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1.
M. González-Izal A. Malanda I. Navarro-Amézqueta E.M. Gorostiaga F. Mallor J. Ibañez M. Izquierdo 《Journal of electromyography and kinesiology》2010,20(2):233-240
The purpose of this study was to examine acute exercise-induced changes on muscle power output and surface electromyography (sEMG) parameters (amplitude and spectral indices of muscle fatigue) during a dynamic fatiguing protocol. Fifteen trained subjects performed five sets consisting of 10 leg presses (10RM), with 2 min rest between sets. Surface electromyography was recorded from vastus medialis (VM) and lateralis (VL) and biceps femoris (BF) muscles. A number of EMG-based parameters were compared for estimation accuracy and sensitivity to detect peripheral muscle fatigue. These were: Mean Average Voltage, median spectral frequency, Dimitrov spectral index of muscle fatigue (FInsm5), as well as other parameters obtained from a time–frequency analysis (Choi–Williams distributions) such as mean and variance of the instantaneous frequency and frequency variance. The log FInsm5 as a single parameter predictor accounted for 37% of the performance variance of changes in muscle power and the log FInsm5 and MFM as a two factor combination predictor accounted for 44%. Peripheral impairments assessed by sEMG spectral index FInsm5 may be a relevant factor involved in the loss of power output after dynamic high-loading fatiguing task. 相似文献
2.
Our objective was to determine the effect of muscle fatigue on the dynamic stiffness of the human ankle. Four subjects were required to maintain constant-force contractions of tibialis anterior until the required force could no longer be maintained. Repeated pseudo-random displacements of ankle angular position were applied throughout each contraction. The dynamic relation between ankle angular position and ankle torque was identified by determining non-parametric compliance impulse response functions (CIRFs). The CIRFs were redetermined every 2.55s throughout the sustained contractions to provide a quantitative measure of changes in ankle stiffness dynamics. Inspection of these CIRFs revealed little change in shape or magnitude throughout the contractions, despite large increases in tibialis anterior EMG. The dynamics were further quantified by estimating the equivalent joint inertia, viscosity and elasticity associated with each CIRF. As each contraction progressed, the inertial and elastic terms remained constant whereas the viscous term decreased slightly. These findings demonstrate that fatigue of tibialis anterior during sustained constant mean force contractions results in little change in the mechanical dynamics of the human ankle. 相似文献
3.
Several EMG-based approaches to muscle fatigue assessment have recently been proposed in the literature. In this work, two multivariate fatigue indices developed by the authors: a generalized mapping index (GMI) and the first component of principal component analysis (PCA) were compared to three univariate indices: Dimitrov’s normalized spectral moments (NSM), Gonzalez-Izal’s waveletbased indices (WI), and Talebinejad’s fractal-based Hurst Exponent (HE). Nine healthy participants completed two repetitions of fatigue tests during isometric, cyclic and random fatiguing contractions of the biceps brachii. The fatigue assessments were evaluated in terms of a modified sensitivity to variability ratio yielding the following scores (mean ± std.dev.): PCA: (12.6 ± 5.6), GMI: (11.5 ± 5.4), NSM: (10.3 ± 5.4), WI: (8.9 ± 4.6), HE: (8.0 ± 3.3). It was shown that PCA statistically outperformed WI and HE (p < 0.01) and that GMI outperformed HE (p < 0.02). There was no statistical difference among NSM, WI and HE (p > 0.2). It was found that taking the natural logarithm of NSM and WI, although reducing the parameters’ sensitivity to fatigue, increased SVR scores by reducing variability. 相似文献
4.
D Gamet J Duchêne C Garapon-Bar F Goubel 《European journal of applied physiology and occupational physiology》1990,61(5-6):331-337
During dynamic contractions performed on a cycle ergometer, we studied the influence of motor unit (MU) recruitment on the electromyographic (EMG) spectral content by exerting mechanical power of different intensities, which was chosen to remain below the maximal aerobic power (VO2max). The spectral parameters: EMG total power (PEMG), mean (MPF) and median (MED) power frequencies, which are the most representative of the EMG spectral content, were calculated according to the EMG activity of the vastus medialis muscle (VM) and soleus muscle (SOL) of the right leg. For VM and SOL, PEMG increased linearly with exerted power demonstrating an enhancement of MU recruitment. Moreover these relationships were less scattered when exerted power was expressed as a percentage of VO2max. Changes in MPF and MED with varying exercise intensities were different from one subject to another. For a set of subjects, MPF and MED were found to be independent of exerted power. Although VM and SOL muscles are different in fibre type composition, similar results were obtained for both EMG activities. We have concluded that for dynamic contractions performed at different intensities below VO2max, the recruitment of the MU has a poor effect on the EMG spectral content whatever the predominant type of fibre. 相似文献
5.
