Key pointsr From animal models, it is well established that β 2 -adrenergic stimulation increases contractile force, rates of Ca 2+ release and uptake from the sarcoplasmic reticulum, and Na + -K + -ATPase activity of skeletal muscles. However, these effects are unexplored in humans.r Here we report that β 2 -adrenergic stimulation with the high dose selective β 2 -adrenoceptor agonist terbutaline elicits positive inotropic and lusitropic effects on non-fatigued m. quadriceps that are associated with enhanced rates of Ca 2+ release and uptake from the sarcoplasmic reticulum in trained men.r However, we also observed that the positive inotropic and lusitropic effects of β 2 -adrenergic stimulation on m. quadriceps were blunted when muscle fatigue developed.r Furthermore, we show that β 2 -adrenergic stimulation counteracts exercise-induced reductions in Na + -K + -ATPase V max (maximum rate of activity) and elevates glycolytic activity during high intensity exercise.r These findings are important for our understanding of the role of β 2 -adreceptor activation in regulation of ion handling and contractile properties of non-fatigued and fatigued skeletal muscles in humans.Abstract The aim of the present study was to examine the effect of β 2 -adrenergic stimulation on skeletal muscle contractile properties, sarcoplasmic reticulum (SR) rates of Ca 2+ release and uptake, and Na + -K + -ATPase activity before and after fatiguing exercise in trained men. The study consisted of two experiments (EXP1, n = 10 males, EXP2, n = 20 males), where β 2 -adrenoceptor agonist (terbutaline) or placebo was randomly administered in double-blinded crossover designs. In EXP1, maximal voluntary isometric contraction (MVC) of m. quadriceps was measured, followed by exercise to fatigue at 120% of maximal oxygen uptake (V O 2 ,max ). A muscle biopsy was taken after MVC (non-fatigue) and at time of fatigue. In EXP2, contractile properties of m. quadriceps were measured with electrical stimulations before (non-fatigue) and after two fatiguing 45 s sprints. Non-fatigued MVCs were 6 ± 3 and 6 ± 2% higher (P < 0.05) with terbutaline than placebo in EXP1 and EXP2, respectively. Furthermore, peak twitch force was 11 ± 7% higher (P < 0.01) with terbutaline than placebo at non-fatigue. After sprints, MVC declined (P < 0.05) to the same levels with terbutaline as placebo, whereas peak twitch force was lower (P < 0.05) and half-relaxation time was prolonged (P < 0.05) with terbutaline. Rates of SR Ca 2+ release and uptake at 400 nM [Ca 2+ ] were 15 ± 5 and 14 ± 5% (P < 0.05) higher, respectively, with terbutaline than placebo at non-fatigue, but declined (P < 0.05) to similar levels at time of fatigue. Na + -K + -ATPase activity was unaffected by terbutaline compared with placebo at non-fatigue, but terbutaline counteracted exercise-induced reductions in maximum rate of activity (V max ) at time of fatigue. In conclusion, increased contractile force induced by β 2 -adrenergic stimulation is associated with enhanced rate of Ca 2+ release in humans....