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Fatigability Compared Men and Women Induced According to the Distance Traveled on an Ultra-marathon in the Mountains

Fatigability Compared Men and Women Induced According to the Distance Traveled on an Ultra-marathon in the Mountains

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04025138
Acronym
UTMB_2019
Enrollment
75
Registered
2019-07-18
Start date
2019-07-02
Completion date
2019-09-01
Last updated
2022-12-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Ultra-marathon Runners

Keywords

Sex differences, Ultra-endurance running, Mont Blanc Ultra Trail, Transcranial Magnetic Stimulation (TMS), Neuromuscular tests, Plantar flexors, Knee extensors, Force/Velocity Profile (FVP)

Brief summary

Acute physiological consequences of ultra-marathon running are still unknown, particularly in women. Some studies have suggested that the proportion of fatigue attributable to peripheral and central mechanisms varies between males and females; however, results are contradictory. The results from the investigators of the present experiment in two studies conducted in 2009 and 2012 showed that: * A large part of fatigue induced by a mountain ultra-marathon could be attributed to central fatigue in males and that, * Females exhibited less peripheral fatigue in the plantar flexors than males did after a 110-km ultra-trail-running race. According to the literature, there seems to be a plateau in fatigue after 12-15 hours of running.

Detailed description

Thus, the main purpose of the present project is to investigate whether sex differences in neuromuscular fatigue in plantar flexors depend on the distance (\> 100 km vs \< 60 km).

Interventions

OTHERNeuromuscular tests in isometric mode

Protocol for neuromuscular tests in isometric mode will be assessed by the composite of these measures : * Voluntary maximum forces plantar flexors and knee extensors * Electrically evoked forces * ElectroMyoGraphic activity (EMG) * Three-Modality Evoked Potentials (TMEPs)

DEVICETranscranial Magnetic Stimulation (TMS)

Measure of supraspinal activation level and cortical excitation by Transcranial Magnetic Stimulation (TMS).

OTHERNeuromuscular fatigue assessment test

Neuromuscular fatigue assessment test in dynamic mode will be assessed by the Force/Velocity Profile (FVP) measure: 2 sprints of 8 seconds on a cycle ergometer.

OTHERtreadmill

2 sessions of treadmill will be realized: 8 and 10 km.h-1 for level running and 7 km.h-1 with 10% slope for graded running.

BIOLOGICALBlood sample

Blood sample will be realized to measure hemorrheologic and hematologic parameters.

BIOLOGICALUrinary sample

Urinary sample will be realized to measure hemorrheologic and hematologic parameters.

Sponsors

Centre Hospitalier Universitaire de Saint Etienne
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Subject listed in the race 2019 Mont Blanc Ultra Trail * Affiliates or beneficiaries of social security scheme * Signed consent

Exclusion criteria

* Subject having been injured in the previous 3 months * Pregnant woman * Chronic joint diseases * Chronic or central neurological pathologies * Taking neuroactive substances that can alter corticospinal excitability * Contraindication to experimental procedures including Transcranial Magnetic Stimulation (TMS) * Taking corticosteroids in the previous 3 months

Design outcomes

Primary

MeasureTime frameDescription
Variation (%) of the amplitudes of the electric shock5 or 6 day before the race and 1 hour afterMeasured by the electrically evoked force after contraction in isometric mode of the plantar flexors

Secondary

MeasureTime frameDescription
Voluntary maximum forces knee extensors5 or 6 day before the race and 1 hour afterAnalysis : * Quantification of neuromuscular fatigue assessment; * Evolution of race mechanics and the energy cost between males and females depending on the distance of the race. Voluntary maximum forces knee extensors measures by seat type Cybex in percentage (%).
Electrically evoked forces5 or 6 day before the race and 1 hour afterAnalysis : * Quantification of neuromuscular fatigue assessment; * Evolution of race mechanics and the energy cost between males and females depending on the distance of the race. Electrically evoked forces measures by neurostimulator in percentage (%).
ElectroMyoGraphic activity (EMG)5 or 6 day before the race and 1 hour afterAnalysis : * Quantification of neuromuscular fatigue assessment; * Evolution of race mechanics and the energy cost between males and females depending on the distance of the race. ElectroMyoGraphic activity (EMG) measures by electromyography. The EMG signal will be recorded with pairs of electrodes fixed with an adhesive tape bilaterally over the muscular belly.
Three-Modality Evoked Potentials (TMEPs)5 or 6 day before the race and 1 hour afterAnalysis : * Quantification of neuromuscular fatigue assessment; * Evolution of race mechanics and the energy cost between males and females depending on the distance of the race. Three-Modality Evoked Potentials (TMEPs) measures by magnetic stimulator in percentage (%).
Transcranial Magnetic Stimulation (TMS)5 or 6 day before the race and 1 hour afterAnalysis : * Quantification of neuromuscular fatigue assessment; * Evolution of race mechanics and the energy cost between males and females depending on the distance of the race. Measured supraspinal activation level and cortical excitation by Transcranial Magnetic Stimulation (TMS) in percentage (%).
Force/Velocity Profile (FVP)5 or 6 day before the race and 1 hour afterAnalysis: * Quantification of neuromuscular fatigue assessment; * Evolution of race mechanics and the energy cost between males and females depending on the distance of the race. Measured Force/Velocity Profile (FVP) test: 2 sprints of 8 seconds on a cycle ergometer.
Blood viscosity5 or 6 day before the race and 1 hour afterMeasured by blood sample.
Number of red blood cell5 or 6 day before the race and 1 hour afterMeasured by blood sample.
Number of platelets5 or 6 day before the race and 1 hour afterMeasured by blood sample.
Voluntary maximum forces plantar flexors5 or 6 day before the race and 1 hour afterAnalysis : * Quantification of neuromuscular fatigue assessment; * Evolution of race mechanics and the energy cost between males and females depending on the distance of the race. Measured by voluntary maximum forces plantar flexors test (seat type Cybex) in percentage (%).
Rate of hemoglobin (%)5 or 6 day before the race and 1 hour afterMeasured by blood sample.
creatinine (mg/L)5 or 6 day before the race and 1 hour afterMeasured by blood sample.
C reactive protein (CRP) (mg/L)5 or 6 day before the race and 1 hour afterMeasured by blood sample.
urea (g/L)5 or 6 day before the race and 1 hour afterMeasured by blood sample.
uric acid (mg/L)5 or 6 day before the race and 1 hour afterMeasured by blood sample.
lactate (mg/L)5 or 6 day before the race and 1 hour afterMeasured by blood sample.
Proteinuria-density urinary (mg/24h)5 or 6 day before the race and 1 hour afterMeasured by urinary sample.
Kinematic variable5 or 6 day before the race and 1 hour afterMeasured by treadmill result.
Number of white blood cells5 or 6 day before the race and 1 hour afterMeasured by blood sample.

Countries

France

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 12, 2026