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Updated: May 8, 2025

Author Spotlight: Advancing Upper Limb Rehabilitation in Patients with Right Hemisphere Damage Using Assisted Active Exercise
Published on: February 9, 2024
Optimizing active recovery strategies for finger flexor fatigue
Dominika Krupková1, James J Tufano1, Jiří Baláš1
1Faculty of Physical Education and Sport, Charles University, Prague, Czech Republic.
Introduction:
Active recovery (AR) is used during exercise training; however, it is unclear whether the AR should involve the whole body, only the upper extremities, or only the lower extremities when aiming to maintain localized upper body performance. Therefore, this study aimed to evaluate the impact of different AR strategies on repeated intermittent finger flexor performance leading to exhaustion.
Methods:
A crossover trial involving a familiarization session and three laboratory visits, each including three exhaustive intermittent isometric tests at 60% of finger flexor maximal voluntary contraction separated by 22 min of randomly assigned AR: walking, intermittent hanging, and climbing.
Results:
The impulse (Nꞏs) significantly decreased from the first to third trials after walking (-18.4%, P = 0.002, d = 0.78), climbing (-29.5%, P < 0.001, d = 1.48), and hanging (-27.2%, P < 0.001, d = 1.22). In the third trial, the impulse from the intermittent test was significantly higher after walking (21,253 ± 5,650 Nꞏs) than after hanging (18,618 ± 5,174 Nꞏs, P = 0.013, d = 0.49) and after climbing (18,508 ± 4,435 Nꞏs, P = 0.009, d = 0.54).
Conclusions:
The results show that easy climbing or intermittent isolated forearm contractions should not be used as AR strategies to maintain subsequent performance in comparison to walking, indicating that using the same muscle group for AR should be avoided between exhaustive isometric contractions.
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