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European Journal of Applied Physiology

Springer Science and Business Media LLC

Preprints posted in the last 90 days, ranked by how well they match European Journal of Applied Physiology's content profile, based on 12 papers previously published here. The average preprint has a 0.01% match score for this journal, so anything above that is already an above-average fit.

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Mental fatigue impairs cycling endurance performance and perception of effort, but not muscle activation

Souron, R.; Sarcher, A.; Lacourpaille, L.; Boulahouche, I.; Richier, C.; Mangin, T.; Gruet, M.; Doron, J.; Jubeau, M.; Pageaux, B.

2026-03-23 physiology 10.64898/2026.03.19.712281 medRxiv
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Mental fatigue is induced by prolonged engagement in cognitively demanding tasks and impairs endurance performance. The neuropsychophysiological mechanisms underlying this decreased performance remain unclear, with suggestion that mental fatigue may disrupt motor command and consequently muscle activation. We aimed to test this hypothesis in a repeated cross-over design study in which 18 participants completed two experimental sessions involving a time-to-exhaustion cycling test at 80% of peak power output. Each cycling task was preceded by 1h of a prolonged Stroop task (Stroop session) or a neutral control task (Control session). Perception of effort and surface electromyography from ten lower-limb muscles of the right leg were recorded at regular intervals during cycling. Mental fatigue was higher in the Stroop compared to the Control session (p = .002). Endurance cycling time was 111 {+/-} 160 s shorter in the Stroop than in the Control session (p = .009). No significant differences in electromyography parameters were observed between Stroop and Control sessions, for any muscle (p > .05). Perception of effort was higher in the Stroop session from the onset of the cycling task (p = .006), and the rate of increase in perception of effort was significantly higher in the Stroop than Control session (p = .031). Our findings do not support the hypothesis that mental fatigue alters motor control or increases central motor command, as no changes in muscle activation were detected. Conversely, our results reinforce the notion that prolonged cognitive engagement impairs endurance performance primarily through an increased perception of effort. Future research should consider combining surface electromyography with more sensitive neurophysiological techniques to investigate potential subtle changes in motor drive during dynamic, whole-body tasks under mental fatigue. Impact statementOur study confirms that mental fatigue induced by prolonged cognitive exertion impairs cycling endurance performance. By combining measurements of perceptual responses and multi-muscle surface EMG during the endurance task, we observed that the decreased endurance performance is related to an increased perceived effort in the presence of mental fatigue, not related to alterations in motor command.

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Sharing power: effects of rider ability and position on tandem performance

Smit, A.; van Ewijk, J.; Janssen, I.; Janssen, T. W. J.; Hofmijster, M. J.

2026-03-30 physiology 10.64898/2026.03.25.714296 medRxiv
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ObjectiveTandem cycling requires a coordinated effort between the pilot and the stoker. Previous research suggests that randomly paired tandem cyclists produce lower power output than when cycling solo. This study examined how a cyclists individual ability and their position on the tandem (pilot or stoker) affects pair performance, when partners are either closely matched or differ substantially in solo cycling capacity, as this might be relevant for training and selection. MethodsTwenty-three trained cyclists completed three 10-minute time trials: solo, equal-capacity tandem ([≤]25 W difference in solo performance), and unequal-capacity tandem ([≥]40 W difference). Mean power output, heart rate, cadence, and rating of perceived exertion (RPE) were recorded. Positions (pilot or stoker) were counterbalanced. Linear mixed-effects models assessed effects of capacity and position. ResultsRelative to solo cycling, equal-capacity tandem pairs revealed lower power output (-3.9%), lower heart rate (-2.3%), and lower RPE (-11.5%). Unequal-capacity tandems differed from solo only in heart rate (-2.7%). Stokers produced lower power relative to solo (-5.3%) and relative to pilots (-3.7%) and reported lower RPE relative to solo (-13.9%), while pilots matched their solo power at a lower heart rate (-2.9%). Cadence did not differ across conditions. Total tandem power averaged 95.6% of combined solo power, and differences in partner capacity did not significantly affect combined power output. ConclusionThis study provides the first known experimental data on how partner matching affects individual and combined power output in tandem cycling. Equal- and unequal-capacity tandem pairs showed similar performance. Lower power and RPE among stokers suggest reduced engagement or a redistribution of effort between riders. These findings highlight that effective tandem performance depends on physiological capacity and rider position on the tandem, but not on the difference in capacity between partners.

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Exercise Intensity Modulates the Validity of Non-Linear Heart Rate Time Series Analysis Window Length: Implications for DFAa1 Monitoring

De Maeseneer, J.; Olieslagers, A.; Gronwald, T.; de Beukelaar, T.

