Effectiveness of Focal Muscle Vibration in the Recovery of Neuromotor Hypofunction: A Systematic Review.

Adequate physical recovery after trauma, injury, disease, a long period of hypomobility, or simply ageing is a difficult goal because rehabilitation protocols are long-lasting and often cannot ensure complete motor recovery. Therefore, the optimisation of rehabilitation procedures is an important target to be achieved. The possibility of restoring motor functions by acting on proprioceptive signals by unspecific repetitive muscle vibration, focally applied on single muscles (RFV), instead of only training muscle function, is a new perspective, as suggested by the effects on the motor performance evidenced by healthy persons. The focal muscle vibration consists of micro-stretching-shortening sequences applied to individual muscles. By repeating such stimulation, an immediate and persistent increase in motility can be attained. This review aims to show whether this proprioceptive stimulation is useful for optimising the rehabilitative process in the presence of poor motor function. Papers reporting RFV effects have evidenced that the motor deficits can be counteracted by focal vibration leading to an early and quick complete recovery. The RFV efficacy has been observed in various clinical conditions. The motor improvements were immediate and obtained without loading the joints. The review suggests that these protocols can be considered a powerful new advantage to enhance traditional rehabilitation and achieve a more complete motor recovery.

Metabolic Biomarkers of Red Beetroot Juice Intake at Rest and after Physical Exercise.

BACKGROUND: Red beetroot is known to be a health-promoting food. However, little attention is placed on intestinal bioactive compound absorption. The aim of the study was to assess the urinary red beetroot juice (RBJ) intake biomarkers and possible differences in RBJ's micronutrient absorption at rest or after physical exercise. METHODS: This is a three-armed, single-blind study, involving seven healthy volunteers which were randomly divided into three groups and alternatively assigned to three experimental sessions: RBJ intake at rest, RBJ intake with physical activity, and placebo intake with physical activity. For each session, urine samples were collected before and 120, 180, and 240 min after the intake of RBJ or placebo. The same sampling times were employed for the experimental session at rest. The RBJ metabolic composition was also characterized to identify the urinary biomarkers derived from the intake. RESULTS: 4-methylpyridine-2-carboxylic acid, dopamine-3-O-sulfate, glutamine, and 3-hydroxyisobutyrate were identified as RBJ intake biomarkers. Physical activity significantly increased only the dopamine-3-O-sulfate excretion 120 min after RBJ intake. CONCLUSIONS: Urinary dopamine-3-O-sulfate is related to RBJ dopamine content, while 4-methylpyridine-2-carboxylic acid is a betanin or betalamic acid catabolite. The different excretions of these metabolites following physical activity suggest a possible effect on the RBJ uptake depending on different transport processes through the mucosa, namely diffusion-mediated transport for dopamine and saturable transcellular transport for betalamic acid derivatives. These results open new perspectives in improving the absorption of natural bioactive molecules through physical activity.

Plastic changes induced by muscle focal vibration: A possible mechanism for long-term motor improvements.

Repetitive focal vibrations can induce positive and persistent after-effects. There is still no satisfactory interpretation of the underlying mechanisms. A rationale, which can provide consistency among different results, is highly desirable to guide both the use of the application and future research. To date, interpretive models are formulated to justify the results, depending on the specific protocol adopted. Indeed, protocol parameters, such as stimulus intensity and frequency, intervention time and administration period, are variable among different studies. However, in this article, we have identified features of the protocols that may allow us to suggest a possible common mechanism underlying the effectiveness of focal vibration under different physiologic and pathologic conditions. Since repetitive focal muscle vibration induces powerful and prolonged activation of muscle proprioceptors, we hypothesize that this intense activation generates adaptive synaptic changes along sensory and motor circuits. This may lead to long-term synaptic potentiation in the central network, inducing an enhancement of the learning capability. The plastic event could increase proprioceptive discriminative ability and accuracy of the spatial reference frame and, consequently, improve motor planning and execution for different motor functions and in the presence of different motor dysfunctions. The proposed mechanism may explain the surprising and sometimes particularly rapid improvements in motor execution in healthy and diseased individuals, regardless of specific physical training. This hypothetic mechanism may require experimental evidence and could lead to extend and adapt the application of the "learning without training" paradigms to other functional and recovery needs.

The Nutraceuticals as Modern Key to Achieve Erythrocyte Oxidative Stress Fighting in Osteoarthritis.

