Unaccustomed exercise involving stretch of active muscle at long length cau
ses an immediate loss of tension-generating capacity, a shift of optimum le
ngth, and changes in excitation-contraction coupling. Eventually, fiber dam
age may be observed, resulting in pain and tenderness. The subject of this
review is the early stage in this process, particularly the cause of the im
mediate drop in tension. There is strong evidence pointing to sarcomere len
gth instabilities and nonuniformities as important contributors to these ch
anges. The evidence includes the influence of initial length, electron micr
oscopy of rapidly fixed active fibers, the shift in optimum length in singl
e fibers, and the effects of training on sacomere numbers. Experiments usin
g Ca2+-sensitive dyes clearly show changes in excitiation-contraction coupl
ing, but cross-species comparisons indicate that these are not always able
to explain the consequences seen. We conclude that sarcomere length instabi
lities provide the most comprehensive explanation of the early consequences
of eccentric exercise.