2026-02-04 physiology 10.64898/2026.02.02.703217 medRxiv
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PurposeDetrended fluctuation analysis alpha-1 (DFAa1) has emerged as a promising non-invasive biomarker for exercise intensity assessment. However, the standard 2-min analysis window lacks temporal resolution necessary for real-time training applications. This study systematically investigated the validity of shortened DFAa1 windows (30s and 1min) versus the 2-min reference across different intensities. MethodsPhysically active males completed three continuous cycling protocols: low-intensity training at the first lactate threshold (LOW, n=19), moderate-intensity training at the second lactate threshold (MOD, n=19), and a 30-min self-paced time trial (TT30, n=18). DFAa1 was calculated using 30-s, 1-min, and 2-min moving windows, advancing in 1s increments. Validity was assessed using intraclass correlation coefficients (ICC), Bland-Altman analysis, and standard error of measurement (SEM). ResultsDuring LOW, both shortened windows showed poor agreement with the 2-min reference (30s: ICC=0.02, mean bias of -0.05; 1min: ICC=0.37, -0.02). During MOD, the 30-s window remained unreliable (ICC=0.32, -0.01), while the 1-min window achieved moderate reliability (ICC=0.63, 0.00). During TT30, both shortened windows substantially improved performance (30s: ICC=0.78, -0.02; 1min: ICC=0.95, -0.01), with the 1-min window achieving excellent reliability. ConclusionDFAa1 analysis window validity is intensity-dependent, with shortened windows showing progressively improved agreement as exercise intensity and heart rate increases. While the 2-min window remains essential for low-intensity monitoring, 1-min or 30-s windows provide appropriate validity during high-intensity exercise, enabling more-responsive real-time feedback. These results support adaptive windowing strategies that dynamically adjust window length based on exercise intensity and the number of included data points, to optimize the analytical validity-temporal responsiveness trade-off.

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Submaximal running energetics are maintained despite local muscle fatigue

Nahan, K.; Finn, H.; Nahan, K.; Heroux, M.; McDonald, K.

2026-01-20 physiology 10.64898/2026.01.16.699896 medRxiv
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When running, metabolic cost increases as muscles are simultaneously fatigued. However, the contribution of an individual muscle group to fatigue-related increase in metabolic costs remains unclear. We investigated the metabolic consequence of running with local plantar flexor or knee extensor fatigue and associated neuromuscular control strategies. Recreational and experienced male runners (N=20) completed two sessions (one per muscle group), with each including two 10 min running bouts: without and with local fatigue ([~]20% reduction in peak joint torque). Net metabolic power and muscle activity (initial and final minutes) were determined. Metabolic power was unaffected by plantar flexor (p=0.367) or knee extensor (p=0.607) fatigue in both cohorts. Plantar flexor fatigue recovered during the fatigued run (p=0.033), while knee extensor fatigue only recovered for the recreational cohort (p=0.009; experienced: p=0.826). With plantar flexor fatigue, plantar flexor muscle activity was unchanged between runs (p[≥]0.312), however initial soleus activity was greater in the unfatigued than fatigued run for experienced runners (p=0.022), and initial medial gastrocnemius activity was greater in the unfatigued than fatigued run for the combined cohort (p=0.009). With knee extensor fatigue, knee extensor muscle activity was mostly lower in the unfatigued than fatigued run (p[≤]0.009), except for final vastus lateralis activity, which was unchanged between runs (p=0.061). Therefore, muscle groups respond with different activation strategies when fatigued. Running with plantar flexor or knee extensor fatigue, at levels like those induced by prolonged running (10-42 km), does not increase metabolic power and thus, submaximal running energetics may be maintained despite local muscle fatigue. NEW & NOTEWORTHYWhile muscle fatigue is suggested to increase the metabolic cost of running, the individual contributions of key lower limb muscle groups have not been explored. We examined responses after fatigue of only the plantar flexors or the knee extensors. Results indicate that local fatigue did not affect the metabolic power of male runners for either fatigued muscle group. These findings enhance our understanding of running performance and the interaction between fundamental criteria dictating human locomotion.

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Closed Kinematic Chain Biomechanics and Cycling: Linking Biomechanical Variables to Knee Joint Loading

BAHO VITA, H.; Welegebriel, D. F.

2026-04-01 biophysics 10.64898/2026.03.29.715123 medRxiv
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This study investigates closed kinematic chain biomechanics in cycling with a focus on knee joint loading. Data from 16 cyclists collected on a standardized ergometer were analyzed in OpenSim using inverse dynamics, static optimization, and joint reaction analysis. To keep the pipeline consistent across all subjects, the report summarizes right-knee outputs over a steady-state interval between 120 and 124 s. Peak knee joint moments ranged from 15.79 to 44.85 Nm (mean 30.49 {+/-} 7.66 Nm), while peak resultant knee reaction forces ranged from 1187.61 to 3309.04 N (mean 2317.19 {+/-} 728.19 N). Static optimization showed strong contributions from the rectus femoris and vastus lateralis during power production, with additional stabilization from the biceps femoris long head and gastrocnemius medialis. Mean peak muscle activation was highest for the rectus femoris (0.72 {+/-} 0.19), followed by the biceps femoris long head (0.66 {+/-} 0.20). Mean peak muscle force was highest for the vastus lateralis (1078.1 {+/-} 305.8 N) and rectus femoris (994.1 {+/-} 379.2 N). The results confirm substantial inter-subject variability in knee loading and support the use of personalized training or rehabilitation strategies when cycling is used for performance development or joint recovery.

