Objective: To examine motor unit changes during the development of fatigue
in healthy subjects.
Design: Automated decomposition-enhanced spike-triggered averaging was used
to characterize motor unit size and firing rate in the dominant vastus med
ialis during maintained contractions at 10% and 30% of maxima voluntary con
traction (MVC).
Setting: Academic outpatient neuromuscular clinic.
Participants: Healthy laboratory personnel.
Main Outcome Measures: Surface electromyogram, surface-detected motor unit
action potential amplitude (S-MUAP), mean firing rate, force (MVC), motor u
nit index.
Results: Surface electromyogram values and S-MUAP amplitudes increased duri
ng both 10% and 30% MVC fatiguing contractions, while mean firing rates dec
reased. A motor unit index, indicating the degree of motor unit pool activa
tion, increased similarly to S-MUAP size, implying that new and larger unit
s were recruited to maintain the contraction. Repeated contractions led to
earlier motor unit changes and fatigue.
Conclusion: During submaximal fatiguing contractions, additional motor unit
s are activated to maintain strength. These changes begin early, within the
first minute, particularly after a previous fatiguing effort.