Osteoarthritis (OA), the most common joint disease, shows an increasing prevalence in the aging population in industrialized countries. OA is characterized by low-grade chronic inflammation, which causes degeneration of all joint tissues, such as articular cartilage, subchondral bone, and synovial membrane, leading to pain and loss of functionality. Erythrocytes, the most abundant blood cells, have as their primary function oxygen transport, which induces reactive oxygen species (ROS) production. For this reason, the erythrocytes have several mechanisms to counteract ROS injuries, which cause damage to lipids and proteins of the cell membrane. Oxidative stress and inflammation are highly correlated and are both causes of joint disorders. In the synovial fluid and blood of osteoarthritis patients, erythrocyte antioxidant enzyme expression is decreased. To date, OA is a non-curable disease, treated mainly with non-steroidal anti-inflammatory drugs and corticosteroids for a prolonged period of time, which cause several side effects; thus, the search for natural remedies with anti-inflammatory and antioxidant activities is always ongoing. In this review, we analyze several manuscripts describing the effect of traditional remedies, such as Harpagophytum procumbens, Curcumin longa, and Boswellia serrata extracts, in the treatments of OA for their anti-inflammatory, analgesic, and antioxidant activity. The effects of such remedies have been studied both in in vitro and in vivo models, considering both joint cells and erythrocytes.

Hyperbaric Exposure of Scuba Divers Affects the Urinary Excretion of Nucleic Acid Oxidation Products and Hypoxanthine.

In recent studies, oxidative stress after scuba diving has been explored by measuring urinary biomarkers in volunteers under controlled conditions. Dive depth and duration, water temperature, and workload are all variables that can elicit metabolic responses. A controlled diving experiment was performed in an indoor pool at 20, 30, and 40 m depths at a water temperature of 32 °C, on three different days. Samples of urine from five male scuba divers were taken before diving and at four time points after diving, and then tested for their concentration of five different oxidative stress biomarkers by means of liquid chromatography tandem mass spectrometry and by 1H nuclear magnetic resonance metabolomics analysis. The results showed no variation in the five biomarkers after diving, but a decreasing trend was observed over the three days, with no differences among the three depths. The lack of effect on oxidative stress biomarkers has been attributed to the comfortable water temperature and to the absence of exercise in the divers during the experiment. Instead, an increase in hypoxanthine excretion, which can be considered a biomarker sensitive to hyperbaric exposure, was found after diving. Finally, the results suggest a physiological mechanism of metabolic adaptation to a new condition.

Is the Focal Muscle Vibration an Effective Motor Conditioning Intervention? A Systematic Review.

Mechanical vibration, applied to single or few muscles, can be a selective stimulus for muscle spindles, able to modify neuromuscular management, inducing short and long-term effects, are now mainly employed in clinic studies. Several studies reported as treatments with focal vibratory (FVT) can influence neuromuscular parameters also in healthy people. However, the application modalities and the consequent effects are remarkably fragmented. This paper aims to review these studies and to characterize the FVT effectiveness on long-term conditional capacities in relation to FVT characteristics. A systematic search of studies published from 1985 to 2020 in English on healthcare databases was performed. Articles had to meet the following criteria: (1) treatment based on a locally applied vibration on muscle belly or tendon; (2) healthy adults involved; (3) outcomes time analysis enduring for more than 24 h. Twelve studies were found, all of them presented an excellent quality score of ≥75%. All selected papers reported positive changes, comparable with traditional long-lasting training effects. Muscle force and power were the most investigated parameters. The after-effects persisted for up to several months. Among the different FV administration modalities, the most effective seems to show a stimulus frequency of ≈100 Hz, repeated more times within three-five days on a voluntary contracted muscle.

Targeted and untargeted metabolomics applied to occupational exposure to hyperbaric atmosphere.

