Related Experiment Video
Updated: May 23, 2026

Assessment of Neuromuscular Function Using Percutaneous Electrical Nerve Stimulation
Published on: September 13, 2015
Child-adult differences in muscle activation--a review
Raffy Dotan1, Cameron Mitchell, Rotem Cohen
1Faculty of Applied Health Sciences, Brock University, St. Catharines, Ontario, Canada.
Insights
Children exhibit distinct muscular and metabolic performance compared to adults. The primary difference may stem from children
Area of Science:
- Pediatric Exercise Science
- Motor Control
- Human Physiology
Background:
- Children and adults exhibit significant differences in muscular performance, including size-normalized strength, power, endurance, and exercise recovery.
- Metabolic attributes like glycolytic capacity, substrate utilization, and VO2 kinetics also show marked variations between pediatric and adult populations.
- Existing explanations involving factors like dimensionality, intramuscular synchronization, coactivation, and muscle composition do not fully account for these observed differences.
Purpose of the Study:
- To review and evaluate existing information explaining the differences in muscular and metabolic performance between children and adults.
- To assess the hypothesis that children are less capable of recruiting higher-threshold, type-II motor units compared to adults.
- To determine if differential motor-unit activation can explain all observed child-adult performance discrepancies.
Main Methods:
- This study is a review and evaluation of existing scientific literature.
- It synthesizes data on pediatric and adult muscular and metabolic performance.
- It critically assesses various proposed factors contributing to observed differences, focusing on motor-unit recruitment.
Main Results:
- Several factors contribute to child-adult performance differences, but none fully explain the observed variations independently.
- The hypothesis of differential motor-unit activation, specifically reduced recruitment or employment of type-II motor units in children, is presented as a unifying explanation.
- This hypothesis, alone or in conjunction with other factors, appears capable of accounting for all observed child-adult differences.
Conclusions:
- The differential activation of motor units, particularly higher-threshold type-II units, is the most plausible explanation for the comprehensive differences in muscular performance between children and adults.
- While conclusive evidence is still developing, this hypothesis provides a robust framework for understanding pediatric exercise physiology.
- Further research is warranted to definitively confirm the role and extent of differential motor-unit activation in pediatric performance.
Abstract:
Children differ from adults in many muscular performance attributes such as size-normalized strength and power, endurance, fatigability and the recovery from exhaustive exercise, to name just a few. Metabolic attributes, such as glycolytic capacity, substrate utilization, and VO2 kinetics also differ markedly between children and adults. Various factors, such as dimensionality, intramuscular synchronization, agonist-antagonist coactivation, level of volitional activation, or muscle composition, can explain some, but not all of the observed differences. It is hypothesized that, compared with adults, children are substantially less capable of recruiting or fully employing their higher-threshold, type-II motor units. The review presents and evaluates the wealth of information and possible alternative factors in explaining the observations. Although conclusive evidence is still lacking, only this hypothesis of differential motor-unit activation in children and adults, appears capable of accounting for all observed child-adult differences, whether on its own or in conjunction with other factors.
Related Concept Videos
Motor Unit Stimulation
The latent period of contraction marks the onset of excitation-contraction coupling, when the action potential propagates across the sarcolemma, preparing the muscle fibers for contraction. As the fibers enter the contraction phase, the...
Alterations in Muscle Tone ll
Generation of Action Potential in Skeletal Muscles
Like neurons, muscle cells are also regarded as excitable due to their capacity to change in response to stimuli, primarily due to voltage-gated ion channels embedded in their plasma membranes, which get activated by alterations in the cell's...
Alterations in Muscle Tone lll
Muscle Contraction
Disorders of the Skeletal Muscle
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...

