Evidence map›Paper›PMID 40495076›Full record

ReviewSports medicine - open2025

Overlaps of Skeletal Muscle Fatigue and Skeletal Muscle Damage: The Muscle Injury Continuum.

Carsten Schwiete, Christian Roth, Joachim Mester, Holger Broich, Michael Behringer

Abstract readReview
In one paragraph

Review in Sports medicine - open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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  4. [Research on a muscle fatigue quantification based on an improved critical power model].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2026
    Article
  5. Review
  6. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Carsten SchwieteDepartment of Sports Sciences, Goethe University Frankfurt, Frankfurt, Germany. schwiete@sport.uni-frankfurt.de.
Christian RothDepartment of Sports Sciences, Goethe University Frankfurt, Frankfurt, Germany.
Joachim MesterGerman Research Centre of Elite Sport, German Sport University Cologne, Cologne, Germany.
Holger BroichDepartment of Performance, Neuroscience, Therapy, and Health, Medical School Hamburg, Hamburg, Germany.
Michael BehringerDepartment of Sports Sciences, Goethe University Frankfurt, Frankfurt, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMuscle fatigue has long been identified as a potential risk factor for muscle overuse injuries, frequently occurring due to rapid eccentric contractions. Traditionally, muscle fatigue was thought to arise mainly to metabolic stress, whereas muscle damage was considered a consequence of mechanical overload. However, this binary approach fails to capture the complex physiological mechanisms, including prolonged-force depression, enzyme leakage or inflammatory responses, which overlap between both entities. MAIN TEXT: This narrative review synthesizes evidence regarding physiological and mechanical overlaps between muscle fatigue and muscle damage. It elaborates on the concept of a muscle injury continuum, including forms of muscle fatigue, possibly leading to mechanical tissue damage, and potentially culminating in severe muscle injuries. Additionally, the relevance of the overlaps for load monitoring and injury prevention in professional sports are discussed.

conclusionUnderstanding and recognizing the interplay between muscle fatigue and muscle damage is crucial for developing individualized prevention strategies, minimizing injury risk, and enhancing performance. This comprehensive approach is vital for improving load management and ensuring the long-term health and efficiency of athletes.

Indexed as

Injury continuumMechanical overloadMetabolic stressOverlapTissue damage

Identifiers

PMID40495076
PMCPMC12151979

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.