{"title":"Acute responses to local tibialis anterior fatigue: Effects on dynamic balance and muscle mechanical properties.","authors":"Ali Ilez, Yasemin Şahbaz, Nergiz Batur","doi":"10.1177/10538127261488179","DOIUrl":null,"url":null,"abstract":"<p><p>BackgroundLocal muscle fatigue can influence the neural functional mechanisms and intrinsic mechanical properties of the muscle. Considering the importance of the tibialis anterior (TA) muscle during walking and upright standing positions, the primary aim of this study is to understand how induced local muscle fatigue affects both dynamic balance and changes in muscle mechanical properties.MethodsThirty healthy participants (mean age: 21.83 ± 1.41 years) were included in the study. Muscle mechanical properties of the dominant TA were assessed using MyotonPro, and dynamic balance was evaluated bilaterally with the Modified Star Excursion Balance Test (mSEBT) before and after the fatigue protocol. The fatigue protocol was applied bilaterally to ankle dorsiflexor muscle muscles and consisted of repeated 30-s isometric dorsiflexion contractions followed by 15-s rest intervals, continued until participants reported a Borg Rating of Perceived Exertion score of 7 or higher.ResultFollowing the fatigue protocol, a significant improvement was observed in left mSEBT and right mSEBT scores (<i>p</i> < 0.05), except in the anterior direction, where no significant change was detected. Regarding muscle mechanical properties, stiffness decreased, but this change was not statistically significant (p = 0.06), whereas relaxation time and creep significantly increased (p < 0.05).ConclusionLocalized ankle dorsiflexor muscle fatigue acutely altered both dynamic balance and muscle mechanical properties. The apparent improvement in mSEBT scores likely reflects short-term neuromuscular compensation rather than genuine performance enhancement. Decreased stiffness and increased relaxation indicate transient adaptations in the muscle's passive behavior.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261488179"},"PeriodicalIF":1.6000,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Back and Musculoskeletal Rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10538127261488179","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
BackgroundLocal muscle fatigue can influence the neural functional mechanisms and intrinsic mechanical properties of the muscle. Considering the importance of the tibialis anterior (TA) muscle during walking and upright standing positions, the primary aim of this study is to understand how induced local muscle fatigue affects both dynamic balance and changes in muscle mechanical properties.MethodsThirty healthy participants (mean age: 21.83 ± 1.41 years) were included in the study. Muscle mechanical properties of the dominant TA were assessed using MyotonPro, and dynamic balance was evaluated bilaterally with the Modified Star Excursion Balance Test (mSEBT) before and after the fatigue protocol. The fatigue protocol was applied bilaterally to ankle dorsiflexor muscle muscles and consisted of repeated 30-s isometric dorsiflexion contractions followed by 15-s rest intervals, continued until participants reported a Borg Rating of Perceived Exertion score of 7 or higher.ResultFollowing the fatigue protocol, a significant improvement was observed in left mSEBT and right mSEBT scores (p < 0.05), except in the anterior direction, where no significant change was detected. Regarding muscle mechanical properties, stiffness decreased, but this change was not statistically significant (p = 0.06), whereas relaxation time and creep significantly increased (p < 0.05).ConclusionLocalized ankle dorsiflexor muscle fatigue acutely altered both dynamic balance and muscle mechanical properties. The apparent improvement in mSEBT scores likely reflects short-term neuromuscular compensation rather than genuine performance enhancement. Decreased stiffness and increased relaxation indicate transient adaptations in the muscle's passive behavior.
期刊介绍:
The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty.
In each issue clinicians can find information which they can use in their patient setting the very next day.