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Stretch versus shortening contractions subsequently decrease versus increase neural drive to the human tibialis anterior

Raiteri, B. J.; Bosse, K. F.; Boccardo, M.; Vandal, A. C.; Hahn, D.

2026-03-16 physiology 10.64898/2026.03.13.710530 medRxiv
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EMG-based muscle force predictions are often inaccurate following active muscle stretch or shortening because of residual force enhancement (rFE) or depression (rFD), respectively, which can alter the neural drive to a muscle. However, the extent of neural drive modulation due to rFE or rFD remains unknown, making it difficult to correct EMG-based force predictions. Therefore, seventeen participants performed dorsiflexion contractions at 20 and 40% of maximum voluntary torque (MVT) in three conditions: stretch-hold, shortening-hold, and fixed-end reference (REF) conditions. The ankle dorsiflexion torques and angles were matched using dynamometry to the REF condition over a 10-s steady state following a 1-s 25{degrees} stretch or shortening, during which we recorded and decomposed tibialis anterior individual motor unit action potentials from high-density surface EMG recordings to gain insights into neural drive. Normalized EMG amplitudes were 2% lower following stretch and 1 or 3% higher following shortening relative to REF at 20 versus 40% MVT (p[≤].008), respectively. Discharge rates (DRs) from 19 matched motor units per person on average obtained via DEMUSE and MUedit were similar (p=.871). Following stretch and shortening, DRs were [~]1 Hz lower (p[≤].004) and 0 (p=.966) to 1 Hz higher relative to REF (p=.003), respectively. More unique motor units were also detected following shortening versus REF and in REF versus following stretch. These findings indicate that to account for rFE or rFD, neural drive is respectively decreased or increased via reduced or additional motor unit recruitment and DR modulation, with a contraction-intensity specific discharge rate modulation following active shortening.

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Individual Differences in Sensitivity to Daily Meteorological Fluctuations Among Collegiate Baseball Players: A Repeated-Measures Observational Study

MIYASHITA, K.

2026-02-06 sports medicine 10.64898/2026.01.29.26345011 medRxiv
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BackgroundMeteorological factors such as barometric pressure, humidity, and temperature have been linked to weather-related symptoms in the general population, yet little is known about their influence on athletes daily well-being and performance. Individual variability in weather sensitivity has been reported in biometeorology research, suggesting that only certain individuals exhibit pronounced physiological responses to environmental fluctuations. However, no studies have examined within-person associations between multiple meteorological factors and daily condition or performance in competitive athletes. MethodsCollegiate baseball players were monitored over 10 randomly selected days during July-August 2025. Subjective condition and performance were assessed daily using a 3-point Likert scale (1 = poor, 2 = normal, 3 = good). Barometric pressure, humidity, and temperature were recorded hourly and summarized for each day using mean values, day-to-day changes, daily ranges, and rapid fluctuation indices. For each player, multivariable linear regression models were constructed to examine within-person associations between the three meteorological variables and daily condition or performance. Model fit (R2), regression coefficients ({beta}), and dominant meteorological factors were extracted. ResultsEighty players were included in the condition model and eighty-six in the performance model. High weather sensitivity (R2 [≥] 0.60) was observed in 22.5% of players for condition and 14.0% for performance, whereas low sensitivity (R2 [≤] 0.20) was found in 26.3% and 16.3%, respectively. Temperature was the dominant explanatory factor in more than 80% of players, although subsets showed dominance of barometric pressure or humidity. Directionality varied across individuals: decreases in barometric pressure were associated with worsening conditions in 62.5% of players but improvement in 37.5%; similar bidirectional patterns were observed for humidity and temperature. ConclusionDaily meteorological fluctuations explain a meaningful proportion of within-person variation in condition and performance for a subset of collegiate baseball players. The substantial individual variability and diverse directional responses highlight weather sensitivity as a personalized characteristic rather than a uniform effect. These findings suggest that meteorological factors may represent a relevant contextual variable for daily readiness monitoring in susceptible athletes.

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Quadriceps Strength And Knee Abduction Moment During Landing In Adolescent Athletes

Johnson, L. R.; Bond, C. W.; Noonan, B. C.

2026-03-06 sports medicine 10.64898/2026.03.06.26347192 medRxiv
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BackgroundQuadriceps weakness may reduce sagittal plane shock absorption during landing, shifting load toward the frontal plane and increasing knee abduction moment (KAM), a biomechanical risk factor for anterior cruciate ligament (ACL) injuries. PurposeThe purpose of this study was to evaluate the association between isokinetic quadriceps strength and peak KAM during drop vertical jump landing in adolescent athletes. Study DesignSecondary analysis of previously collected data. MethodsHealthy adolescent athletes completed quadriceps strength testing using an isokinetic dynamometer and a biomechanical assessment during a drop vertical jump task. Quadriceps strength was quantified as peak concentric torque and the peak external KAM was calculated during the landing phase on the dominant limb. Both strength and KAM were normalized to body mass. Linear regression was used to examine the association between normalized quadriceps strength and peak external KAM on the dominant limb. ResultsThe association between quadriceps strength and peak normalized KAM on the dominant limb was not statistically significant ({beta} = -0.053 (95% CI [-0.137 to 0.030]), F(1,119) = 1.62, R2 = 0.013, p = 0.206). Quadriceps strength explained only 1.3% of the variance in peak KAM, indicating a negligible association between these variables in this cohort. DiscussionQuadriceps strength was not associated with peak normalized KAM during landing, suggesting that frontal-plane knee loading during a drop vertical jump is not meaningfully explained by maximal concentric quadriceps strength alone. KAM appears to be driven more by multi-joint movement strategy and neuromuscular coordination than by the capacity of a single muscle group.