Time-frequency methods applied to muscle fatigue assessment during dynamic contractions. 总被引:1,自引:0,他引:1
This paper discusses the assessment of the electrical manifestations of muscle fatigue during dynamic contractions. In the past, the study of muscle fatigue was restricted to isometric constant force contractions because, in this contraction paradigm, the myoelectric signal may be considered as wide sense stationary over epochs lasting up to two or three seconds, and hence classic spectral estimation techniques may be applied. Recently, the availability of spectral estimation techniques specifically designed for nonstationary signal analysis made it possible to extend the employment of muscle fatigue assessment to cyclic dynamic contractions, thus increasing noticeably its possible clinical applications. After presenting the basics of time-frequency distributions, we introduce instantaneous spectral parameters well suited to tracking spectral changes due to muscle fatigue, discuss the issues of quasi-stationarity and quasi-cyclostationarity, and present different strategies of signal analysis to be utilized with cyclic dynamic contractions. We present preliminary results obtained by analyzing data collected from paraspinal muscles during repetitive lift movements, from the first dorsal interosseus during abduction-adduction movements of the index finger, and from knee flexors and extensors during isokinetic exercise. In conclusion, data herein reported demonstrate that the described techniques allow for evidencing the electrical manifestations of muscle fatigue in different paradigms of cyclic dynamic contractions. We believe that the extension of the objective assessment of the electrical manifestations of muscle fatigue from static to dynamic contractions may increase considerably the interest of researchers and clinicians and open new application fields, as ergonomics and sports medicine. 相似文献
6.
J. Tallent S. Goodall T. Hortobágyi A. St Clair Gibson G. Howatson 《Journal of electromyography and kinesiology》2013,23(5):1075-1081
Little is known regarding the modulation and the plasticity of the neural pathway interconnecting elements of the central nervous system and skeletal muscle in resistant-trained individuals. The aim of the study was to compare corticospinal and spinal responses measured during dynamic muscle contractions of the tibialis anterior in resistance trained (RT) and un-trained (UT) males. Nine UT and 10 RT male volunteers reported to the laboratory 24 h following a familiarisation session. Motor evoked potentials (MEPs) and the cortical silent period were evoked using transcranial magnetic stimulation at a range of contraction intensities and was delivered as the ankle passed 90° during shortening and lengthening contractions. The Hoffmann reflex (H-reflex) and V-waves were evoked with peripheral nerve stimulation. Despite the RT group being significantly stronger during shortening (28%; P = 0.023: CI = 1.27–15.1 N m), lengthening (25%; P = 0.041: CI = 0.27–17.0 N m) and isometric muscle actions (20%; P = 0.041; CI = 0.77–14.9 N m), no differences between the groups existed for corticospinal or spinal variables. Lack of detectable differences between RT and UT individuals may be linked to minimal exposure to task specific, isolated high intensity resistance training of the TA muscle. 相似文献
7.
Electromechanical delay in the vastus lateralis muscle during dynamic isometric contractions 总被引:2,自引:0,他引:2
E. J. Vos M. G. Mullender G. J. van Ingen Schenau 《European journal of applied physiology and occupational physiology》1990,60(6):467-471
Electromechanical delay (EMD) values were obtained using a cross-correlation technique for a series of 14 repetitive submaximal dynamic isometric contractions of the vastus lateralis performed by five subjects. To avoid a phase lag, which is introduced with one-way filtering, the EMG was processed with a bi-directional application of a second-order Butterworth filter. A mean EMD value of 86 ms (SD = 5.1 ms) was found. Moreover, contraction and relaxation delays were computed and compared. There was a significant difference between the contraction and relaxation delays (P less than 0.005). The mean contraction delay was 81.9 ms and the mean relaxation delay was 88.8 ms. Despite this significant difference, the computed contraction and relaxation delay values lie in the same range as the total phase lag, calculated with the cross-correlation technique. The magnitude of EMD values found supports the need to account for this delay when interpreting temporal aspects of patterns of intermuscular coordination. 相似文献
8.