Occupational exposure to hyperbaric atmosphere occurs in workers who carry out their activity in environments where breathing air pressure is at least 10% higher than pressure at sea level, and operations can be divided in Dry or Wet activities. The increased air pressure implies the formation of reactive oxygen species (ROS) and reactive nitrogen species (RNS), consumption of antioxidants and reduction of antioxidant enzyme activity, causing lipid peroxidation, DNA and RNA damage. The present study was aimed to establish the relation between hyperbaric exposure and metabolic changes due to ROS unbalance, by means of the determination of urinary biomarkers of oxidatively generated damage to DNA and RNA during a controlled diving session. The investigated biomarkers were 8-oxo-7,8-dihydroguanine (8-oxoGua), 8-oxo-7,8-dihydroguanosine (8-oxoGuo), and 8-oxo-7,8-dihydro-2'-deoxyguanosine (8-oxodGuo). The experimental session involved six experienced divers subjected to 3 atmospheres absolute for 30 minutes in two different experiments, in both dry and wet conditions. Urine samples were collected at t = 0 (before exposure) and 30 (end of exposure),90, 240, 480 and 720 minutes. The concentration of 8-oxoGua, 8-oxoGuo, and 8-oxodGuo was determined by isotopic dilution high performance liquid chromatography (HPLC-MS/MS). In all subjects there is an increase of the urinary excretion of 8oxo-Guo and 8oxo-dGuo, in both conditions, after 1.5 - 4 hours from the start of the experiment, and that the values tend to return to the baseline after 12 hours. Besides that, also the nucleic magnetic resonance (NMR)-based untargeted metabolomics was employed for the same objective on the same samples, confirming a different metabolic response in the subjects exposed to dry or wet conditions. In particular, the observed hypoxanthine urinary level increases during the underwater hyperbaric exposure, in agreement with the trend observed for 8-oxoGuo and 8-oxodGuo levels. Present results confirmed the relationship between exposure and oxidative stress and depicted a clear temporal trend of the investigated biomarkers. Due to the possible negative consequences of oxidative stress on workers, present research shows a new line in term of risk prevention.

Effects of focal vibration on power and work in multiple wingate tests.

The aim of the study was to assess the effects of a specific protocol, based on a focal muscle vibration, on mechanical parameters in an exercise composed of five repeated bouts of sprint interval tests (Wingate Anaerobic Tests, 10 seconds duration). Twenty-eight young male healthy subjects were randomized to two groups (VIB and CTRL). Peak power (PP), average peak between bouts (aP) and total exercise work (TW) were measured. In both groups, three different exercise sessions were carried out, interspersed by seven days: T0, T1 and T2. Between the baseline (T0) and T1, in the VIB group the intervention was administered on three successive days on quadriceps muscles, whereas a placebo administration was carried out in the CTRL group at the same time. At T1 (30 minutes after intervention) and T2 (7 days after) CTRL did not show any significant change, whereas VIB showed significant increases in PP (11.4%-9.3%), aP (6.6%-6.9%) and TW (5.7%-7.9%) with respect to T0. The results could be explained by an ameliorative agonist-antagonist balance, and this hypothesis is coherent with the literature. On the basis of the present findings, the investigated intervention might be usefully adopted to increase muscular power and endurance.

Acoustic and visual pacesetter influence on the energy expenditure in a cycling exercise.

BACKGROUND: The aim of this study was to evaluate the effects of acoustic and visual pacesetters on the energy expenditure in a steady state 30-minute long cycling. METHODS: Eighteen healthy male subjects (age 27.6±4.59 years; height 1.78±0.07 m; body mass 80.1±7.85 kg) performed a 30-minute submaximal exercise at a constant workload on a cycle ergometer. The imposed workload required a metabolic expenditure corresponding to 70% of ventilatory threshold for each subject. Energy expenditure - expressed as a caloric equivalent relative to the total net oxygen consumption during exercise - was evaluated using three conditions: control (CT), no external pacesetter; acoustic (AT), listening to rhythmic acoustic stimuli at 120 beat per minute; and visual (VT), seeing footage consisting of eight different images in a looped sequence at 120 frames per minute. RESULTS: All measured parameters qualified the exercise as requiring mainly an aerobic metabolism, showing no pain and no fatigue. AT and VT energy expenditure (5.0±0.44 and 4.9±0.39 MET respectively) were significantly lower compared to CT (5.5±0.49 MET), while no difference between AT and VT were recognized. CONCLUSIONS: This study confirmed the ergogenic effect of the acoustic pacesetter on a 30-minute steady state rhythmic exercise. Novelty is that the visual pacesetter too was able to increase the mechanical efficiency as the same manner than the acoustic one. The present setting adopting visual pacesetter could be used in special categories, such as the deaf or in innovative technological tools as head-mounted display devices.

Focal muscle vibration as a possible intervention to prevent falls in elderly women: a pragmatic randomized controlled trial.