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Changes in Body Composition, EMG, Kinematic and Kinetic Performance Following Velocity-Based Training vs. 1RM-Percentage Based Training

Fernandez Ortega, J.; Prieto Mondragon, L.; Borges Sarmento, H.

2026-01-23 physiology 10.64898/2026.01.21.700976 medRxiv
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The aim of this study was to investigate the effects of velocity-based training (VBT) and percentage-based training of one repetition maximum (PBT), on changes in muscle mass (MM), mineral bone density (BMD), and bone mineral content (BMC), maximal squat strength (FSQ), countermovement jump (CMJ), pedaling power (PP), sprint (RV30) and neuromuscular response (EMG). Eighty-five men were randomized to VBT and PBT, and performed full squat (SQ) training three times per week for 12 weeks. Results: RT produced significant increases in FSQ, CMJ, RV30, PP, MM, CMO in both groups, and in BMD only in the VBT group. No significant changes in EMG activity were observed in either group. Significant differences were observed between VBT and PBT for BMD, PP, CMJ, and RV30, with statistical significance set at p<0.05. In conclusion, the VBT group showed better results than the PBT group in the different variables with a lower training load.

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Comparing the effects of a short nap and non-sleep deep rest on perceptual, cognitive, and physical performance in active adults

Boukhris, O.; Suppiah, H.; Driller, M. W.

2026-03-04 sports medicine 10.64898/2026.03.03.26347495 medRxiv
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This study compared the effects of a 25-min nap opportunity and a 10-min non-sleep deep rest (NSDR) condition on perceptual, cognitive, and physical performance in physically active young adults. Sixty participants (26 female, 34 male; 22 {+/-} 4 years) were randomly assigned to one of three groups (nap, NSDR, control; n = 20 each). All groups completed identical assessments immediately, 20 min, and 40 min post-intervention. Mixed-effects models, adjusted for sex, prior-night sleep, and weekly physical activity, revealed a significant Group x Time interaction for sleepiness, fatigue, readiness to perform, and handgrip strength (p < 0.05). At 40 min post-intervention, the nap group reported lower fatigue than control and higher readiness to perform than both control and NSDR (p < 0.05). No significant effects were observed for the NSDR condition on perceptual, cognitive, or physical outcomes (p > 0.05). These findings indicate that a short nap can enhance perceived readiness and reduce fatigue after a brief latency period, whereas NSDR did not elicit significant effects under the present conditions.

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Reliability of a Simple, Biomechanically Grounded Score for Landing-Mechanics Evaluation

Sakoda, S.; Kajiwara, K.; Shuto, R.; Kumagae, H.; Yokoi, O.; Kawano, K.

2026-02-14 sports medicine 10.64898/2026.02.09.26345781 medRxiv
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ContextClinical assessments of landing mechanics often require complex scoring systems or laboratory-based motion analysis, which can limit feasibility in routine practice. A visually based landing-mechanics score centered on a standardized optimal joint-alignment configuration ("Zero Position") may offer a simple, clinically deployable alternative. ObjectiveTo determine the intra- and inter-rater reliability of a landing mechanics score based on standardized optimal joint alignment at the moment of maximal center-of-mass (COM) descent. DesignCross-sectional reliability study. SettingUniversity athletic training facility. Patients or Other ParticipantsNinety healthy male collegiate athletes. Main Outcome MeasuresLanding mechanics were evaluated using frontal- and sagittal-plane video recordings, with scoring performed on the frame corresponding to maximal COM descent. Five criteria reflecting the standardized joint configuration ("Zero Position") were assessed. Intra- and inter-rater reliability were calculated using Cohens kappa coefficients and Kendalls W. ResultsAll five criteria demonstrated moderate to substantial intra-rater reliability and moderate to almost perfect inter-rater reliability. The total landing-mechanics score showed excellent agreement across all comparisons. The scoring system required minimal training and was feasible to implement using standard video recordings. ConclusionsThe landing-mechanics score centered on the Zero Position demonstrated high reliability and strong clinical feasibility. This simple, visually grounded assessment may support routine clinical screening, injury-risk evaluation, and return-to-sport decision-making. Future research should examine its applicability to single-leg landings and sport-specific high-risk movements.

