Related Experiment Video
Updated: Mar 28, 2026

Induction and Assessment of Exertional Skeletal Muscle Damage in Humans
Published on: December 11, 2016
Muscle damage and repeated bout effect induced by enhanced eccentric squats
Giuseppe Coratella1, Alessandro Chemello2, Federico Schena2
1Department of Neurological and Movement Sciences, University of Verona, Verona, Italy - giuseppe.coratella@univr.it.
Enhanced eccentric exercise using a flywheel device causes muscle damage but provides protection against subsequent bouts. This repeated bout effect demonstrates muscle adaptation and reduced injury markers after a four-week interval.
Area of Science:
- Exercise Physiology
- Sports Science
- Muscle Adaptation
Background:
- Previous research on muscle damage and the repeated bout effect focused on eccentric-only exercise.
- The study investigates muscle damage and adaptation following enhanced eccentric squat exercise using a flywheel device.
Purpose of the Study:
- To evaluate muscle damage markers after enhanced eccentric squat exercise.
- To assess the repeated bout effect of this exercise protocol.
- To determine if flywheel-enhanced eccentric exercise induces muscle protection.
Main Methods:
- Thirteen healthy males performed 100 enhanced eccentric squat repetitions using a flywheel device.
- Muscle damage was assessed via creatine kinase (CK) levels, quadriceps isometric peak torque, and muscle soreness.
- Measurements were taken at baseline, immediately post-exercise, and daily up to 96 hours, with a repeat protocol after 4 weeks.
Main Results:
- The first exercise bout significantly increased CK and soreness, and decreased isometric peak torque up to 96 hours.
- Following the second bout (4 weeks later), CK showed no significant increase, and torque/soreness returned to baseline levels faster.
- All muscle damage markers were significantly lower after the second bout compared to the first.
Conclusions:
- Enhanced eccentric exercise induces muscle damage symptoms lasting up to 96 hours.
- A four-week interval between exercise bouts leads to significant muscle protection (repeated bout effect).
- Flywheel-enhanced eccentric exercise, even when not eccentric-only, confers protective adaptations.
Related Concept Videos
Muscle Stimulation Frequency
Wave summation
At low firing rates, motor neurons induce individual twitch contractions in muscle fibers. These twitches...
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...
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...
Muscle Recovery and Fatigue
Isotonic and Isometric Muscle Contractions
Isotonic contractions
Isotonic contractions occur when a muscle changes length while...
Cross-bridge Cycle