Macdonald WA Ørtenblad N Nielsen OB 《American journal of physiology. Endocrinology and metabolism》2007,292(3):E771-E778
High-frequency stimulation of skeletal muscle has long been associated with ionic perturbations, resulting in the loss of membrane excitability, which may prevent action potential propagation and result in skeletal muscle fatigue. Associated with intense skeletal muscle contractions are large changes in muscle metabolites. However, the role of metabolites in the loss of muscle excitability is not clear. The metabolic state of isolated rat extensor digitorum longus muscles at 30 degrees C was manipulated by decreasing energy expenditure and thereby allowed investigation of the effects of energy conservation on skeletal muscle excitability. Muscle ATP utilization was reduced using a combination of the cross-bridge cycling blocker N-benzyl-p-toluene sulfonamide (BTS) and the SR Ca2+ release channel blocker Na-dantrolene, which reduce activity of the myosin ATPase and SR Ca2+-ATPase. Compared with control muscles, the resting metabolites ATP, phosphocreatine, creatine, and lactate, as well as the resting muscle excitability as measured by M-waves, were unaffected by treatment with BTS plus dantrolene. Following 20 or 30 s of continuous 60-Hz stimulation, BTS-plus-dantrolene-treated muscles showed a 25% lower ATP utilization compared with control muscles. Furthermore, the ability of muscles to maintain excitability during high-frequency stimulation was significantly improved in BTS-plus-dantrolene-treated muscles, indicating a strong link between metabolites, energetic state, and the excitability of the muscle. 相似文献
9.
Fermin Mallor Teresa Leon Martin Gaston Mikel Izquierdo 《Journal of biomechanics》2010,43(8):1627-1631
The purpose of this study was to analyze exercise-induced leg fatigue during a dynamic fatiguing task by examining the shapes of power vs. time curves through the combined use of several statistical methods: B-spline smoothing, functional principal components and (supervised and unsupervised) classification. In addition, granulometric size distributions were also computed to allow for comparison of curves coming from different subjects. Twelve physically active men participated in one acute heavy-resistance exercise protocol which consisted of five sets of 10 repetition maximum leg press with 120 s of rest between sets. To obtain a smooth and accurate representation of the data, a basis of 180 B-splines was used. Functional principal component (FPC) analysis was used to find the dominant modes of variation in the curves. A multivariate cluster over the FPC scores and a k-nearest neighbor classification led to three interpretable groups corresponding to different levels of fatigue. Fatigue-induced changes in the shapes of the power curves were evident, in which curves progressively flatten and develop a second power peak. In a practical setting FPC analysis greatly reduces dimensionality and the use of granulometries allows for comparison of the curve shapes without distorting the time scale.In contrast to the present methodology, which considers each curve as a datum, classical statistical approaches using summary parameters of time series may lead to limited information about the impact of dynamic fatiguing protocols on kinematic and kinetic time-course changes in curve shapes. 相似文献
10.
A Kilbom F Gamberale J Persson G Annwall 《European journal of applied physiology and occupational physiology》1983,50(2):179-193
The development of fatigue and the relationship between psychological and physiological indices of fatigue were studied in a group of 18 male subjects during static contractions. Exercise was performed as a static elbow flexion at 25% MVC. Heart rate (HR), intraarterial blood pressure (BP) and surface EMG [mean amplitude (MA) and central frequency (CF)] were studied during contractions sustained until exhaustion. The amount of effort expended (relative to total exhaustion) and the rating of perceived pain were recorded following contractions interrupted after 20, 30 . . . 80, and 100% of endurance time. HR, BP and EMG amplitude responses were similar to those previously recorded. The decline in CF occurred in two phases, possibly related to a change in motor unit recruitment after the initial 70% of endurance time. The subjects overestimated the amount of effort expended and thus underestimated their endurance capacity. The best correlation between perceived effort and physiological responses was obtained using blood pressure data, whereas changes in EMG data did not parallel the psychological responses. It is concluded that the perception of effort during a static contraction is produced through a complex process, in which several influences of peripheral and central origin are integrated. 相似文献
11.