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A PRISMA-guided systematic review of musculoskeletal modelling approaches in lower-limb cycling biomechanics

C. de Sousa, A. C.; Peres, A. B.; Font-Llagunes, J. M.; Baptista, R. d. S.; Pamies-Vila, R.

2026-03-07 neuroscience 10.64898/2026.03.05.709765 medRxiv
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Cycling is commonly employed in sports performance, rehabilitation, and clinical contexts, while musculoskeletal (MSK) simulations enable the investigation of internal biomechanics that cannot be measured experimentally. Despite growing use, the application, validation, and standardisation of MSK simulations in cycling remain unclear. This review aimed to systematically characterise the application, validation strategies, modelling assumptions, and reporting practices of musculoskeletal simulations in lower-limb cycling biomechanics. Searches were performed in Scopus, PubMed, IEEE Xplore, and Web of Science on 1 August 2024, covering studies from January 2010 to July 2024. Peer-reviewed English-language journal articles applying MSK simulations to lower-limb cycling were included; inverse kinematics-only was excluded. No protocol was registered, and no formal risk-of-bias assessment was conducted, as there were no intervention effects and no quantitative synthesis. Twenty-eight studies met the inclusion criteria. Most of them investigated bicycle-rider configuration, neuromuscular coordination, or electrical stimulation control, with participant cohorts overwhelmingly composed of young men and minimal female representation (272 total). Model reporting was often incomplete, with wide variation in anatomical scope, inconsistent descriptions of degrees of freedom, and limited sharing of models or code. Use of experimental data was uneven across studies: while all incorporated kinematic measurements, only two-thirds included kinetic data, and only one study reported physiological measures. Model validation was generally based on literature values. Seventy-eight per cent of studies used optimisation, mainly with effort-based cost functions, and parameter variations were exploratory rather than systematic. The evidence base is limited by small, predominantly male cohorts, inconsistent reporting standards, and limited physiological validation. These results consolidate current practices and highlight the need for more transparent and open reporting, sex-balanced and clinically diverse participant representation, stronger validation, and more rigorous sensitivity analysis to enhance reproducibility and practical relevance. This review was funded by AGAUR (Spain), CAPES (Brazil) and FAP-DF (Brazil). Author summaryCycling is widely used in sports training, rehabilitation, and clinical practice, and musculoskeletal simulations are increasingly used to study how muscles and joints work during cycling. These simulations allow us to estimate internal biomechanical variables that cannot be directly measured in experiments, such as muscle forces and joint loading. However, it is currently unclear how consistently these simulations are applied, validated, and reported across the literature. In this study, we systematically reviewed research published over the past 15 years that used musculoskeletal simulations to analyse lower-limb cycling. We identified 28 relevant studies and examined their modelling choices, experimental inputs, optimisation strategies, and validation approaches. We found substantial variability in model complexity, limited transparency in reporting, and a strong reliance on simplified literature-based validation methods. Most studies focused on narrow participant groups and explored modelling parameters in an ad hoc rather than a systematic way. Our findings highlight important gaps in current practice and point to clear opportunities for improvement. We provide an overview of common approaches and their limitations, and outline key recommendations to enhance the transparency, reproducibility, and practical relevance of musculoskeletal simulations in cycling research.

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Impact of music on running fatigue: Distraction effect from lyrics could further delay running fatigue compared to synchronous effect from tempo

Dreher, M.; Terterov, A.; Feistner, O.; Freiermuth, L.; Schaps, P.; Yeager, H.; Zhang-Lea, J. H.

2026-03-13 biophysics 10.64898/2026.03.09.710701 medRxiv
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Motivational music has been shown to improve running performance through delaying fatigue and increasing run duration. Previous studies have highlighted the effect of music tempo, that matching tempo to the runners cadence delays running fatigue. It remains unclear whether the motivational content in music lyrics is also responsible for delaying running fatigue. We designed a cross-sectional study and investigated the effect of tempo and motivational content on running biomechanics, and had participants run at a moderate intensity for up to ten minutes, or until exhaustion. Fifteen adults (age=20.9{+/-}1.3 years, weight=71.2{+/-}12.1 kg, height=174.7{+/-}11.0 cm) participated. Participants finished three trials, starting with running without any stimulus as a baseline trial, and ran with a visual metronome that flashed at a rate that matched their running cadence in the visual stimulus trial (VST). In the visual-auditory stimulus trial (VAST), participants ran with the visual metronome (as described in VST) while listening to a non-rhythmic motivational speech. We recorded run duration, perceived exertion, center of pressure sway during standing before and after each trial, and measured trunk acceleration to obtain root-mean-square (RMS) of acceleration during each minute of the run. Compared to baseline, participants reduced perceived exertion by 0.87 and 0.85 rating during the VST and VAST, respectively, though these changes did not reach significance (p=0.05). Stimulus affected the RMS of acceleration in anterior-posterior (p=0.011), vertical (p=0.008), and resultant directions (p=0.006). Our linear mixed effect model suggested that compared VST, VAST further lowered RMS of acceleration by 0.026g (anterior-posterior), 0.028g (vertical), and 0.036g (resultant). Our results showed that motivational content played an important role in lowering RMS of trunk acceleration, with the potential to delay running-induced fatigue. To maximize the effect of music on running performance, runners should listen to music that they find motivational and that is close to their natural running cadence.

