Altered Skeletal Muscle Phosphate Metabolism After Muscle Damage Is Associated With Elevated Effort Perception During
Jamie Stewart McPhee1,2, Aneurin James Kennerley1,2, Jean-Christophe Lagacé1,3,4
1School of Sport and Exercise Sciences, Manchester Metropolitan University, Manchester, UK.
Scandinavian Journal of Medicine & Science in Sports
|July 29, 2026
Summary
Exercise-induced muscle damage disrupts muscle phosphate metabolism, leading to sustained elevations in inorganic phosphate (Pi) and Pi/phosphocreatine (PCr) ratios. This metabolic disturbance is strongly linked to increased ratings of perceived exertion (RPE) after damage.
Area of Science:
- Exercise physiology
- Muscle metabolism
- Biophysics
Background:
- Muscle damage from eccentric exercise (EIMD) increases perceived exertion.
- Inorganic phosphate (Pi) plays a role in muscle fatigue and sensory signaling.
- The link between muscle damage, phosphate metabolism, and perceived effort remains unclear.
Purpose of the Study:
- To investigate if muscle damage disrupts phosphate metabolism.
- To determine if disrupted phosphate metabolism is associated with heightened ratings of perceived exertion (RPE).
Main Methods:
- Eighteen adults underwent assessments before and 48 hours after EIMD.
- Magnetic resonance imaging (MRI) quantified quadriceps cross-sectional area (Qcsa).
- 31P-MR spectroscopy measured muscle phosphate metabolites (Pi, PCr, ATPγ) and pH at rest, during exercise, and recovery. RPE was recorded.
Main Results:
- EIMD increased muscle soreness, reduced maximal voluntary contraction, and increased Qcsa.
- Sustained elevations in resting Pi and Pi/PCr ratios, with lower ATPγ, were observed in the damaged leg.
- Elevated resting Pi/PCr ratio strongly correlated with higher RPE (r=0.856, p<0.001).
Conclusions:
- EIMD causes a persistent disruption in muscle phosphate homeostasis.
- This sustained disturbance in resting muscle phosphate metabolism is significantly associated with heightened perceived exertion after muscle damage.
- Findings link resting muscle metabolic disturbances to increased effort perception post-damage.
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