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Updated: Jul 17, 2026

Manual Muscle Testing: A Method of Measuring Extremity Muscle Strength Applied to Critically Ill Patients
Published on: April 12, 2011
Effect of acute infectious disease on human isometric muscle endurance
Abstract:
Capacity for isometric endurance work of different muscle groups was recorded in 32 male patients suffering a variety of acute infectious diseases, predominantly of viral or mycoplasmal aetiology. Recordings were performed after abatement of fever, and 1, and 4 months thereafter. Control measurements took place 1 year later. As a result of the illness the subjects' endurance capacity was reduced to 82.5-86.9% of the control values. Complete recovery was attained later than 4 months after the acute disease. In 21 healthy male control subjects confined to bed for the same period of time as the patients no reduction of endurance capacity was observed as a result of bed rest. The illness induced and long-lasting impairment of static endurance after acute febrile infections might be resated to observations in similar patients of reduced activity in muscle tissue of glyceraldehyde-3-phosphate dehydrogenase being a key enzyme in glycolysis.
Insights
Acute infections significantly reduce muscle endurance capacity, with full recovery taking longer than four months. Bed rest alone did not impact endurance in healthy individuals, highlighting the disease
Area of Science:
- Exercise physiology
- Infectious disease impact on muscle function
Background:
- Acute infectious diseases can affect various bodily systems.
- Muscle endurance is crucial for daily activities and physical performance.
Purpose of the Study:
- To assess the long-term effects of acute infections on isometric muscle endurance.
- To differentiate the impact of illness from that of bed rest on endurance capacity.
Main Methods:
- Isometric endurance capacity was measured in 32 male patients with acute infections (viral/mycoplasmal).
- Measurements were taken post-fever, at 1 and 4 months, and 1 year later.
- A control group of 21 healthy males underwent similar bed rest periods.
Main Results:
- Patients showed reduced endurance capacity (82.5-86.9% of controls) post-illness.
- Complete recovery of endurance capacity took longer than 4 months.
- Healthy controls experienced no endurance reduction due to bed rest.
Conclusions:
- Acute febrile infections cause a prolonged impairment of static muscle endurance.
- This impairment may be linked to reduced activity of key muscle enzymes like glyceraldehyde-3-phosphate dehydrogenase.
- Recovery from infection-induced muscle weakness is a lengthy process.
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