Some age-related changes in the motor system are welldescribed. For example, loss and atrophy of muscle fibers with a relatively greater decrease in the number and size of type II muscle fibers occur with aging. 1 There is also a progressive decline in the number of motoneurons with subsequent reinnervation and expansion of the innervation territory of the surviving motoneurons. [2][3][4][5][6] In the central nervous system, the extent of upper motoneuron loss with aging is substantial. 7,8 Taken together, it should not be surprising that some, or all, of these changes may have an impact on the muscle fatigue resistance in elderly individuals. Although muscle fatigue is of great functional importance in daily activities, data on its changes in aging, compared to strength changes, is relatively sparse. Also, reports on age-related changes in muscle fatigue resistance are conflicting. Findings range from increased fatigue resistance, 9,10 no change, 11 to decline. 12 The lack of agreement may, in part, be due to the different conditions under which muscle fatigue was induced and assessed. In some studies, ABSTRACT: Objective: The goal of this study was to compare the relative contributions from the muscle and the central nervous system to muscle fatigue resistance in aging. Methods: Each subject carried out 90 s of sustained maximal voluntary isometric contraction (MVC) of the thumb using the thenar and forearm thumb muscles. Contractile capacity of the thenar muscles was assessed through tetanic stimulation of the median nerve. Interpolated doublets delivered during an MVC represented the overall voluntary activation level while transcranial cortical stimulation with an electromagnetic stimulator was used to assess motor output upstream from the corticomotoneuronal pathway. Results: Nine elderly subjects [four females and five males, 70±9 years old (mean±SD)] and 10 younger subjects (five females and five males, 30±6 years old) were tested. After the fatiguing exercise, the elderly group's MVC declined by 29% as opposed to 47% in the younger group (p<0.01). The elderly group's greater fatigue resistance was accounted for by increased fatigue resistance at the muscle level as well as in the central nervous system. At least some of the decline in the central motor drive was upstream from the corticomotoneuronal pathway. Conclusion: The higher muscle fatigue resistance in the elderly group was attributable to differences in both the peripheral and central nervous systems.RÉSUMÉ: Changements dans la résistance à la fatigue musculaire associés au vieillissement chez l'humain. Objectif: Le but de cette étude était de comparer les contributions relatives du muscle et du système nerveux central à la résistance à la fatigue associée au vieillissement. Méthodes: Chaque sujet a effectué 90 s de contractions isométriques volontaires maximum soutenues (CVM) du pouce en utilisant les muscles de l'éminence thénar et de l'avant-bras. La capacité contractile des muscles de l'éminence thénar a été évaluée au moyen d'une stimulatio...