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Mental Fatigue Effects on Posture and Spinal Reflexes

Effects of Mental Fatigue on Posture and Spinal Reflexes Modulations

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07650903
Enrollment
26
Registered
2026-06-16
Start date
2026-07-01
Completion date
2026-12-01
Last updated
2026-06-16

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

Conditions

Mental Fatigue

Keywords

Postural control, Center of pressure, Spinal reflex excitability, H-reflex, Stroop task, Electromyography

Brief summary

This randomized crossover study investigates the effects of mental fatigue on postural control and spinal reflex excitability in healthy physically active adults aged 18-35 years. Participants will complete two experimental conditions: a mentally fatiguing Stroop task and a control condition involving passive documentary watching, separated by at least 48 hours. Postural control will be assessed using force plate measures of center of pressure displacement during bipedal and unipedal stance, with and without concurrent cognitive dual-tasking. In parallel, spinal reflex excitability will be evaluated using H-reflex recordings from the triceps surae muscles across sitting and standing postures. The primary aim is to determine whether mental fatigue increases postural sway, particularly in more challenging balance conditions such as single-leg stance. The secondary aim is to examine whether mental fatigue alters the normal modulation of spinal reflex excitability across progressively demanding postural tasks. Additional biomechanical and neuromuscular measures, including EMG activity and hip kinematics, will be recorded to provide insight into underlying control mechanisms. The study will include approximately 26 participants, with each serving as their own control. Data will contribute to understanding how cognitive fatigue influences balance control and spinal-level neuromuscular regulation.

Interventions

Participants complete a 60-minute computerized Stroop color-word task designed to induce mental fatigue. The task consists of repeated incongruent stimuli requiring rapid and accurate responses, with difficulty individualized based on a prior maximal Stroop performance test. Performance (reaction time and accuracy) is continuously recorded. Subjective mental fatigue is assessed intermittently during the task using a visual analogue scale.

BEHAVIORALControl Condition

Participants watch a 60-minute neutral documentary of their choice. This condition is designed to match the mental fatigue intervention in duration and general sensory engagement without inducing cognitive fatigue. No cognitive task performance is required. Subjective mental fatigue is assessed at equivalent time points using a visual analogue scale.

Sponsors

Izmir Bakircay University
Lead SponsorOTHER
Vrije Universiteit Brussel
CollaboratorOTHER
University of Franche-Comté
CollaboratorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
SINGLE (Subject)

Intervention model description

Randomized crossover design in which each participant completes both a mental fatigue condition and a control condition in counterbalanced order, separated by a washout period of at least 48 hours. Participants serve as their own control, and outcomes are measured pre- and post-intervention under identical testing conditions.

Eligibility

Sex/Gender
ALL
Age
18 Years to 35 Years
Healthy volunteers
Yes

Inclusion criteria

* Healthy participants aged between 18 and 35 years * Recreational active

Exclusion criteria

* Previous major lower limb injury (last 6 months) * Present neurological or musculoskeletal disorders * Involvement in another concurrent physical or cognitive intervention study

Design outcomes

Primary

MeasureTime frameDescription
Center of Pressure (CoP) Displacement (Postural Sway)Pre-intervention and immediately post-intervention (each experimental session)Postural sway will be assessed using center of pressure (CoP) displacement area and oscillation parameters measured during bipedal and unipedal stance on a force plate. Higher values indicate greater postural instability. Comparisons will be made between mental fatigue and control conditions, pre- and post-intervention.
Subjective Mental FatigueDuring intervention (every 15 minutes) and immediately post-interventionSubjective mental fatigue will be assessed using a visual analog scale (VAS) ranging from 0 (no fatigue) to 100 (extreme fatigue).

Secondary

MeasureTime frameDescription
Spinal Reflex Excitability (H-reflex Modulation)Pre-intervention and immediately post-intervention across sitting, bipedal stance, and unipedal stance conditionsSpinal reflex excitability will be assessed using H-reflex amplitude (H50 and Hmax), normalized to maximal M-wave (Mmax), recorded from the triceps surae muscles (soleus, medial gastrocnemius, lateral gastrocnemius) during sitting, bipedal stance, and unipedal stance. Changes will be compared between mental fatigue and control conditions.
Surface Electromyography (EMG) Activity of Postural MusclesContinuous recording during postural tasks, pre-intervention and immediately post-intervention (each condition)Muscle activation will be assessed using root mean square (RMS) electromyography (EMG) activity recorded from the soleus, medial gastrocnemius, lateral gastrocnemius, tibialis anterior, vastus medialis, and multifidus muscles, normalized to maximal M-wave (MMAX).
Hip / Leg Movement (IMU Angular Velocity)Pre-intervention and immediately post-intervention during bipedal and unipedal stanceHip and leg movements will be assessed using inertial measurement unit (IMU) sensors placed at the proximal femoral epicondyle. Outcome is the resultant angular velocity across movement axes during postural tasks.

Countries

Belgium

Contacts

CONTACTSidney Grosprêtre, PhD
sidney.grospretre@univ-fcomte.fr+32 (0)2 629 22 22
STUDY_DIRECTORBart Roelands, Professor

Vrije Universiteit Brussel

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jun 17, 2026