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The many different skeletal muscles in mammals contain a spectrum of slow\u2010 to fast\u2010twitch myofibres with varying levels of protein isoforms that determine their distinctive contractile, metabolic, and other properties. The variations in functional properties across the range of classic \u2018slow\u2019 to \u2018fast\u2019 myofibres are outlined, combined with exemplars of the predominantly slow\u2010twitch soleus and fast\u2010twitch extensor digitorum longus muscles, species comparisons, and techniques used to study these properties. Other intrinsic and extrinsic differences are discussed in the context of slow and fast myofibres. These include inherent susceptibility to damage, myonecrosis, and regeneration, plus extrinsic nerves, extracellular matrix, and vasculature, examined in the context of growth, ageing, metabolic syndrome, and sexual dimorphism. These many differences emphasise the importance of carefully considering the influence of myofibre\u2010type composition on manifestation of various neuromuscular disorders across the lifespan for both sexes. Equally, understanding the different responses of slow and fast myofibres due to intrinsic and extrinsic factors can provide deep insight into the precise molecular mechanisms that initiate and exacerbate various neuromuscular disorders. This focus on the influence of different myofibre types is of fundamental importance to enhance translation for clinical management and therapies for many skeletal muscle disorders.<\/jats:p>","DOI":"10.1111\/apha.14012","type":"journal-article","created":{"date-parts":[[2023,6,12]],"date-time":"2023-06-12T06:44:40Z","timestamp":1686552280000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":67,"title":["Slow or fast: Implications of myofibre type and associated differences for manifestation of neuromuscular disorders"],"prefix":"10.1111","volume":"238","author":[{"given":"Erin M.","family":"Lloyd","sequence":"first","affiliation":[{"name":"Department of Anatomy, Physiology and Human Biology, School of Human Sciences The University of Western Australia  Perth Western Australia Australia"},{"name":"Curtin Health Innovation Research Institute, Curtin Medical School Curtin University  Bentley Western Australia 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