BACKGROUNDS: Different and new approaches have been proposed to prevent the risk of falling of elderly people, particularly women. AIMS: This study investigates the possibility that a new protocol based on the focal mechanical muscle vibration may reduce the risk of falling of elderly women. METHODS: A pragmatic randomized controlled triple-blind trial with a 6-month follow-up after intervention randomized 350 women (mean age 73.4 years + 3.11), members of local senior citizen centers in Rome, into two groups: vibrated group (VG) and control group (CG). For VG participants a mechanical vibration (lasting 10 min) was focally applied on voluntary contracted quadriceps muscles, three times a day during three consecutive days. CG subjects received a placebo vibratory stimulation. Subjects were tested immediately before (T0) and 30 (T1) and 180 (T2) days after the intervention with the Performance-Oriented Mobility Assessment (POMA) test. All subjects were asked not to change their lifestyle during the study. CG underwent sham vibratory treatment. RESULTS: While CG did not show any statistically significant change of POMA at T1 and T2, VG revealed significant differences. At T2, ≈47% of the subjects who completed the study obtained the full score on the POMA test and ≈59% reached the full POMA score. CONCLUSIONS: The new protocol seems to be promising in reducing the risk of falling of elderly subjects.

Upper limb aerobic training improves aerobic fitness and all-out performance of America's Cup grinders.

This research on "America's Cup" grinders investigated the effects of a specific eight-week long-arm cranking ergometer (ACE) training on upper body (UB) aerobic fitness (ventilatory threshold - Tvent, respiratory compensation point- RCP, -oxygen uptake peak - VO2peak) and high intensity working capacity. The training consisted of sessions carried out for 20-30 mins, three times per week, at an intensity between the UB-Tvent and UB-RCP, and replaced part of a typical lower limb aerobic training whilst maintaining the usual weekly schedule of callisthenics, resistance training and sailing. Seven sailors, including four grinders and three mastmen (age 30 ± 5.5 years, height 1.9 ± 0.04 m, body mass 102 ± 3.6 kg), were evaluated through both an ACE cardiopulmonary maximal exercise test (CPET) and an ACE all-out up to exhaustion exercise test, before and after the ACE training. UB aerobic fitness improved significantly: UB-VO2peak increased from 4.29 ± 0.442 to 4.52 ± 0.522 l·min(-1) (6.4 ± 3.66%), VO2 at UB-Tvent from 2.42 ± 0.282 to 2.97 ± 0.328 l·min(-1) (22.8 ± 5.09%) and VO2 at UB-RCP from 3.25 ± 0.402 to 3.75 ± 0.352 l·min(-1) (16.1 ± 10.83%). Peak power at the ACE CPET increased from 351 ± 27.5 to 387 ± 33.5 W (10.5 ± 6.93%). The all-out test total mechanical work increased from 28.9 ± 2.35 to 40.1 ± 3.76 kJ (72.1 ± 4.67%). In conclusion, a high intensity aerobic ACE training can be effective in improving grinding performance by increasing UB aerobic fitness and all-out working capacity.

Downhill walking to improve lower limb strength in healthy young adults.

Walking is the most natural physical activity to maintain and improve fitness and health. Walking downhill is usefully adopted to plan training programmes to improve the strength, particularly in older adults. The present research was aimed to evaluate the influence of downhill walking on leg strength in young adult. A total of 32 females (age 26 ± 4 years; height 1.64 ± 0.05 m; body mass 57.6 ± 5.6 kg) were divided into four groups and they carried out an exercise intervention consisting of three sessions per week for 6 weeks, each lasting 30 minutes. Groups were defined at several workloads characterised by treadmill inclination (%) and walking speed (m · s(-1)): Level Walking at treadmill inclination 0% and walking speed 1.0; Uphill Walking at +20%, 0.75; Downhill Walking (DW) at -20%, 1.36; and Mixed Walking at +20%, 0.75 and -20%, 1.36 each lasting 15 minutes. Maximum voluntary contraction (MVC) developed by the Quadriceps Femoris and Endurance Time at 60% MVC were evaluated before and after experimental period. At the end of each session, Borg's scale and Visual Analogue Scale (VAS) were adopted in order to evaluate perception of rate exertion and pain. Statistical analysis showed significant only in MVC for DW in both right and left legs. Borg's scale and VAS described light activity free of pain. Present findings showed how an eccentric exercise, short lasting and at a low workload, can be useful in inducing improvements in leg strength.

Workload comparison between hiking and indoor physical activity.