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Acute effects of the 1-minute sit-to-stand test (STST) on immune-metabolic stress indices

Roehr, W.; Simon, R.; Kirschke, S.; von Loga, I.; Putrino, D.; Bloch, W.; Reuken, P. A.; Dudziak, D.; Kipp, A. P.; Stallmach, A.; Puta, C.

2026-03-09 sports medicine 10.64898/2026.03.05.26347678 medRxiv
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Exercise affects the immune function and induces pro- and anti-inflammatory effects. The alterations concerning the immune system linked to physical activity have been documented across various studies with complex exercise tests. However, the characterization of the non-pathological, exercise-induced immunological stress regulation is highly relevant in numerous clinical and non-clinical areas for a better understanding of normal physiological adaptations and differentiation from non-healthy adaptations. Thus, it is valuable and necessary to establish simple immune-metabolic response triggering exercise tests for use in clinical and non-clinical settings. The aim of this study was to examine the effects of the 1-minute sit-to-stand test (STST) on immune-metabolic stress indices and to determine whether it elicits a sufficiently high intensity to qualify as an anaerobic exercise test, thereby supporting its application in investigating exercise-induced immunological stress regulation. 28 study participants performed the 1-minute STST. Capillary blood was taken 20 and 10 minutes before the test, immediately after, and 5, 10, 15, 30, and 45 minutes after exercise. Lactate, glucose and blood counts were determined. Lactate concentration increased significantly immediately after the STST (p < 0.001) and remained significantly elevated until 45 minutes post-exercise. Glucose concentration was significantly decreased after 10 minutes post-exercise (p < 0.05) and again 30 and 45 minutes post-exercise (p < 0.01 for both). Leucocyte count increased significantly post-exercise (p < 0.001) and returned to baseline levels 30 minutes afterwards. Lymphocyte and granulocyte count increased significantly after the test (p < 0.001 for both) and lymphocyte count slightly decreased below baseline values 30 minutes post-exercise (p = 0.07) while granulocyte count remained significantly elevated (p < 0.05). Furthermore, decreased NLR (p < 0.001) and SII (p < 0.01) immediately after the test and increased levels of NLR, SII and SIRI post-exercise could be observed. The 1-minute STST caused an increase in lactate level above the anaerobic threshold, therefore the test can be evaluated as an anaerobic exercise test. Furthermore, it was demonstrated that the STST induced shifts in leucocyte, lymphocyte, and granulocyte counts, which means that even a short intense anaerobic exercise, such as the STST causes changes in immune cell counts and therefore, the test is suitable for analyzing the exercise-induced immunological stress response.

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Association Between Changes In Psychological Readiness And Subjective Knee Function After Acl Reconstruction

Johnson, O. S.; Bond, C. W.; Noonan, B. C.

2026-03-06 sports medicine 10.64898/2026.03.06.26347201 medRxiv
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BackgroundPsychological readiness to return to sport and subjective knee function are critical outcomes following ACL reconstruction (ACLR), yet they do not always progress in parallel. An athlete may demonstrate high subjective knee function but low psychological readiness, suggesting a mental barrier to return, or conversely, report high readiness despite persistent functional limitations, raising concerns of overconfidence and reinjury risk. Understanding how these domains change together during recovery is essential for identifying mismatches that may require targeted intervention. PurposeThe purpose of this study is to examine the relationship between changes in psychological readiness (ACL-RSI) and subjective knee function (IKDC) from early to late recovery following ACLR. Study DesignSecondary analysis of prospectively collected data. MethodsAthletes (N = 48, Age at ACLR = 17.7 {+/-} 1.8 y) aged 15-25 years who underwent ACLR with an ipsilateral autograft, had a pre-injury MARX score > 8, and completed the ACL-RSI and IKDC questionnaires at 3.5 {+/-} 1 and 7 {+/-} 1 months post-ACLR were included. Percent changes in ACL-RSI and IKDC scores between early and late recovery were calculated. Spearmans rank correlation was used to examine the association between changes in psychological readiness and subjective knee function. Significance was set to p < .05. ResultsThe mean percent change in ACL-RSI was 40.7 {+/-} 57.1% and the mean percent change in IKDC was 24.8 {+/-} 18.1% from 3.5 {+/-} 1 months to 7 {+/-} 1 months post-ACLR. The percent changes in ACL-RSI and IKDC scores from 3.5 {+/-} 1 months to 7 {+/-} 1 months post-ACLR were moderately correlated ({rho} = 0.350 (95% CI [0.089, 0.584]), p = 0.012). DiscussionThe main finding of this study was that subjective knee function and psychological readiness to return to sport changed in parallel from 3.5 to 7 months following ACLR. Clinicians can use this information regarding the concordant progression of psychological readiness to return to sport and subjective knee function to personalize ACL rehabilitation for future patients. Overall, clinicians can understand that if psychological readiness improves, subjective knee function will likely improve over the 3.5- to 7-month post-ACLR time frame, and vice versa. Therefore, focusing on both of these components at multiple time points during the recovery process may be influential to ensure the greatest likelihood of returning to sport in athletes following ACLR.

