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Translating Fatigue to Human Performance.

Roger M Enoka1, Jacques Duchateau

  • 11Department of Integrative Physiology, University of Colorado, Boulder, CO; and 2Laboratory of Applied Biology and Neurophysiology, ULB Neuroscience Institute, Université Libre de Bruxelles (ULB), Bruxelles, BELGIUM.

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Summary
This summary is machine-generated.

Understanding human performance requires a unified definition of fatigue. This research proposes defining fatigue as a disabling symptom, measurable by self-report, to improve its management in health and disease.

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Area of Science:

  • Exercise Physiology
  • Human Performance
  • Symptom Science

Background:

  • Despite significant interest, the impact of fatigue on human performance remains poorly understood.
  • Current terminology and a lack of validated models hinder fatigue research.
  • Existing definitions fail to encompass the broad scope of fatigue-related conditions.

Purpose of the Study:

  • To propose a unified definition of fatigue to enhance its management in various health conditions.
  • To establish a framework for understanding the relationship between performance fatigability and perceived fatigability.
  • To address knowledge gaps concerning laboratory measures of fatigue and their real-world performance implications.

Main Methods:

  • A conceptual review based on Mosso's classic two-domain theory of fatigue.
  • Proposing a definition of fatigue as a disabling symptom measurable by self-report.
  • Examining challenges in developing validated experimental models using examples like elderly walking endurance, athlete time trials, and multiple sclerosis fatigue.

Main Results:

  • Fatigue is defined as a disabling symptom where physical and cognitive function is limited by performance and perceived fatigability.
  • Fatigue, as a symptom, is measurable solely through self-report, quantifying trait or state characteristics.
  • Developing valid experimental models for fatigue remains a significant challenge across diverse populations.

Conclusions:

  • A unified definition of fatigue as a self-reported symptom is crucial for advancing research and clinical management.
  • Future research should focus on validated experimental models to elucidate the mechanisms underlying reported fatigue.
  • The proposed framework aims to bridge the gap between laboratory findings and real-world performance impacts of fatigue.