Prolonged or unaccustomed exercise leads to loss of contractility and muscle cell damage. The possible role of an increased uptake of Ca 2+ in this was explored by examining how graded fatiguing stimulation, leading to a graded uptake of Ca 2+ , results in progressive loss of force, impairment of force recovery, and loss of cellular integrity. The latter is indicated by increased [14 C]sucrose space and lactic acid dehydrogenase (LDH) release. Isolated rat extensor digitorum longus (EDL) muscles were allowed to contract isometrically using a fatiguing protocol with intermittent stimulation at 40 Hz. Force declined rapidly, reaching 11% of the initial level after 10 min and stayed low for up to 60 min. During the initial phase (2 min) of stimulation 45 Ca uptake showed a 10-fold increase, followed by a 4-to 5-fold increase during the remaining period of stimulation. As the duration of stimulation increased, the muscles subsequently regained gradually less of their initial force. Following 30 or 60 min of stimulation, resting 45 Ca uptake, [ 14 C]sucrose space, and LDH release were increased 4-to 7-fold, 1.4-to 1.7-fold and 3-to 9-fold, respectively (P < 0.001). The contents of Ca 2+ and Na + were also increased (P < 0.01), a further indication of loss of cellular integrity. When fatigued at low [Ca 2+ ] o (0.65 mM), force recovery was on average twofold higher than that of muscles fatigued at high [Ca 2+ ] o (2.54 mM). Muscles showing the best force recovery also had a 41% lower total cellular Ca 2+ content (P < 0.01). In conclusion, fatiguing stimulation leads to a progressive functional impairment and loss of plasma membrane integrity which seem to be related to an excitation-induced uptake of Ca 2+ . Mechanical strain on the muscle fibres does not seem a likely mechanism since very little force was developed beyond 10 min of stimulation. Intense exercise, such as extended periods of running, strength training, sprinting or eccentric exercise, disrupts the normal ultrastructure of skeletal muscle (Waterman-Storer, 1991;Belcastro, 1993;Belcastro et al. 1998). Impaired force recovery seen after intense exercise can be due to structural damage such as myofibrillar and cytoskeletal disruptions often leading to Z-disc streaming (Hoppeler, 1986; WatermanStorer, 1991;Appell et al. 1992;Gibala et al. 1995), as well as disturbances to mitochondria and the SR-T-tubular system (Hoppeler, 1986;Gibala et al. 1995). Loss of sarcolemmal integrity has also repeatedly been reported after prolonged or unaccustomed exercise (e.g. Stupka et al. 2001;Clarkson & Hubal, 2002), contributing to the functional impairment.Several mechanisms have been proposed to explain the functional impairment and it is unlikely to be caused by one single factor. The causes of functional impairment could be either mechanical damage due to eccentric contractions (Armstrong, 1986(Armstrong, , 1990, loss of excitability (Nielsen & Overgaard, 1996;Clausen, 1996;Overgaard et al. 1999;Carlsen & Villarin, 2002), or Ca 2+ -induced damage (Gissel & Cl...