The corticospinal pathway is considered the primary conduit for voluntary
motor control in humans. The efficacy of the corticospinal pathway to relay
neural signals from higher brain areas to the locomotor muscle, i.e.,
corticospinal excitability, is subject to alterations during exercise. While the
integrity of this motor pathway has historically been examined during
single-joint contractions, a small number of investigations have recently
focused on whole body exercise, such as cycling or rowing. Although differences
in methodologies employed between these studies complicate the interpretation of
the existing literature, it appears that the net excitability of the
corticospinal pathway remains unaltered during fatiguing whole body exercise.
Importantly, this lack of an apparent effect does not designate the absence of
change, but a counterbalance of excitatory and inhibitory influences on the two
components of the corticospinal pathway, namely the motor cortex and the spinal
motoneurons. Specific emphasis is put on group III/IV afferent feedback from
locomotor muscle which has been suggested to play a significant role in
mediating these changes. Overall, this review aims at summarizing our limited
understanding of how fatiguing whole body exercise influences the corticospinal
pathway.