ReviewMedicine and science in sports and exercise2016
Neural Contributions to Muscle Fatigue: From the Brain to the Muscle and Back Again.
Review in Medicine and science in sports and exercise, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 226 papers, 14 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
226 citing papers in PubMed, 14 syntheses or guidelines pooled it.
- The effect of fatigue on kinetic and kinematic variables in individuals with flexible flatfoot during gait: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2026Pooled it
- Meta-analysis of the acute effects of anodal transcranial direct current stimulation on athletic performance.Frontiers in physiology · 2025Pooled it
- Effects of fatigue on physiological, physical fitness, and stroke performance related parameters in healthy tennis players: a systematic review and meta-analysis.Frontiers in sports and active living · 2025Pooled it
- The influence of a single transcranial direct current stimulation session on physical fitness in healthy subjects: a systematic review.Experimental brain research · 2023Pooled it
- Pooled it
- Effects of Transcranial Direct Current Stimulation on Upper Limb Muscle Strength and Endurance in Healthy Individuals: A Systematic Review and Meta-Analysis.Frontiers in physiology · 2022Pooled it
- Optimal Training Sequences to Develop Lower Body Force, Velocity, Power, and Jump Height: A Systematic Review with Meta-Analysis.Sports medicine (Auckland, N.Z.) · 2021Pooled it
- Overuse-Related Injuries of the Musculoskeletal System: Systematic Review and Quantitative Synthesis of Injuries, Locations, Risk Factors and Assessment Techniques.Sensors (Basel, Switzerland) · 2021Pooled it
- Biomechanical Response of the Lower Extremity to Running-Induced Acute Fatigue: A Systematic Review.Frontiers in physiology · 2021Pooled it
- Does Acute Fatigue Negatively Affect Intrinsic Risk Factors of the Lower Extremity Injury Risk Profile? A Systematic and Critical Review.Sports medicine (Auckland, N.Z.) · 2020Pooled it
- Age-related Deficits in Voluntary Activation: A Systematic Review and Meta-analysis.Medicine and science in sports and exercise · 2020Pooled it
- Criteria-Based Return to Sport Decision-Making Following Lateral Ankle Sprain Injury: a Systematic Review and Narrative Synthesis.Sports medicine (Auckland, N.Z.) · 2019Pooled it
- Is tDCS an Adjunct Ergogenic Resource for Improving Muscular Strength and Endurance Performance? A Systematic Review.Frontiers in psychology · 2019Pooled it
- Effects of experimentally induced fatigue on healthy older adults' gait: A systematic review.PloS one · 2019Pooled it
- Effects of Menthol Mouth Rinsing on Performance and Surface EMG Activity During Heat-Stressed Cycling.Nutrients · 2026Trial
- Neuromuscular fatigue differences between prepubertal boys and men after maximal concentric versus eccentric isokinetic knee extensions.European journal of applied physiology · 2026Trial
- Acute and chronic effects of transcranial direct current stimulation (tDCS) on swimming performance and cognitive function of elite swimmers.Scientific reports · 2025Trial
- Effects of kilohertz versus low-frequency electrical stimulation of the wrist extensors in patients after stroke: A randomized crossover trial.PM & R : the journal of injury, function, and rehabilitation · 2025Trial
- Trial
- Effects of different phenylcapsaicin doses on resistance training performance, muscle damage, protein breakdown, metabolic response, ratings of perceived exertion, and recovery: a randomized, triple-blinded, placebo-controlled, crossover trial.Journal of the International Society of Sports Nutrition · 2023Trial
166 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
: During exercise, there is a progressive reduction in the ability to produce muscle force. Processes within the nervous system as well as within the muscles contribute to this fatigue. In addition to impaired function of the motor system, sensations associated with fatigue and impairment of homeostasis can contribute to the impairment of performance during exercise. This review discusses some of the neural changes that accompany exercise and the development of fatigue. The role of brain monoaminergic neurotransmitter systems in whole-body endurance performance is discussed, particularly with regard to exercise in hot environments. Next, fatigue-related alterations in the neuromuscular pathway are discussed in terms of changes in motor unit firing, motoneuron excitability, and motor cortical excitability. These changes have mostly been investigated during single-limb isometric contractions. Finally, the small-diameter muscle afferents that increase firing with exercise and fatigue are discussed. These afferents have roles in cardiovascular and respiratory responses to exercise, and in the impairment of exercise performance through interaction with the motor pathway, as well as in providing sensations of muscle discomfort. Thus, changes at all levels of the nervous system, including the brain, spinal cord, motor output, sensory input, and autonomic function, occur during exercise and fatigue. The mix of influences and the importance of their contribution vary with the type of exercise being performed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.