Chronological changes in neuromuscular cooperativeness before and after muscle fatigue loading using the silent period of the quadriceps and hamstrings in young female athletes.

The study included only 15 healthy female university athletes, so the results cannot be generalised to male athletes, older adults, recreational athletes, or people with injuries. The outcome was a laboratory EMG timing measure, not a clinical function, sport performance measure, or injury outcome. Subjective fatigue and the specific central mechanism were not measured, so the study cannot say how much fatigue the athletes felt or why the timing changed. The authors did not examine different fatigue loading doses or recovery after ACL reconstruction or other lower limb injuries. The non-fatigued leg served as an internal comparison, but the paper did not report randomisation, blinding, or a separate control group.

The authors declared no conflict of interest.

Do not conclude that fatigue loading increases injury risk or that this test can guide return-to-play decisions. The study measured a laboratory EMG timing variable in 15 healthy female athletes and did not assess injuries, sport performance, or patients with lower limb conditions.