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October 1, 1994Muscle & Nerve

Effects of exercise on muscle activation and metabolism in multiple sclerosis

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Why the study?

Does metabolism play a significant role in muscle fatigue during voluntary exercise in patients with mild multiple sclerosis?

Population

14 subjects (6 with mild multiple sclerosis and 8 healthy controls)

Comparison

Intermittent, progressive, isometric… vs Healthy control subjects performing the same…

Design

Case-control

Authors

JKJane A. Kent‐BraunMarquette UniversityKSKhema R. SharmaUniversity of Miami
Michael W. Weiner
Michael W. WeinerQingdao University

Discussion

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Implication

Muscle fatigue in mild MS may reflect activation failure rather than metabolic changes; leaves open prospective validation before clinical adoption.

Structured PICO

Does metabolism play a significant role in muscle fatigue during voluntary exercise in patients with mild multiple sclerosis?

P
Population
14 subjects (6 with mild multiple sclerosis and 8 healthy controls)
I
Intervention
Intermittent, progressive, isometric contractions of the ankle dorsiflexors
C
Comparator
Healthy control subjects performing the same exercise
O
Outcome
Maximum voluntary force (MVC), inorganic phosphate (Pi), phosphocreatine (PCr), and pH during exercisesurrogate

Metabolic factors do not play a significant role in the development of muscle fatigue during voluntary exercise in mild MS, suggesting a failure of muscle activation instead.

Cite This Study

Kent‐Braun et al. (1994) studied this question.

synapsesocial.com/papers/6a6f71dcfebe604dd7085ce9https://doi.org/10.1002/mus.880171006
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Postexercise phosphocreatine resynthesis is slowed in multiple sclerosis1994 · 137 citations
  2. 2Functional pools of oxidative and glycolytic fibers in human muscle observed by 31P magnetic resonance spectroscopy during exercise.1987 · 89 citations
  3. 3Central basis of muscle fatigue in chronic fatigue syndrome1993 · 152 citations
  4. 4Effects of fatiguing exercise on high‐energy phosphates, force, and EMG: Evidence for three phases of recovery1987 · 182 citations
  5. 5Biochemical adaptation of human skeletal muscle to heavy resistance training and immobilization1977 · 313 citations