Note on the postnatal development of the decerebrate rigidity and the stretch reflex in kittens.
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Animals↗
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[Stretch reflex in a single muscular contraction].
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Humans↗
System identification of human triceps surae stretch reflex dynamics.
The interpretation of stretch-evoked reflex responses is complicated by the fact that the pattern of response will depend upon both the underlying reflex mechanisms and the time course of the stretch used to evoke the response. The objective of the present study was to use engineering systems analysis techniques to identify the dynamics of the human triceps surae (TS) stretch reflex in terms of its impulse response by deconvolving the position input from the observed response. Five normal subjects were instructed to maintain a tonic contraction of (TS) while subjected to repeated, computer-generated, stochastic perturbations of ankle position. Position, torque and smoothed, rectified surface EMGs were recorded and ensemble averaged over 25 stimulus presentations. Linear impulse response functions describing the dynamic relation between ankle velocity and TS EMG were found to account for a significant amount of the observed EMG variance (mean 60%). However, the impulse responses were noisy and the predicted EMG was systematically smaller than the observed EMG during the dorsiflexing phases of displacement. These findings suggested that a direction dependent nonlinearity might be present. Consequently, impulse responses relating half-wave rectified velocity to TS EMG were computed and found to be less noisy and to account for significantly more variance (mean 74%) than the purely linear model. The undirectional, velocity-sensitive impulse response functions were dominated by a large peak at about 40 ms followed by a smaller period of reduced activity. This is consistent with its mediation by primary spindle afferents. Although the shape of the impulse response remained unchanged, its amplitude, which provides a measure of relative gain, varied systematically with the level of contraction and the displacement amplitude. Multiple regression analysis demonstrated that most of the variation in the impulse response amplitude could be attributed to proportional increases with level of contraction (measured by average EMG) and proportional decreases with displacement amplitude.
Adult↗
Prolonged muscle vibration increases stretch reflex amplitude, motor unit discharge rate, and force fluctuations in a hand muscle.
The purpose of this study was to compare the influence of prolonged vibration of a hand muscle on the amplitude of the stretch reflex, motor unit discharge rate, and force fluctuations during steady, submaximal contractions. Thirty-two young adults performed 10 isometric contractions at a constant force (5.0 +/- 2.3% of maximal force) with the first dorsal interosseus muscle. Each contraction was held steady for 10 s, and then stretch reflexes were evoked. Subsequently, 20 subjects had vibration applied to the relaxed muscle for 30 min, and 12 subjects received no vibration. The muscle vibration induced a tonic vibration reflex. The intervention (vibration or no vibration) was followed by 2 sets of 10 constant-force contractions with applied stretches (After and Recovery trials). The mean electromyogram amplitude of the short-latency component of the stretch reflex increased by 33% during the After trials (P < 0.01) and by 38% during the Recovery trials (P < 0.01). The standard deviation of force during the steady contractions increased by 21% during the After trials (P < 0.05) and by 28% during the Recovery trials (P < 0.01). The discharge rate of motor units increased from 10.3 +/- 2.7 pulses/s (pps) before vibration to 12.2 +/- 3.1 pps (P < 0.01) during the After trials and to 11.9 +/- 2.6 pps during the Recovery trials (P < 0.01). There was no change in force fluctuations or stretch reflex magnitude for the subjects in the Control group. The results indicate that prolonged vibration increased the short-latency component of the stretch reflex, the discharge rate of motor units, and the fluctuations in force during contractions by a hand muscle. These adjustments were necessary to achieve the target force due to the vibration-induced decrease in the force capacity of the muscle.
Adolescent↗
Stretch-reflex mechanical response to varying types of previous muscle activities.
This study was designed to examine the effects of varying types of background muscle activity on the stretch-reflex mechanical response. A rapid stretch was applied to the calf muscles after an isometric (pre-ISO), shortening (pre-SHO) and lengthening contraction (pre-LEN) with several pre-contraction levels, respectively. The stretch perturbation was applied with the tibio-tarsal joint angle at 90 degrees. The ankle joint torque elicited by the stretch showed a first peak (non-reflex torque: NRT), a transient drop and a second peak (reflex torque: RT). The muscle activities before the stretch clearly influenced the stretch-reflex mechanical response. The NRT reached the largest peak with the longest duration in pre-ISO. The peak NRT increased with the pre-contraction level in pre-ISO and pre-LEN, whereas it remained unchanged in pre-SHO. The RT responded to the stretch-reflex EMG response most quickly and reached the largest peak in pre-ISO. Pre-ISO generated the mechanical response most efficiently against the size of the stretch-reflex EMG response. Pre-SHO showed lower peak RT than pre-ISO in spite of the similar size of stretch-reflex EMG response. The peak RT was closely related to the peak NRT in all conditions. Consequently, the peak RT also increased with the pre-contraction level in pre-ISO and pre-LEN, whereas it remained unchanged in pre-SHO. In conclusion, a stretch after an isometric contraction evoked a larger stretch-reflex mechanical response more efficiently than that after phasic contractions when a given effort was being maintained.
