Central and Peripheral Mechanisms of Neuromuscular Fatigue: Their Implications for Exercise Training Prescription

A Narrative Review

Abstract

Neuromuscular fatigue (NMF) is a complex state that constrains performance and safety during training. It is commonly classified into peripheral fatigue (muscular, linked to Ca²⁺ dysregulation and metabolite accumulation) and central fatigue (within the central nervous system, related to failures in neural drive). The primary objective of this study was to provide an integrated model of exercise training prescription to support Physical Education professionals in decision-making, aiming to maximize effectiveness while minimizing the risk of overtraining and injury. A critical and analytical narrative review of the literature published between 2021 and 2025 was conducted. The literature search was performed in the PubMed, Scopus, and Web of Science databases. The search strategy employed key terms related to fatigue mechanisms (central and peripheral) and training prescription (rest intervals, concurrent training). NMF is conceptualized as a dynamic continuum in which central fatigue—partly interpreted in light of the Central Governor Model and psychobiological models—acts as a protective regulator of performance, whereas peripheral fatigue represents the final bioenergetics limit. The discussion proposes the use of monitoring tools (Ratings of Perceived Exertion, Repetitions in Reserve, and Movement Velocity) to guide the manipulation of training variables such as rest intervals and the organization of concurrent training. Training prescription should evolve towards a “fatigue engineering” model, integrating knowledge of central and peripheral mechanisms to optimize effectiveness and reduce the risk of overtraining and/or injury.

Keywords: Muscle fatigue, Physical training, Neuromuscular manifestations

References

Aslam, S., Habyarimana, J.D.D., e Bin, S.Y. (2025). Neuromuscular adaptations to resistance training in elite versus recreational athletes. Frontiers in Physiology, 16, 1598149. https://doi.org/10.3389/fphys.2025.1598149

Barón Barón, A.C., Fernández Ortega, J.A., e Camargo Rojas, D.A. (2024). Efectos de dos programas de entrenamiento de fuerza sobre la capacidad física funcional y activación muscular en un grupo de adultos mayores. Retos, 51, 741-748. https://doi.org/10.47197/retos.v51.99901

Bustos-Viviescas, B.J., García-Yerena, C.E., e Wilches-Visbal, J.H. (2025). Repensar el entrenamiento de fuerza basado en series clúster para pacientes cardíacos. Revista Finlay, 15(0). https://revfinlay.sld.cu/index.php/finlay/article/view/1588

Denadai, B.S., e Greco, C.C. (2025). Muscle fatigue and interference phenomenon during concurrent aerobic and strength training: An alternative hypothetical model. Medical Hypotheses, 198, 111614. https://doi.org/10.1016/j.mehy.2025.111614

Hernández Nájera, N., Cervantes Hernández, N., e Carrasco Legleu, C.E. (2022). Comparación de pruebas para medir la fatiga muscular en el entrenamiento de atletas hombres de CrossFit: Una revisión sistemática. Retos, 43, 923-930. https://doi.org/10.47197/retos.v43i0.89787

Jones, A.M., e Kirby, B.S. (2025). Physiological Resilience: What Is It and How Might It Be Trained? Scand J Med Sci Sports, 35, e70032. https://doi.org/10.1111/sms.70032

Lopes, T.R., Pereira, H.M., e Silva, B.M. (2022). Perceived exertion: Revisiting the history and updating the neurophysiology and the practical applications. International Journal of Environmental Research and Public Health, 19(21), 14439. https://doi.org/10.3390/ijerph192114439

Meeusen, R., Van Cutsem, J., e Roelands, B. (2021). Endurance exercise-induced and mental fatigue and the brain. Experimental Physiology, 106(12), 2294-2298. https://doi.org/10.1113/EP088186

Smiles, W.J., Ovens, A.J., Kemp, B.E., Galic, S., Petersen, J., e Oakhill, J.S. (2024). New developments in AMPK and mTORC1 cross-talk. Essays in Biochemistry, 68(3), 321-336. https://doi.org/10.1042/EBC20240007

Soendenbroe, C., Boraxbekk, C.J., e Mackey, A.L. (2025). Enhancing muscle and brain resilience: The role of prehabilitative exercise in mitigating disuse effects. The Journal of Physiology, 603(13), 3711-3724. https://doi.org/10.1113/JP284499

Staniszewski, M., Tkaczyk, J., Kęska, A., Zybko, P., e Mróz, A. (2024). Effect of rest duration between sets on fatigue and recovery after short intense plyometric exercise. Scientific Reports, 14, 15080. https://doi.org/10.1038/s41598-024-66146-2

Van Cutsem, J., Marcora, S., De Pauw, K., Bailey, S., Meeusen, R., e Roelands, B. (2022). Mental fatigue and endurance performance in the heat: A psychobiological perspective. Scandinavian Journal of Medicine & Science in Sports, 32(3), 575-588. https://doi.org/10.1111/sms.14096

Weakley, J., Morrison, M., García-Ramos, A., Johnston, R., James, L., e Cole, M.H. (2021). The validity and reliability of commercially available resistance training monitoring devices: A systematic review. Sports Medicine, 51(3), 443-502. https://doi.org/10.1007/s40279-020-01382-w

Wei, M., Shen, X., e Wang, S. (2025). Comparative effects of recovery strategies on exercise-induced muscle fatigue: A randomized controlled trial. Frontiers in Physiology, 16, 1622669. https://doi.org/10.3389/fphys.2025.1622669

Yang, Y., Feng, Z., Luo, Y-H, Chen, J-M, Zhang, Y., Liao, Y-J, Jiang, H., Long, Y., e Wei, B. (2025). Exercise-induced central fatigue: Biomarkers and non-medicinal interventions. Aging and Disease, 16(3), 1302-1315. https://doi.org/10.14336/AD.2024.0567

Author Biography

Cristian Giacomoni,

http://lattes.cnpq.br/1565948131391927

Published
2026-07-03
How to Cite
Giacomoni, C. (2026). Central and Peripheral Mechanisms of Neuromuscular Fatigue: Their Implications for Exercise Training Prescription: A Narrative Review. Lecturas: Educación Física Y Deportes, 31(338), 239-256. https://doi.org/10.46642/efd.v31i338.8739
Section
Review Articles