Length-force characteristics of aponeurosis of rat gastrocnemius medialis muscle and achilles tendon were studied for passive and active muscle. Active muscle performed isometric as well as slow concentric and eccentric contractions at low velocity. For isometric conditions, different aponeurosis and tendon length-force characteristics were found between passive and active muscle: At comparable low levels of force longer aponeuroses were encountered in passive than in active muscle. Similar results were found for achilles tendon, but the magnitude of the length change involved was smaller than for aponeurosis. For active muscle, no differences of aponeurosis length- force characteristics could be distinguished between the isometric contractions and a slow concentric contraction. Indications that such differences of aponeurosis length-force characteristics may exist between slow concentric and eccentric contractions were found. It is concluded that, for gastrocnemius medialis muscle, aponeurosis and tendon length - force characteristics may be quite variable depending on recent history of muscle length and activity. 相似文献
12.
Harri Piitulainen Alberto Botter Roberto Merletti Janne Avela 《Journal of electromyography and kinesiology》2013,23(2):302-310
Motor unit behavior differs between contraction types at submaximal contraction levels, however is challenging to study during maximal voluntary contractions (MVCs). With multi-channel surface electromyography (sEMG), mean physiological characteristics of the active motor units can be extracted. Two 8-electrode sEMG arrays were attached on biceps brachii muscle (one on each head) to examine behavior of sEMG variables during isometric, eccentric and concentric MVCs of elbow flexors in 36 volunteers.On average, isometric (364 ± 88 N) and eccentric (353 ± 74 N) MVCs were higher than concentric (290 ± 73 N) MVC (p < 0.001). Mean muscle fiber conduction velocity (CV) was highest during eccentric MVC (4.42 ± 0.49 m/s) than concentric (4.25 ± 0.49 m/s, p < 0.01) and isometric (4.14 ± 0.45 m/s, p < 0.001) MVCs. Furthermore, eccentric MVC showed lower sEMG amplitude at the largest elbow joint angles (120–170°) and higher CV at the smallest (70–150°) elbow joint angles (p < 0.05–0.001) than concentric MVC.The differences in CV and sEMG amplitude between the MVCs suggest that the control strategy of motor units differs between the contraction types during MVCs, and is dependent on the muscle length between the dynamic MVCs. 相似文献
13.
目的:探讨肌肉疲劳过程中sEMG功率谱变化与H 的关系以及可能存在的其它影响因素.方法:利用肌肉进行疲劳收缩结束后,短时间内肌肉pH值尚无明显改变的特性,观察恢复期30 s内s EMG功率谱的变化规律.八名男性受试者,以肱二头肌为目标肌肉,负荷强度为60%MVC,静态持续负荷至疲劳点后,在恢复期以同样负荷分别观察2 s、4 s、6 s、8 s、10 s、20 s、30 s时的sEMG信号特征.结果:肱二头肌在以60%MVC静态疲劳负荷过程中MPF呈线性下降.在疲劳负荷后的恢复期,MPF恢复极其迅速,运动结束后仅2 s,MPF已恢复到整个下降范围的26.5%;至30 s,MPF已恢复到整个下降范围的87.7%.结论:由[H ]增加引起的肌纤维动作电位传导速度下降不是决定sEMG功率谱左移的唯一因素,提示sEMG功率谱左移可能与神经源性的中枢机制的作用有关. 相似文献
14.
Karamouzis I Christoulas K Grekas D Giannoulis K Vamvakoudis E Mandroukas K 《Prostaglandins, leukotrienes, and essential fatty acids》2004,71(2):87-90
8-Iso-prostaglandin F2alpha (8-iso-PGF2alpha) is a characteristic F2-isoprostane which is produced in humans via a free radical-catalysed lipid peroxidation mechanism of arachidonic acid, independent of the cycloxygenase pathway. The measurement of the plasma levels of 8-iso-PGF2alpha was shown to be the most reliable biochemical index of oxidant stress status in the human body. However, there is no reference in literature of local muscle interstitial 8-iso-PGF2alpha production during dynamic muscle contractions. The aim of the present study was to evaluate the response of 8-iso-PGF2alpha during intensive exercise with a cycle ergometer. Two microdialysis probes with CMA-60 microdialysis catheters were inserted into the vastus lateralis muscle of the right leg of six healthy male volunteers. After insertion, these microdialysis probes were attached to a perfusion pump that perfused ringer acetate solution at a rate of 0.3 microl/min. The dialysate fluid samples were collected: (a) during a 30 min rest period and (b) during a 30 min period of dynamic exercise with a cycle ergometer at 150 Watts. Our measurements showed that the levels of 8-iso-PGF2alpha in the interstitial fluid (IF) of the vastus lateralis muscle increase significantly during exercise (from 113.5 +/- 30.2 to 329.9 +/- 69.8 pg/ml, P = 0.05). In conclusion, dynamic muscle exercise produces a local increase of the IF levels of 8-iso-PGF2alpha due to local peroxidation injury of the contractive muscle. The microdialysis method is widely applied, easily repeated and it could contribute in evaluating the local lipid muscle peroxidation during intensive exercise. 相似文献
15.
