Related Experiment Video
Updated: May 11, 2026

Assessment of Neuromuscular Function Using Percutaneous Electrical Nerve Stimulation
Published on: September 13, 2015
Prolonged mental exertion does not alter neuromuscular function of the knee extensors
Benjamin Pageaux1, Samuele M Marcora, Romuald Lepers
11Endurance Research Group, School of Sport & Exercise Sciences, University of Kent at Medway, Chatham Maritime, Kent, UNITED KINGDOM; and 2Laboratoire INSERM U1093, Université de Bourgogne, Faculté des Sciences du Sports-UFR STAPS, Dijon, FRANCE.
Purpose:
The aim of this study was to test the hypotheses that prolonged mental exertion (i) reduces maximal muscle activation and (ii) increases the extent of central fatigue induced by subsequent endurance exercise.
Methods:
The neuromuscular function of the knee extensor muscles was assessed in 10 male subjects in two different conditions: (i) before and after prolonged mental exertion leading to mental fatigue and (ii) before and after an easy cognitive task (control). Both cognitive tasks lasted 90 min and were followed by submaximal isometric knee extensor exercise until exhaustion (endurance task), and a third assessment of neuromuscular function.
Results:
Time to exhaustion was 13% ± 4% shorter in the mental fatigue condition (230 ± 22 s) compared with the control condition (266 ± 26 s) (P < 0.01). Prolonged mental exertion did not have any significant effect on maximal voluntary contraction torque, voluntary activation level, and peripheral parameters of neuromuscular function. A similar significant decrease in maximal voluntary contraction torque (mental fatigue condition: -26.7% ± 5.7%; control condition: -27.6% ± 3.3%, P < 0.001), voluntary activation level (mental fatigue: -10.6% ± 4.3%; control condition: -11.2% ± 5.2%, P < 0.05), and peripheral parameters of neuromuscular function occurred in both conditions after the endurance task. However, mentally fatigued subjects rated perceived exertion significantly higher during the endurance task compared with the control condition (P < 0.05).
Conclusions:
These findings provide the first experimental evidence that prolonged mental exertion (i) does not reduce maximal muscle activation and (ii) does not increase the extent of central fatigue induced by subsequent endurance exercise. The negative effect of mental fatigue on endurance performance seems to be mediated by the higher perception of effort rather than impaired neuromuscular function.
Related Concept Videos
Alterations in Muscle Tone lll
Isotonic and Isometric Muscle Contractions
Isotonic contractions
Isotonic contractions occur when a muscle changes length while the...
Relaxation of Skeletal Muscles
When an action potential reaches the axon terminal, it depolarizes the membrane and opens voltage-gated sodium channels. Sodium ions enter the cell, further depolarizing the presynaptic membrane. This depolarization causes voltage-gated calcium channels to open.
Alterations in Muscle Tone ll
Exercise and Muscle Performance
Endurance exercises
Endurance exercises involve running, swimming, or cycling, which require repetitive movements with low force output. When a person engages in endurance exercise, a few noticeable changes occur in their skeletal muscles. For instance, the number of capillaries...
Skeletal Muscle Relaxants: Therapeutic Uses