Walking is a physical activity able to maintain and improve aerobic fitness. This activity can easily be performed in all seasons both outdoors and indoors, but when it is performed in its natural environment, the use of specific equipment is required. In particular, it has been demonstrated that the use of trekking boots (TBs) induces a larger workload than those used indoors. Because an adequate fitness level is needed to practice hiking in safety, it is useful to know the energy demand of such an activity. This research aims at defining the metabolic engagement of hiking on natural paths with specific equipment at several speeds and comparing this with indoor ones (on a treadmill). This can thence be used to define the load that better reflects the one required to walk on natural paths. The walking energy cost (joules per kilogram per meter) at several speeds (0.28, 0.56, 0.84, 1.11, and 1.39 m·s(-1))-on level natural terrain while wearing suitable footwear (TBs) and on a treadmill at various raising slopes (0, 1, 2, 3, 4%) while wearing running shoes-was measured in 14 healthy young men (age 23.9 ± 2.9 years, stature 1.75 ± 0.04 m, and body mass 72.9 ± 6.3 kg). A physiological evaluation of all the subjects was performed before energy cost measurements. The results showed that outdoors, the oxygen uptake was consistently less than the ventilatory threshold at all speeds tested and that a 3% slope on the treadmill best reflects the outdoor walking energy expenditure. These findings will prove useful to plan proper training for hiking activity or mixed (outdoors and indoors) training program.

Biceps brachii myoelectric and oxygenation changes during static and sinusoidal isometric exercises.

Surface myoelectric signal changes occurring during sustained isometric contractions have been extensively studied with quantitative surface electromyography (sEMG) and are described by means of some sEMG global variables in time and frequency domain (such as the median power spectral frequency). Recently, the possibility of studying local muscle O(2) saturation during exercise using non-invasive methods has been enhanced thanks to the use of near-infrared spectroscopy (NIRS). The purpose of this work was to combine NIRS and sEMG techniques to analyze the relationship between modifications of sEMG parameters and the underlying metabolic status of the exercising biceps brachii muscle. This relationship was tested under different isometric contraction modalities, namely static (ST) at 20, 40, 60 and 80%MVC and sinusoidal (SIN) at 40+/-20 and 60+/-20%MVC. Results clearly indicated the presence of an initial fast phase of muscle O(2) desaturation followed by a slow phase, regardless of the contraction modality. Moreover, the initial rate of muscle O(2) desaturation was related to the level of force output (R=0.92), but it was independent on the contraction modality (p<0.05). Similarly, changes in sEMG parameters were related to force level (Conduction Velocity-CV vs. Force: R=0.87; sEMG Median Frequency-MDF vs. Force: R=0.86). The high correlation found between CV-MDF and Tissue Oxygenation Index (TOI) slope (R=0.73 and 0.72, respectively) suggests a strong relationship between NIRS and sEMG data. This study indicates that muscle O(2) demand during isometric contractions from low to high force levels is influenced by the type of active motor units and not from the type of isometric exercise modality.

Physiological adaptation in noncompetitive rock climbers: good for aerobic fitness?

The present investigation aimed to establish whether noncompetitive rock climbing fulfills sports medicine recommendations for maintaining a good level of aerobic fitness. The physiological profile of 13 rock climbers, 8 men (age, 43 +/- 8 years) and 5 women (age, 31 +/- 8 years) was assessed by means of laboratory tests. Maximal aerobic power (VO2peak) and ventilatory threshold (VT) were assessed using a cycloergometer incremental test. During outdoor rock face climbing, VO2 and heart rate (HR) were measured with a portable metabolimeter and the relative steady-state values (VO2 and HR during rock climbing) were computed. Blood lactate was measured during recovery. All data are presented as mean +/- SD. VO2 was 39.1 +/- 4.3 mL.kg.min in men and 39.7 +/- 5 mL.kg.min in women, while VT was 29.4 +/- 3.0 mL.kg.min in men and 28.8 +/- 4.6 mL.kg.min in women. The VO2 during rock climbing was 28.3 +/- 1.5 mL.kg.min in men and 27.5 +/- 3.7 mL.kg.min in women. The HR during rock climbing was 144 +/- 16 b.min in men and 164 +/- 13 b.min in women. The aerobic profile was classified from excellent to superior in accordance with the standards of the American College of Sports Medicine (ACSM). The exercise intensity (VO2 during rock climbing expressed as a percentage of VO2peak) was 70 +/- 6% in men and 72 +/- 8% in women. Moreover, the energy expenditure was 1000-1500 kcal per week. In conclusion, noncompetitive rock climbing has proved to be a typical aerobic activity. The intensity of exercise is comparable to that recommended by the American College of Sports Medicine to maintain good cardiorespiratory fitness.