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The central motor command, but not the muscle afferent feedback, is necessary to perceive effort

Pageaux, B.; Bergevin, M.; Angius, L.; Mangin, T.; Lepers, R.; Marcora, S.

2026-02-07 neuroscience 10.64898/2026.02.04.703832 medRxiv
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Two theoretical models are proposed on the signal processed by the brain to generate the perception of effort (PE): the corollary discharge model and the afferent feedback model. To test the validity of these models, we used electromyostimulation to manipulate the magnitude of the central motor command during voluntary (high motor command), evoked (no motor command) and combined (low motor command) contractions at similar torque outputs. As electromyostimulation evokes sensory volleys to the central nervous system, it was used to evoke muscle contractions and to stimulate afferent feedback. We hypothesized that PE would reflect the magnitude of the central motor command and that evoked muscle contractions in the absence of central motor command would not elicit any PE. Twenty participants (n=10 experienced and n=10 novice with electromyostimulation) volunteered in this study. Participants reported their PE after isometric (10% and 20% MVC) and dynamic (5% and 20% MVC) voluntary, evoked, and combined contractions. For the same torque, participants reported no PE during evoked contractions, but all reported PE during voluntary contractions. Experienced but not novice participants reported lower PE during the combined than during voluntary contractions. This study questions the validity of the afferent feedback model and highlights the key role of motor command-related signals in PE generation. However, results from the novice participants during the combined contractions suggest that other factors such as inhibitory control may affect PE. Future studies should investigate the relationship between the central motor command and PE during physical tasks at various levels of complexity.

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Shining a Light on Athletes Sleep: Development of a Screening Nomogram to Flag Athletes at Risk of Poor Sleep Quality

Stevenson, S.; Driller, M.; Fullagar, H.; Pumpa, K.; Suppiah, H.

2026-03-05 sports medicine 10.64898/2026.03.04.26347647 medRxiv
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BackgroundEmerging research indicates that light exposure may influence sleep quality. Identifying key light-exposure behaviours associated with poor sleep quality in athletes may allow practitioners to efficiently screen for sleep difficulties and prioritise athletes for further assessment. Translating these findings into a practical screening tool could enhance willingness of high-performance professionals to monitor sleep and light exposure in athletes. HypothesisKey predictor variables identified by feature reduction techniques will lead to higher predictive accuracy in determining which light behaviours are associated with poor sleep quality in athletes. Study DesignCross-sectional study. Level of EvidenceLevel 3. Methods121 athletes from varying competitive levels completed questionnaires, including the Light Exposure Behaviour Assessment (LEBA) and Pittsburgh Sleep Quality Index (PSQI). Poor sleep quality was defined using the PSQI cut-off >5. Least absolute shrinkage and selection operator (LASSO) regression identified light exposure variables from the LEBA questionnaire most strongly associated with good and poor sleep quality in athletes. Three models were compared: a full-variable model (23 items), a factor-specific model (Factor 3: screen/device use), and a feature-reduced model (LASSO-selected items). ResultsPhone use before bed, checking phone/watch during the night, were identified as variables of greatest association with poor sleep quality and used for reduced feature set modelling. On an independent test set, the feature-reduced model achieved area under the curve (AUC) 0.83, sensitivity 0.70, and specificity 0.92. ConclusionsOur findings report that phone-related behaviours before and in bed are associated with a higher likelihood of poor sleep quality. These behaviours, combined with the developed nomogram, provide a preliminary, low-burden screening tool to identify athletes who may be experiencing sleep difficulties. The high specificity indicates that athletes flagged by the tool are likely to have genuine poor sleep quality, warranting further assessment to identify underlying causes and appropriate interventions. Clinical RelevanceEducation and interventions focused on light exposure factors were identified as most influencing sleep quality in a multifaceted athletic population and could be prioritised to optimise sleep quality. The developed sleep quality nomogram may be useful as a decision-making tool to improve sleep monitoring practice among practitioners.

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Neural and mechanical properties of vastus lateralis and vastus medialis at different rectus femoris muscle lengths

Aguiar dos Santos, M.; Cabral, H. V.; Inglis, J. G.; Cosentino, C.; Pourreza, E.; Fernandes de Oliveira, L.; Negro, F.

