HIGHLIGHTED TOPIC A Physiological Systems Approach to Human and Mammalian Thermoregulation Voluntary muscle activation is impaired by core temperature rather than local muscle temperature

Thomas, Melissa M., Stephen S. Cheung, Geoff C. Elder, and Gordon G. Sleivert. Voluntary muscle activation is impaired by core temperature rather than local muscle temperature. J Appl Physiol 100: 1361–1369, 2006. First published December 8, 2005; doi:10.1152/japplphysiol.00945.2005.—Fatigue during hyperthermia may be due in part to a failure of the central nervous system to fully activate the working muscles. We investigated the effects of passive hyperthermia on maximal plantar flexor isometric torque (maximal isometric voluntary contraction) and voluntary activation to determine the roles of local skin temperature, core temperature, and peripheral muscle temperature in fatigue. Nine healthy subjects were passively heated from 37.2 to 39.5°C (core temperature) and then cooled back down to 37.9°C using a liquidconditioning garment, with the right leg kept at a thermoneutral temperature throughout the protocol, whereas the left leg was allowed to heat and cool. Passive heating resulted in significant decreases in torque from [mean (SD)] 172 N m (SD 39) to 160 N m (SD 44) and in voluntary activation from 96% (SD 2) to 91% (SD 5) in the heated leg, and maximal isometric voluntary contraction decreased similarly from 178 N m (SD 37) to 165 N m (SD 38) and voluntary activation from 97% (SD 2) to 94% (SD 5) in the thermoneutral leg. The initiation of cooling, which produced a rapid decrease in skin temperature and cardiovascular strain [heart rate reserve decreased from 58% (SD 12) to 31% (SD 12)], did not immediately restore either torque or voluntary activation. However, when core temperature was lowered back to normal, torque and voluntary activation were restored to baseline values. It was concluded that an increase in core temperature is a factor responsible for reducing voluntary activation during brief voluntary isometric contractions and that temperature-induced changes in the contractile properties of muscle and local thermal afferent input from the skin do not contribute significantly to the decrement in torque.