Evidence map›Paper›PMID 41442091›Full record

ArticleEuropean journal of applied physiology2026

The interactive effects of biological sex and skeletal muscle fiber properties on knee-extensor muscle relaxation induced by TMS in unfatigued and fatigued states.

Chiara Barbi, John Temesi, Gaia Giuriato, Fabio Giuseppe Laginestra, Camilla Martignon, Tatiana Moro, Guillaume Y Millet, Federico Schena, Massimo Venturelli, Gianluca Vernillo

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Article in European journal of applied physiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Chiara BarbiDepartment of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.ORCID http://orcid.org/0000-0002-0043-1148
John TemesiFaculty of Health & Life Sciences, Northumbria University, Newcastle upon Tyne, UK.ORCID http://orcid.org/0000-0002-5086-6350
Gaia GiuriatoDepartment of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.ORCID http://orcid.org/0000-0002-8149-9450
Fabio Giuseppe LaginestraDepartment of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.ORCID http://orcid.org/0000-0003-4767-7249
Camilla MartignonDepartment of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.ORCID http://orcid.org/0000-0001-6506-4409
Tatiana MoroDepartment of Biomedical Sciences, University of Padua, Padua, Italy.ORCID http://orcid.org/0000-0002-1404-1511
Guillaume Y MilletInter-university Laboratory of Human Movement Biology, Université Jean Monnet Saint-Etienne, F-42023, Saint-Etienne, France.ORCID http://orcid.org/0000-0002-6395-0762
Federico SchenaDepartment of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.ORCID http://orcid.org/0000-0002-9461-8391
Massimo VenturelliDepartment of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.ORCID http://orcid.org/0000-0002-2469-8787
Gianluca VernilloDepartment of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, Italy. gianluca.vernillo@gmail.com.ORCID http://orcid.org/0000-0003-2580-4470

Funding

Ministero dell'Istruzione, dell'Università e della Ricerca 2018-2022
6 · The paper itself

Abstract

purposeBiological sex and muscle fiber type affect muscle relaxation. However, assessments probing the interaction effect are lacking. This study examined whether any difference in transcranial magnetic stimulation (TMS)-induced muscle relaxation results from the interaction effects of biological sex and skeletal muscle fiber properties in (un)fatigued knee extensors.

methodsTMS-induced muscle relaxation was assessed in twenty participants (10 females/10 males) before, after a 2-min sustained maximum voluntary isometric contraction, and four times within 8-min of recovery. Vastus lateralis muscle tissue was obtained separately from the participants' dominant limb.

resultsType I fiber distribution was not different between sexes (females: 53 ± 11%; males: 43 ± 9%; P = 0.050), and relative cross-sectional area of type I fibers was larger for females (53 ± 3% vs. 48 ± 4%; P = 0.005). Females exhibited ~ 40% slower muscle relaxation in an unfatigued state (-8.8 ± 2.3 s

conclusionsAmong females, muscle fiber characteristics were associated with TMS-induced muscle relaxation, whereas no comparable associations were observed in males. This underscores the importance of considering biological sex and skeletal muscle fiber properties when assessing changes in muscle relaxation responses to exercise.

Indexed as

Muscle FatigueMuscle Fibers, SkeletalMuscle RelaxationAdultFemaleHumansIsometric ContractionKneeMaleSex FactorsTranscranial Magnetic StimulationFatigueMuscle relaxationSexSkeletal muscle fiber propertiesTranscranial magnetic stimulation

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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.