2026-02-05 physiology 10.64898/2026.02.03.703444 medRxiv
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Force production relies on the interaction between neural control of spinal motoneurons and the mechanical properties of the muscles. Changes in muscle length provide a useful model for exploring this interaction; however, studies typically assess these properties in the same muscle undergoing length change. This study investigated how altering the length of one muscle influences motor unit discharge behavior of its synergists. Eighteen healthy participants performed submaximal isometric knee extensions with the hip joint positioned at 90{degrees} (shortened rectus femoris, RF) and 180{degrees} (lengthened RF). At each hip position, participants followed trapezoidal force profiles at 10% and 30% of maximal voluntary contraction (MVC), while high-density surface electromyography (HDsEMG) was recorded from the synergistic vastus medialis and vastus lateralis (VL). Motor unit spike trains were decomposed from HDsEMG, tracked across hip positions, and analyzed for mean discharge rate and coefficient of variation of interspike interval (CoV-ISI). Lengthening the RF led to increased discharge rates of vasti motor units at 10% MVC, but not 30% MVC, with no changes in CoV-ISI. To further explore these force-dependent changes in discharge rate, two sets of experiments were conducted. The first showed that the discharge rate at recruitment during ramp-up contractions increased with RF lengthening, but only for vasti units recruited below 20% MVC. In the second, electrically evoked twitch contractions in the vasti revealed reduced twitches at 180{degrees} during low-frequency, but not high-frequency stimulation. These findings collectively suggest that the force-dependent changes in the vasti motor unit discharge rates are likely driven by RF-length dependent changes in the vasti muscles contractile properties.

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Revisiting the Humidity Ramp Protocol for Assessing Human Heat Tolerance Limits

Wang, F. F.; Xu, Y.; Wang, H.; Cui, M.; Hou, X.; Wei, B.; Shen, X.

2026-02-19 physiology 10.1101/2025.11.09.686670 medRxiv
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BackgroundHumidity ramp protocols are widely used to assess human heat tolerance limits, but the impact of ramp temporal structure (e.g., step duration) on estimated critical environmental limits (CELs) remains unclear. This study integrated theoretical modeling and empirical testing to assess these effects on apparent core temperature (Tcr) inflection points. MethodsA first-order thermal model described Tcr dynamics during stepwise humidity changes at fixed dry-bulb temperature (Tdb), with analytical solutions for increments of duration {Delta}t and sensitivity analyses across relevant time constants ({tau}). Twenty-six healthy young adults (14 males, 12 females) completed randomized trials at Tdb=42 {degrees}C: (1) slow-ramp (4-hour equilibration at 40% RH, then +6% RH/hour for 2 hours followed by +3% RH/hour; RH range: 40-61%) and (2) aggressive-ramp (30 min equilibration, then +2% RH every 5 min; RH range: 28-88%). Rectal and skin temperatures, heart rate, and perceptual ratings were monitored continuously. ResultsWhen {Delta}t/{tau} <<1, thermal disequilibrium accelerated Tcr rises, yielding prematurely low CELs; dwell times [&ge;] 60 min/step permitted near-equilibrium and higher thresholds. Aggressive-ramp CELs were significantly lower than slow-ramp (males: 29.9{+/-}1.6 {degrees}C vs. 33.4{+/-}0.5 {degrees}C; females: 30.3{+/-}0.9 {degrees}C vs. 33.8{+/-}0.5 {degrees}C), with downward shifts of 3.4{+/-}1.9 {degrees}C and 3.5{+/-}0.9 {degrees}C, respectively. ConclusionRapid humidity increments systematically underestimate heat tolerance due to thermal lag. Accurate CEL determination requires prolonged stable exposures (gold standard) or slow ramps ensuring sufficient equilibration ({Delta}t [&ge;] 60 min/step). Our findings reveal a core limitation of aggressive-ramp protocols and offer a framework for improved assessment of human environmental compensability. NEW & NOTEWORTHYThis study reveals how ramp temporal structure affects heat tolerance assessment. Rapid humidity increments in aggressive-ramp protocols cause premature underestimation of critical environmental limits (CELs) due to thermal disequilibrium. In contrast, prolonged dwell times ([&ge;] 60 min/step) in slow ramps allow near-equilibrium conditions, resulting in higher and more accurate CELs. These findings emphasize the importance of equilibration time in defining heat tolerance and provide a more reliable approach for assessing heat stress in extreme environments.

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Effects of muscle mass on muscle force predictions in human movement

Ing-Jeng, C.; Latreche, A.; A. Ross, S.; Almonacid, J.; JM Dick, T.; Vereecke, E.; Wakeling, J.

2026-04-02 physiology 10.64898/2026.03.30.714909 medRxiv
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Muscle mass significantly influences skeletal muscle behaviour, potentially explaining why traditional massless Hill-type models struggle to predict the forces generated by larger muscles during dynamic, submaximal contractions. However, the applicability of mass-enhanced Hill-type models in human locomotion remains unexplored. Here, we compared the predicted force from a 1D mass-enhanced Hill-type muscle model with a traditional 1D massless Hill-type muscle model across a range of experimentally measured human movements. Kinematic and electromyographic data were collected from twenty participants performing locomotor tasks and supplemented with existing cycling data. Muscle size was geometrically scaled by factors from 0.1 to 10, which causes lengths to be scaled proportionally, cross-sectional area and peak isometric force F0 with the square, and mass with the cube of the factor. Muscle tissue mass (inertia) and cadence increased the differences between mass-enhanced and massless predictions of force and power. At high cadence and the largest scale, the normalized root mean square difference between force traces reached 7% of F0, (averaged across muscles). However, differences between models were minimal (<1%) at human-sized scale 1. Real muscle additionally deforms in 3D, we still do not know the extent to which this extra dimensionality affects muscle forces for these human movements.