Daniels JW Stebbins CL Longhurst JC 《American journal of physiology. Regulatory, integrative and comparative physiology》2000,279(5):R1849-R1855
We tested the hypothesis that static contraction causes greater reflex cardiovascular responses than dynamic contraction at equivalent workloads [i.e., same tension-time index (TTI), holding either contraction time or peak tension constant] in chloralose-anesthetized cats. When time was held constant and tension was allowed to vary, dynamic contraction of the hindlimb muscles evoked greater increases (means +/- SE) in mean arterial pressure (MAP; 50 +/- 7 vs. 30 +/- 5 mmHg), popliteal blood velocity (15 +/- 3 vs. 5 +/- 1 cm/s), popliteal venous PCO(2) (15 +/- 3 vs. 3 +/- 1 mmHg), and a greater decrease in popliteal venous pH (0.07 +/- 0.01 vs. 0.03 +/- 0.01), suggesting greater metabolic stimulation during dynamic contraction. Similarly, when peak tension was held constant and time was allowed to vary, dynamic contraction evoked a greater increase in blood velocity (13 +/- 1 vs. -1 +/- 1 cm/s) without causing any differences in other variables. To investigate the reflex contribution of mechanoreceptors, we stretched the hindlimb dynamically and statically at the same TTI. A larger reflex increase in MAP during dynamic stretch (32 +/- 8 vs. 24 +/- 6 mmHg) was observed when time was held constant, indicating greater mechanoreceptor stimulation. However, when peak tension was held constant, there were no differences in the reflex cardiovascular response to static and dynamic stretch. In conclusion, at comparable TTI, when peak tension is variable, dynamic muscle contraction causes larger cardiovascular responses than static contraction because of greater chemical and mechanical stimulation. However, when peak tensions are equivalent, static and dynamic contraction or stretch produce similar cardiovascular responses. 相似文献
16.
D K Hartle 《Journal of cyclic nucleotide research》1976,2(3):179-188
Cyclic nucleotide levels and tension were measured at various times during carbachol-induced smooth muscle contractions. Cyclic GMP levels were markedly increased during contractions of rat vas deferens, guinea pig myometrium and guinea pig taenia coli, but were unchanged during contractions of rat uterus or guinea pig ileum. No significant changes in cyclic GMP levels could be detected in estrogen-primed rat uteri at any of the times or drug concentrations studied. Even in tissues in which large increases in cyclic GMP levels could be detected during carbachol-induced contractions (i.e. guinea pig myometrium and taenia coli) the contractions appeared to precede the cyclic GMP increases by several seconds. No significant changes in cyclic AMP levels were observed during carbachol-induced contractions in any of the smooth muscles studied. Thus, changes in tissue levels of the cyclic nucleotides do not appear to be responsible for the initiation of carbachol-induced smooth muscle contractions. 相似文献
17.
Acoustic myography reflects force changes during dynamic concentric and eccentric contractions of the human biceps brachii muscle. 总被引:2,自引:0,他引:2
P A Dalton M J Stokes 《European journal of applied physiology and occupational physiology》1991,63(6):412-416
The relationship between acoustic myography (AMG), electromyography (EMG) and force during submaximal dynamic contractions was examined in the biceps brachii muscles of eight healthy males (aged 17-26 years). Different weights were lifted and lowered at a constant speed, using a wall pulley system, to perform concentric and eccentric contractions, respectively. Integrated AMG (iAMG) and integrated EMG (iEMG) activity both increased linearly with force during concentric (iAMG r = 0.94; iEMG r = 0.99) and eccentric (iAMG r = 0.90; iEMG r = 0.94) contractions. The slopes of the concentric regression lines were significantly different from the eccentric slopes (P less than 0.01) for both iAMG and iEMG with concentric contractions showing greater levels of activity. The results indicated that AMG can be used to detect changes in force during dynamic contractions which has important implications for the use of AMG in rehabilitation. The differences in iAMG activity between concentric and eccentric contractions are discussed in relationship to the origin of the AMG signal. 相似文献
18.
