Force time-history affects fatigue accumulation during repetitive handgrip tasks

Muscle fatigue is associated with a higher risk of workplace injury, in particular during repetitive tasks. This study aimed to identify the effect of a complex force-time history (a task with multiple different submaximal effort levels) on fatigue accumulation and recovery during a handgrip task. We measured surface electromyography of the brachioradialis (BRD) and flexor carpi ulnaris (FCU) of ten right hand dominant females with no history of upper limb injury while they performed a complex submaximal visually targeted gripping task. The task consisted of 15%, 30%, 45%, 30%, and 15% maximum voluntary contraction (MVC) plateaus. Each plateau was held for 15s, followed by a 3s MVC and 3s of rest. The "pyramid" was repeated until fatigue criteria were met. Grip force, average EMG and mean power frequency (MnPF) for first cycle and fatigued last cycle, were compared. Post-plateau peak grip force was on average 20.5% MVC lower during the last cycle (p<0.01). Post-plateau grip forces decreased on average by 5.1% MVC after the first 15% MVC plateau (from baseline), by 5.3% MVC after the 30% MVC plateau and 6.8% MVC after the 45% MVC plateau. Further accumulation of fatigue after the second 30% MVC plateau however was minimal, only decreasing by 1.6% MVC. Recovery appeared to occur during the last 15% MVC plateau with an increase in post plateau grip force of 1.6% MVC. Interestingly, MnPF parameters confirmed significant fatigue accumulation during the back end of a force pyramid. We conclude that in a pattern of contractions with ascending, then descending force intensity, voluntary force recovery was present when the preceding force was of a lower intensity. These findings indicate preceding demands play a role in fatigue accumulation during complex tasks.