Motor performance changes induced by muscle vibration.

The possibility that mechanical stimulation of selected muscles can act directly on the nervous system inducing persistent changes of motor performances was explored. On the basis of literature, stimulating parameters were chosen to stimulate the central nervous system and to avoid muscle fibre injuries. A sinusoidal mechanical vibration was applied, for three consecutive days, on the quadriceps muscle in seven subjects that performed a muscular contraction (VC). The same stimulation paradigm was applied on seven subjects in relaxed muscle condition (VR) and seven subjects were not treated at all (NV). Two sessions (PRE and POST) of isometric and isotonic tests were performed separated for 21 days, in all studied groups 7 days before and 15 days after stimulation, whilst an isokinetic test was performed on VC only. In the isometric test, the time of force development showed a significant decrease only in VC (POST vs PRE mean 27.8%, P < 0.05). In the isotonic test, the subjects' had to perform a fatiguing leg extension against a load. In this condition, the fatigue resistance increased greatly in VC (mean 40.3%, P < 0.001), increased slightly in VR and there was no difference in NV. In Isokinetic test, at several angular velocities, significantly less time was required to reach the force peak (mean 20.2% P < 0.05). The findings could be ascribed to plastic changes in proprioceptive processing, leading to an improvement in knee joint control. Such action delineates a new tool in sports training and in motor rehabilitation.

Differences in the force/endurance relationship between young and older men.

The aim of the present study was to ascertain if in six young (23-35 years) and in six older (70-72 years) healthy men matched for comparable absolute and specific maximal force of the dominant elbow flexors, differences in isometric endurance, myoelectrical fatigability, and shortening velocity are still recognizable. To assess the specific force, the muscle cross sectional area (CSA) was determined from magnetic resonance imaging (MRI) scans. The performance of the elbow flexors was studied by assessing the isometric endurance times (ET) at different percentages of maximal isometric contraction (MVC), the average muscle fibre conduction velocity of action potentials (CV), and the median frequency (MDF) of the surface electromyogram (sEMG) of the biceps brachii. Finally, the torque-velocity curve was assessed by means of maximal isokinetic contractions at six fixed angular velocities. All data were expressed as the mean (SD). The results showed that: (1) the ET was longer in the older subjects at the highest levels of isometric contraction, independently from the absolute force; (2) the modifications of muscle fibre CV during isometric effort progressed less rapidly in the older than the younger groups, as did those of MDF; and (3) at the same angular velocity, the older subjects exerted less absolute force than the younger subjects. These results suggest an impairment of the neuromuscular system of older men, which is less powerful and less fatigable than that of young men.

Nonlinear surface EMG analysis to detect changes of motor unit conduction velocity and synchronization.

Amplitude and frequency content of the surface electromyographic (EMG) signal reflect central and peripheral modifications of the neuromuscular system. Classic surface EMG spectral variables applied to assess muscle functions are the centroid and median power spectral frequencies. More recently, nonlinear tools have been introduced to analyze the surface EMG; among them, the recurrence quantification analysis (RQA) was shown to be particularly promising for the detection of muscle status changes. The purpose of this work was to analyze the effect of motor unit short-term synchronization and conduction velocity (CV) on EMG spectral variables and two variables extracted by RQA, the percentage of recurrence (%Rec) and determinism (%Det). The study was performed on the basis of a simulation model, which allowed changing the degree of synchronization and mean CV of a number of motor units, and of an experimental investigation of the surface EMG signal properties detected during high-force-level isometric fatiguing contractions of the biceps brachii muscle. Simulations and experimental results were largely in agreement and show that 1) spectral variables, %Rec, and %Det are influenced by CV and degree of synchronization; 2) spectral variables are highly correlated with %Det (R = -0.95 in the simulations and -0.78 and -0.75 for the initial values and normalized slopes, respectively, in the experimental signals), and thus the information they provide on muscle properties is basically the same; and 3) variations of %Det and %Rec in response to changes in muscle properties are significantly larger than the variations of spectral variables. This study validates RQA as a means for fatigue assessment with potential advantages (such as the higher sensitivity to changes of muscle status) with respect to the classic spectral analysis.