of torque development following stroke, to examine associations between strength and rate of torque development, and to compare the relationships of strength and rate of torque development to gait velocity. Sixty-three post-stroke adults participated (60 years, 34 male). Gait velocity was assessed using the fast-paced 10 m walk test. Isometric strength and rate of torque development of seven lower-limb muscle groups were assessed with hand-held dynamometry. Intraclass correlation coefficients were calculated for reliability and Spearman’s rho correlations were calculated for associations. Regression analyses using partial F-tests were used to compare strength and rate of torque development in their relationship with gait velocity. Good to excellent reliability was shown for strength and rate of torque development (0.82–0.97). Strong associations were found between strength and rate of torque development (0.71–0.94). Despite high correlations between strength and rate of torque development, rate of torque development failed to provide significant value to regression models that already contained strength. Assessment of isometric rate of torque development with hand-held dynamometry is reliable following stroke, however isometric strength demonstrated greater relationships with gait velocity. Further research should examine the relationship between dynamic measures of muscle strength/torque and gait after stroke.     

Windstorm damage and forest recovery: accelerated succession, stand structure, and spatial pattern over 25?years in two Minnesota forests

We evaluated 25?years of change in wind-impacted oak and pine-dominated sites in the Cedar Creek Ecosystem Science Reserve, Minnesota, USA. We address the question: how did the storm alter stand architecture and spatial pattern and how did this affect recovery and recruitment? We mapped and marked all stems greater than 1?cm in diameter in a 0.25?ha oak-dominated plot and a 0.30?ha pine-dominated plot. After the initial sampling in 1983, plots were resurveyed four times in the 25?years following the windstorm. We used ordination and diameter distributions to describe compositional and structural characteristics of the sites. The stands are compositionally converging after the windstorm with both moving towards a late-successional forest type dominated by shade-tolerant tree species. The architecture in both sites is similar through time; sites have transitioned from bimodal diameter distributions to reverse-J distributions. We used Ripley??s K point pattern analysis to assess spatial patterns of tree mortality and recruitment within each site. In the pine site, surviving trees were significantly clumped, but mortality and recruitment patterns did not significantly differ from random. In the oak site, the storm did not substantially alter the spatial pattern of surviving trees, but subsequent recruitment was significantly associated with trees killed by the storm at scales within 6?C8?m and significantly dissociated with surviving trees at scales greater than 1?m. The dynamics of accelerated succession observed here are mediated by the damage and mortality initially sustained and its corresponding effects on spatial patterns of surviving and recruiting trees.     

Altered spinal kinematics and muscle recruitment pattern of the cervical and thoracic spine in people with chronic neck pain during functional task

Knowledge on the spinal kinematics and muscle activation of the cervical and thoracic spine during functional task would add to our understanding of the performance and interplay of these spinal regions during dynamic condition. The purpose of this study was to examine the influence of chronic neck pain on the three-dimensional kinematics and muscle recruitment pattern of the cervical and thoracic spine during an overhead reaching task involving a light weight transfer by the upper limb. Synchronized measurements of the three-dimensional spinal kinematics and electromyographic activities of cervical and thoracic spine were acquired in thirty individuals with chronic neck pain and thirty age- and gender-matched asymptomatic controls. Neck pain group showed a significantly decreased cervical velocity and acceleration while performing the task. They also displayed with a predominantly prolonged coactivation of cervical and thoracic muscles throughout the task cycle. The current findings highlighted the importance to examine differential kinematic variables of the spine which are associated with changes in the muscle recruitment in people with chronic neck pain. The results also provide an insight to the appropriate clinical intervention to promote the recovery of the functional disability commonly reported in patients with neck pain disorders.     

Aggressive behaviour and dominance relationships of the dark chub,Zacco temmincki with special reference to their individual recognition

Aggressive behaviour and dominance relationships ofZacco temmincki were observed by introducing fish into an enclosed pond. Chase (-flee), lateral display, parallel swim and butt were the principal behavioural patterns in aggressive encounters between fish, while chase, resulting in lateral display by the chased fish was the most common behavioural sequence. Initially, mutual behavioural patterns such as parallel swim and mutual lateral display were most evident among the total aggressive acts although chase became dominant three days after introduction into the pond. The dominance matrix constructed from chase-flee interactions during all observation periods contained many reverse attacks (336 out of 2,740 chases). These reverse attacks did not concentrate upon a specific period and were not site-dependent. Examination of chase-flee interactions and the subsequent behavioural pattern revealed that a chased fish reacted to the chaser either by attacking in turn, or performing lateral display etc. roughly in relation to the dominance rank of the chaser. This result implies that fish recognized each other to a great extent during aggressive encounters. It seems likely that such individual recognition was initiated during the early period when mutual behaviour was most frequent, and that some attacks against the dominance order were caused as a result of revolts rather than mistakes.     

