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Updated: Mar 13, 2026

Induction and Assessment of Exertional Skeletal Muscle Damage in Humans
Published on: December 11, 2016
Mechanisms and Mediators of the Skeletal Muscle Repeated Bout Effect
Robert D Hyldahl1, Trevor C Chen, Kazunori Nosaka
11Department of Exercise Sciences, Brigham Young University, Provo, UT; 2Department of Physical Education, National Taiwan Normal University, Taipei City, Taiwan; and 3Centre for Exercise and Sports Sciences, School of Medical and Health Sciences, Edith Cowan University, Joondalup, Western Australia, Australia.
Abstract:
Skeletal muscle adapts to exercise-induced damage by orchestrating several but still poorly understood mechanisms that endow protection from subsequent damage. Known widely as the repeated bout effect, we propose that neural adaptations, alterations to muscle mechanical properties, structural remodeling of the extracellular matrix, and biochemical signaling work in concert to coordinate the protective adaptation.
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