J Górski M Zendzian-Piotrowska M Górska J Rutkiewicz 《European journal of applied physiology and occupational physiology》1990,61(5-6):408-412
In the rat, muscle glycogen is mobilized during the first stage of exercise, despite normoglycaemia. The aim of the present study was to examine if this process could be prevented or reduced by hyperglycaemia. Three experiments were carried out: in the first, rats were forced to run on a treadmill; in the second the gastrocnemius muscle group was made to contract by stimulation of the sciatic nerve and in the third adrenaline was administered subcutaneously. Each group was divided into two subgroups: control and enriched with glucose (hyperglycaemic). It was shown that hyperglycaemia has no effect on running-induced glycogen mobilization in hind-limb muscles of different fibre composition but prevented it totally in diaphragm muscle. Hyperglycaemia also did not affect the glycogen mobilization induced by stimulation of the sciatic nerve. However, it delayed and reduced markedly the glycogenolytic effect of adrenaline. It is concluded that increased glycogenolysis in muscles at the beginning of exercise may be a consequence of a delay in the activation of glucose transporting mechanisms in muscle cells. 相似文献
19.
Peka Christova Andon Kossev 《European journal of applied physiology and occupational physiology》1998,77(4):379-387
Changes accompanying long-lasting intermittent muscle contractions (30%–50% of the maximal) were investigated by tracing
the activity of 38 motor units (MU) of the human biceps brachii muscle recorded from fine-wire branched electrodes. The motor
task was a continuous repetition of ramp-and-hold cycles of isometric flexion contractions. During ramp-up phases a significant
decline in recruitment thresholds was found with no changes in the discharge pattern. During ramp-down phases the unchanged
mean value of derecruitment thresholds during the task was accompanied by increased duration of the last two interspike intervals
(ISI). These findings would suggest that during fatigue development the main compensatory mechanism during ramp-up contractions
is space coding while for ramp-down contractions it is rate coding. During the steady-state phases the mean value of ISI,
as well as the firing variability, had increased by the end of the task in most of the MU investigated . In addition 17 recruited
MU were also investigated. These units revealed a lower initial discharge rate and a faster decrease in the mean discharge
rate with the development of fatigue. The gradual reduction of the recruitment threshold of already active MU and the recruitment
of new units demonstrated an increased excitability of the motorneuron pool during fatigue. A typical recruitment pattern
(a first short ISI followed by a long one) was observed during ramp-up contractions in units active from the very beginning
of the task, as well as during sustained contractions at the onset of the stable discharge of the additionally recruited MU.
Accepted: 23 September 1997 相似文献
20.
W N Stainsby W F Brechue B T Ameredes D M O'Drobinak 《Canadian journal of physiology and pharmacology》1991,69(2):226-229
When the gastrocnemius-plantaris muscle group of the dog is stimulated to contract repetitively for 30 min at frequencies high enough to generate VO2 levels at or near VO2 max, VO2 and mechanical performance decline with time. This decline with time is fatigue, and it occurs during twitch and tetanic contractions that are isometric or isotonic. There is oxidation of the mitochondrial electron transport system, and net lactic acid output is transient, ending after 20 min of contractions. Energy and substrate stores and intracellular pH are only moderately changed and do not appear to be well correlated with the development of fatigue. Blood flow through the muscle is well correlated with the development of fatigue and decreases as fatigue develops in a manner that keeps the blood arteriovenous O2 difference nearly constant. Changing the blood flow alters the rate of development of fatigue as an inverse relation, and this response does not appear to be related to changes in the availability of O2 in the mitochondria. Nerve-muscle transmission of excitation does not seem to be involved in the development of fatigue. Excitation-contraction coupling is well accepted to be at least part of the genesis of the development of fatigue. Metabolic limitations and control may affect excitation-contraction coupling by one or more changes in the internal environment. Blood flow affects this system by an unknown mechanism. The role of blood flow in fatigue deserves further consideration. 相似文献