Spatial distribution of erector spinae activity is related to task-specific pain-related fear during a repetitive object lifting task

Fear-avoidance beliefs, particularly the fear of lifting with a flexed spine, are associated with reduced spinal motion during object lifting. Low back pain patients thereby also showed potentially clinically relevant changes in the spatial distribution of back muscle activity, but it remains unknown whether such associations are also present in pain-free individuals. This cross-sectional observational study investigated the relationship between fear-avoidance beliefs and the spatial distribution of lumbar paraspinal muscle activity in pain-free individuals during a repetitive lifting task. Thirty participants completed two pain-related fear questionnaires and performed 25 repetitions of lifting a 5 kg-box from a lower to an upper shelf and back, while multi-channel electromyographic signals were recorded bilaterally from the lumbar erector spinae muscles. Changes in spatial distribution were defined as the differences in vertical position of the weighted centroids of muscle activity (centroid shift) between the first and last few repetitions. Linear regression analyses were performed to examine the relationships between centroid shift and fear-avoidance belief scores. Fear of lifting an object with a flexed spine was negatively associated with erector spinae activity centroid shift (R² adj. = 0.1832; p = 0.045), which might be an expression of behavioral alterations to prevent the back from possible harm.     

Spatio-temporal patterns of recruitment of labroid fishes (Pisces: Labridae and Scaridae) to damselfish territories

Recent studies have shown that recruitment variability is an important process structuring reef fish assemblages. The aim of this study is to describe the spatio-temporal patterns of recruitment of three abundant labroid taxa (Coris schroederi, Halichoeres melanurus and Scarus spp.), using damselfish territories as replicate units of habitat. Temporal recruitment patterns of each taxa were consistent among three sites along 2 km of reef tract, with small differences among sites probably the result of hydrological or random factors operating at that scale. Recruitment of only one species (C. schroederi) showed consistent differences in the magnitude of recruitment among sites, which was probably due to an overriding effect of habitat selection for the location of the territories on the reef profile at one site. Two taxa, C. schroederi and Scarus spp., recruited in low to moderate rates over many weeks with moderate recruitment peaks detected in one year only. This pattern may be characteristic of many labroid species that have protracted periods of production of larvae. In contrast, H. melanurus recruited in a single short pulse of high magnitude each summer, which suggests that production of larvae by this species may occur over a more restricted period of time. No strong pattern of lunar entrainment of recruitment was detected for any taxa, which may be due to a lack of lunar periodicity in production of larvae. Further studies are now required to identify the processes that are important in determining patterns of labroid recruitment. This revised version was published online in August 2006 with corrections to the Cover Date.     

Muscle recruitment and coordination with an ankle exoskeleton

Exoskeletons have the potential to assist and augment human performance. Understanding how users adapt their movement and neuromuscular control in response to external assistance is important to inform the design of these devices. The aim of this research was to evaluate changes in muscle recruitment and coordination for ten unimpaired individuals walking with an ankle exoskeleton. We evaluated changes in the activity of individual muscles, cocontraction levels, and synergistic patterns of muscle coordination with increasing exoskeleton work and torque. Participants were able to selectively reduce activity of the ankle plantarflexors with increasing exoskeleton assistance. Increasing exoskeleton net work resulted in greater reductions in muscle activity than increasing exoskeleton torque. Patterns of muscle coordination were not restricted or constrained to synergistic patterns observed during unassisted walking. While three synergies could describe nearly 95% of the variance in electromyography data during unassisted walking, these same synergies could describe only 85–90% of the variance in muscle activity while walking with the exoskeleton. Synergies calculated with the exoskeleton demonstrated greater changes in synergy weights with increasing exoskeleton work versus greater changes in synergy activations with increasing exoskeleton torque. These results support the theory that unimpaired individuals do not exclusively use central pattern generators or other low-level building blocks to coordinate muscle activity, especially when learning a new task or adapting to external assistance, and demonstrate the potential for using exoskeletons to modulate muscle recruitment and coordination patterns for rehabilitation or performance.     

Task-specific recruitment of motor units for vibration damping

Vibrations occur within the soft tissues of the lower extremities due to the heel-strike impact during walking. Increases in muscle activity in the lower extremities result in increased damping to reduce this vibration. The myoelectric intensity spectra were compared using principal component analysis from the tibialis anterior and lateral gastrocnemius of 40 subjects walking with different shoe conditions. The soft insert condition resulted in a significant, simultaneous increase in muscle activity with a shift to higher myoelectric frequencies in the period 0-60 ms after heel-strike which is the period when the greater vibration damping occurred. These increases in myoelectric frequency match the spectral patterns which indicate increases in recruitment of faster motor units. It is concluded that fast motor units are recruited during the task of damping the soft-tissue resonance that occurs following heel-strike.     

