{"id":572,"date":"2014-01-12T14:45:19","date_gmt":"2014-01-12T13:45:19","guid":{"rendered":"https:\/\/helpingthebesttogetbetter.com\/?p=572"},"modified":"2014-01-12T14:45:19","modified_gmt":"2014-01-12T13:45:19","slug":"fatigue","status":"publish","type":"post","link":"https:\/\/helpingthebesttogetbetter.com\/?p=572","title":{"rendered":"Fatigue"},"content":{"rendered":"<p>In sports for the longest time we studied the peripheral components of fatigue, from pure muscular fatigue to metabolic factors involved in fatigue. Although we long understood that the brain has a role in fatigue, only recently we started to look into the role of the brain and the nervous systems.<br \/>\nIt seems we are looking at a very complex phenomenon here, dependent on many factors.<br \/>\nOf course, fatigue is an important performance factor in sports, but in many other fields, fatigue is important too. e.g. in ergonomics, but also in the military field and don\u2019t forget the medical field. In clinical physical sense, fatigue can be a symptom for many different diseases, from anaemia to malignancy. But let us also not neglect mental fatigue like in chronic fatigue syndrome, in whiplash, in burnout and in depression.<br \/>\nIt\u2019s not my intention to write an extensive or complete book about fatigue instead of a blog, so I\u2019ll have to skip a lot.<br \/>\nOne of the early studies of fatigue has been done by Angelo Mosso in the end of the 19th century. Mosso studied fatigue with his Ergograph, measuring the effects of fatigue on the strength of repeated finger flexions.<br \/>\nBut in his book he is did not neglect the central component of fatigue. He spends chapters of his book on \u201cintellectual fatigue\u201d and on \u201cmental overpressure\u201d.<br \/>\nIn the end of the nineteenth and the beginning of the twentieth century, in Western Europe ( Great Britain, France, Italy and Germany) and the USA, fatigue was studied in order to improve the productivity of the laborers\u00a0 in manufacturing plants.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Harvard University\u2019s Graduate School of Business set up a Fatigue Laboratory in 1927.\u00a0\u00a0 But also to improve the toughness of soldiers. From the start of the Soviet-Union fatigue was studied for the same purposes. After the second world war Scandinavia became another source for the study of fatigue, but this time physical fitness and health, began to take important reasons as well.<\/p>\n<p>Until now, many different possible factors of fatigue have been proposed : (in rather random order)<br \/>\n+decrease in metabolic substrates like:<br \/>\n-oxygen<br \/>\n-ATP and CP<br \/>\n-glycogen<br \/>\n+increase in metabolic breakdown products like:<br \/>\n-lactic acid and hydrogen-ions<br \/>\n-ammonia<br \/>\n-potassium-ions or inorganic phosphate<br \/>\n-reactive oxygen species<br \/>\n+increase in immune cytokines and inflammatory factors<br \/>\n+changes in calcium release<br \/>\n+changes in neuro-muscular junction e.g. acetyl-choline<br \/>\n+decrease in neural drive<br \/>\n+increase in core temperature<br \/>\n+ central factors:<br \/>\n-dysregulation of neurotransmitters e.g serotonin<br \/>\n-dominance of central inhibition processes<br \/>\n+fatigue cause by the autonomic nervous system<br \/>\n+fatigue cause by the adrenal system<\/p>\n<p>This list isn\u2019t complete, but it already shows us the complexity of fatigue.<\/p>\n<p>But what do we use in daily practice: most of the time we start measuring the results of fatigue in training or competition like decrease in movement velocity, in strength or power output, increases in split time as the distance progresses, decrease in motor activity and efficiency,\u00a0 impaired coordination and accuracy of movements.<br \/>\nWe also found ways to detect singular fatigue-factors, which understandably will never cover the whole story. We tested for lactic acid, ammonia and neurotransmitters in blood. We took muscle biopsies and looked at glycogen. We measured EMG and looked at the shift in median frequency. We tested HRV, EEG and slow cortical potential. But the conclusion is that every specific activity has its own causes of fatigue, there is no singular, overall cause of fatigue.\u00a0 Any factor can be useful, but only if it is related to this specific activity! Glycogen doesn\u2019t tell you much about the decline in top speed at 100 meters. Lactic acid won\u2019t tell you much if you walk or march 50 kilometers.<\/p>\n<p>Yes, it is complex, but for me: complexity means opportunity&#8230;..<\/p>\n<p>A few good basic books and articles:<\/p>\n<ul>\n<li>Mosso, A: Fatigue:\u00a0 Putnam, New York,1904.<\/li>\n<li>Folbort, G.V.(Ed.): Problems of the physiology of the processes of fatigue and recovery; Kiev, 1958.<\/li>\n<li>Schmidtke, H: Die Erm\u00fcdung; Huber, Bern, 1965.<\/li>\n<li>Heiss, F; Franke, K.(Eds.): Die vorzeitig verbrauchte Mensch; Enke, Stuttgart, 1964.<\/li>\n<li>FIR: Erm\u00fcdung und vorzeitiges Altern; Barth Verlag, Leipzig, 1973.<\/li>\n<li>Viru, A: Defense reaction theory of\u00a0 fatigue; Schweizer.Zeitschr. Sportmedizin; Vol.23, No.4, 1975, pg. 171-186.<\/li>\n<li>Sologub, J.B: Elektroenzephalography im Sport; Barth Verlag, Leipzig, 1976.<\/li>\n<li>Hoberman, J.M: Mortal Engines. Macmillan, New York, 1992.<\/li>\n<li>Watanabe, Y; Evengard, B; Natelson, B.H; Jason, L.A; Kuratsune, H: Fatigue science for human health; Springer, Japan, 2008<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In sports for the longest time we studied the peripheral components of fatigue, from pure muscular fatigue to metabolic factors involved in fatigue. Although we long understood that the brain has a role in fatigue, &hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-572","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/helpingthebesttogetbetter.com\/index.php?rest_route=\/wp\/v2\/posts\/572","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/helpingthebesttogetbetter.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/helpingthebesttogetbetter.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/helpingthebesttogetbetter.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/helpingthebesttogetbetter.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=572"}],"version-history":[{"count":5,"href":"https:\/\/helpingthebesttogetbetter.com\/index.php?rest_route=\/wp\/v2\/posts\/572\/revisions"}],"predecessor-version":[{"id":577,"href":"https:\/\/helpingthebesttogetbetter.com\/index.php?rest_route=\/wp\/v2\/posts\/572\/revisions\/577"}],"wp:attachment":[{"href":"https:\/\/helpingthebesttogetbetter.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=572"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/helpingthebesttogetbetter.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=572"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/helpingthebesttogetbetter.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=572"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}