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Updated: May 30, 2026

Ex Vivo Assessment of Contractility, Fatigability and Alternans in Isolated Skeletal Muscles
Published on: November 1, 2012
Cortical and segmental excitability during fatiguing contractions of the soleus muscle in humans
Masaki Iguchi1, Richard K Shields
1Physical Therapy and Rehabilitation Science, The University of Iowa, 1-252 Medical Education Bldg., Iowa City, IA 52242-1190, USA.
Objective:
The aim of this study was to examine the cortical and segmental excitability changes during fatigue of the soleus muscle.
Methods:
Ten healthy young subjects performed 45 plantar flexion maximal voluntary contractions (MVCs) (7-s on/3-s off) in 9 epochs of five contractions. Motor evoked potentials (MEPs) using transcranial magnetic stimulation and H-reflexes were assessed during the task.
Results:
The torque and the soleus EMG activity both showed the greatest decline during the 1st epoch, followed by a gradual, but significant decrease by the end of the task (∼70% pre-fatigue). The H-reflex sampled at rest after each epoch decreased to 66.6±18.3% pre-fatigue after the first epoch, and then showed no further change. The MEP on 10% pre-fatigue MVC after each epoch increased progressively (252.9±124.2% pre-fatigue). There was no change in the MEPs on the 3rd MVC in each epoch. The silent period on the MVC increased (109.0±9.2% pre-fatigue) early with no further changes during the task.
Conclusions:
These findings support that the motor cortex increases excitability during fatigue, but with a concomitant inhibition.
Significance:
These findings are in contrast to upper extremity muscles and may reflect a distinct response specific to postural, fatigue-resistant muscle.
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