Motor unit activation patterns during concentric wrist flexion in humans with different muscle fibre composition

Muscle activity was recorded from the flexor carpi radialis muscle during static and dynamic-concentric wrist flexion in six subjects, who had exhibited large differences in histochemically identified muscle fibre composition. Motor unit recruitment patterns were identified by sampling 310 motor units and counting firing rates in pulses per second (pps). During concentric wrist flexion at 30% of maximal exercise intensity the mean firing rate was 27 (SD 13) pps. This was around twice the value of 12 (SD 5) pps recorded during sustained static contraction at 30% of maximal voluntary contraction, despite a larger absolute force level during the static contraction. A similar pattern of higher firing rates during dynamic exercise was seen when concentric wrist flexion at 60% of maximal exercise intensity [30 (SD 14) pps] was compared with sustained static contraction at 60% of maximal voluntary contraction [19 (SD 8) pps]. The increase in dynamic exercise intensity was accomplished by recruitment of additional motor units rather than by increasing the firing rate as during static contractions. No difference in mean firing rates was found among subjects with different muscle fibre composition, who had previously exhibited marked differences in metabolic response during corresponding dynamic contractions. It was concluded that during submaximal dynamic contractions motor unit firing rate cannot be deduced from observations during static contractions and that muscle fibre composition may play a minor role. Accepted: 5 May 1998     

Throwing behavior and mass distribution of stone selection in tufted capuchin monkeys (Cebus apella)

Cannell [Journal of Archaeological Science 29:335-339, 2002] argued that sex-based differences among humans in terms of the mass of chosen throwing stones could be used to infer body mass and patterns of sexual dimorphism in early hominids from Olduvai and Koobi Fora by examining the mass distributions of unaltered stone tools at those sites. We examined this hypothesis in tufted capuchin monkeys using a comparative approach, by investigating the relationships among body mass, sex, stone weight preference, and accuracy in a throwing task. The subject sample consisted of nine monkeys trained to perform an aimed-throwing task in which a food reward could be obtained by throwing a stone into a bucket. We found that 1) the subjects showed a strong mean stone mass preference; 2) the females chose heavier stones than the males, in terms of absolute mean selected stone mass and selected stone mass relative to body mass; 3) subjects threw more accurately when they used stones of preferred mass vs. stones of nonpreferred mass; and 4) overall, the males were more accurate in the throwing task than the females. We conclude that capuchins are highly selective when choosing throwing stones, and that this confers an advantage for throwing accuracy. Our results indicate that the sexually dimorphic pattern in stone mass preference observed among humans does not generalize to Cebus apella. We suggest that researchers examining this pattern in humans in an attempt to explain early hominid patterns of dimorphism and behavior should take into account not only stone weight preference, but also its adaptive advantage.     

Electromyography of back muscles during quadrupedal and bipedal walking in primates

Despite the extensive electromyographic research that has addressed limb muscle function during primate quadrupedalism, the role of the back muscles in this locomotor behavior has remained undocumented. We report here the results of an electromyographic (EMG) analysis of three intrinsic back muscles (multifidus, longissimus, and iliocostalis) in the baboon (Papio anubis), chimpanzee (Pan troglodytes), and orangutan (Pongo pygmaeus) during quadrupedal walking. The recruitment patterns of these three back muscles are compared to those reported for the same muscles during nonprimate quadrupedalism. In addition, the function of the back muscles during quadrupedalism and bipedalism in the two hominoids is compared. Results indicate that the back muscles restrict trunk movements during quadrupedalism by contracting with the touchdown of one or both feet, with more consistent activity associated with touchdown of the contralateral foot. Moreover, despite reported differences in their gait preferences and forelimb muscle EMG patterns, primates and nonprimate mammals recruit their back muscles in an essentially similar fashion during quadrupedal walking. These quadrupedal EMG patterns also resemble those reported for chimpanzees, gibbons and humans (but not orangutans) walking bipedally. The fundamental similarity in back muscle function across species and locomotor behaviors is consistent with other data pointing to conservatism in the evolution of the neural control of tetrapod limb movement, but does not preclude the suggestion (based on forelimb muscle EMG and spinal lesion studies) that some aspects of primate neural circuitry are unique. © 1994 Wiley-Liss, Inc.     

Adaptations to isolated shoulder fatigue during simulated repetitive work. Part II: Recovery

The shoulder allows kinematic and muscular changes to facilitate continued task performance during prolonged repetitive work. The purpose of this work was to examine changes during simulated repetitive work in response to a fatigue protocol. Participants performed 20 one-minute work cycles comprised of 4 shoulder centric tasks, a fatigue protocol, followed by 60 additional cycles. The fatigue protocol targeted the anterior deltoid and cycled between static and dynamic actions. EMG was collected from 14 upper extremity and back muscles and three-dimensional motion was captured during each work cycle. Participants completed post-fatigue work despite EMG manifestations of muscle fatigue, reduced flexion strength (by 28%), and increased perceived exertion (∼3 times). Throughout the post-fatigue work cycles, participants maintained performance via kinematic and muscular adaptations, such as reduced glenohumeral flexion and scapular rotation which were task specific and varied throughout the hour of simulated work. By the end of 60 post-fatigue work cycles, signs of fatigue persisted in the anterior deltoid and developed in the middle deltoid, yet perceived exertion and strength returned to pre-fatigue levels. Recovery from fatigue elicits changes in muscle activity and movement patterns that may not be perceived by the worker which has important implications for injury risk.