Altered Cortico-Cortical Brain Connectivity During Muscle Fatigue

Traditional brain activation studies using neuroimaging such as functional magnetic imaging (fMRI) have shown that muscle fatigue at submaximal intensity level is associated with increased brain activity in various cortical regions from lowto highorder motor centers. However, how these areas might interact remain unclear since previous activation studies related to motor control could not reveal information of between-area interaction. This issue can be addressed by evaluating brain activation data using the framework of connectivity analysis. Three types of brain connectivity, functional connectivity (FC), effective connectivity (EC) and structural connectivity (SC) have been examined to investigate the effect of voluntary muscle fatigue on the interaction within the cortical motor network. The aim of the study was to propose a new framework to reveal adaptive interactions among motor regions during progressive muscle fatigue. We hypothesized that the brain would exhibit fatigue-related alterations in the FC and EC. Ten healthy subjects performed repetitive handgrip contractions (3.5s ON/6.5s OFF) for 20 minutes at 50% maximal voluntary force (MVC) level using the right hand (fatigue task). Significant MVC reduction occurred at the end of the fatigue task, indicating muscle fatigue. Histogram and quantile analysis confirmed that FC of the brain increased in the severe fatigue stage (the last 100s of the fatigue task) compared