Adult↗
Gradual increment/decrement of isometric force modulates soleus stretch reflex response in humans.
We investigated how a gradual isometric force-increment and -decrement task modulates the behavior of a soleus stretch reflex. Six healthy subjects performed isometric plantar-flexion torque exertion tasks in which they adjusted the torque level to a target changing triangularly (3 s/cycle; the amplitude is 15% of maximal voluntary isometric contraction (MVC)) or to constant targets (3.75, 7.5, and 11.25% of MVC). The magnitude of the short latency stretch reflex evoked by dorsi-flexing mechanical perturbation was strongly modulated by the muscle contraction states; it was the largest and the smallest for the torque-increment and -decrement phases, respectively. On the other hand, within each muscle contraction, the magnitude was independent of the torque level. Similar results were observed for the medium latency stretch reflex. These results indicate that when the central nervous system increases or decreases the muscular force, it simultaneously regulates the sensitivity of the stretch reflex.
Adult↗
Early modification of stretch reflex in Parkinson's disease.
We stretched quadriceps femoris in healthy subjects and in patients with a recent diagnosis of PD in order to assess whether modifications of the long-latency component of the stretch reflex is an early event in the course of Parkinson's disease (PD). We found a modified mechanical and electromyographic (EMG) behavior in stretching relaxed muscles of patients while voluntary activation greatly reduced differences between normal and Parkinsonian subjects, suggesting that a lower threshold of the response is an early sign in PD.
Adult↗
The influence of the shape of mechanical stimuli on muscle stretch reflexes and SEP.
Stretching of human thenar muscle was carried out using mechanical stimuli of different amplitudes and velocities in 50 normal subjects. Amplitudes of early M1 and late M2 reflex responses as well as cortical evoked potentials were recorded. M1 and M2 increased with a larger mechanical stimulus. Steeper mechanical stimuli generated larger M1 amplitudes, whereas M2 remained unaffected. Amplitudes of early cortical evoked potentials increased with increase of both rise-time and amplitude of muscle stretch. The shape of the mechanical stimulus is critical for the resulting reflex response. The different behaviours of M1 and M2 with increasing stimulus velocity are in favour of their different origins. Our results support a participation of slowly conducting muscle spindle afferents in the generation of the late M2 response in distal human hand muscles.
Adult↗
Long-latency component of the stretch reflex in human muscle is not mediated by intramuscular stretch receptors.
Reflex responses to mechanical stimulation of muscle (brief imposed movement) were investigated. Reflexes were elicited in the forefinger, recording from the first dorsal interosseous (FDI), and in the foot, recording from soleus. These responses typically consisted of a short-latency component (M1) and a long-latency component (M2) at 33 ms and 53 ms, respectively, after the stimulus in the case of FDI, and 37 ms and 68 ms, respectively, in soleus upon stimulation of the sole of the foot. Normally, when a muscle is stretched by a mechanical stimulus (either naturally or by an experimentally imposed movement), both skin receptors and muscle stretch receptors are activated. It is possible, however, to devise stimulation parameters where this is not the case. Fixating the finger with plasticine enables the effects of skin stimulation to be studied without stretching the FDI muscle. On the other hand, tapping a long tendon allows muscle stretch receptors to be activated without involving skin or subcutaneous structures. Component M1 was always abolished by finger fixation in 40 trials on 10 subjects, with M2 being essentially unchanged in latency, duration, or amplitude. Reflex responses were obtained in soleus muscle in nine experiments by prodding the sole of the foot (thereby stimulating both skin and muscle stretch receptors). Alternatively, the tendo achilles was prodded (which solely activates stretch receptors in the muscle). In the former, M1 and M2 were generated. In the latter, only M1 was produced. It is concluded that the long-latency component of the stretch reflex, M2, originates in skin and/or subcutaneous nerve terminals and that no part of M2 originates in muscle stretch receptors.
Achilles Tendon↗
Modification of human spinal stretch reflexes: preliminary studies.
Modulation of the human spinal stretch reflex (SSR) may be important in treating hyperactive reflexes or may be a tool to enhance normal performance. Eight of 9 subjects given feedback of biceps brachii SSR amplitude and instructed to increase (uptrain) or decrease (downtrain) this response were able to do so in the appropriate direction. These results imply that, as in non-human primates, SSR amplitude can be modified.
Adult↗
Experimental muscle pain increases the human stretch reflex.
In this study we investigated the effect of human experimental muscle pain on H- and stretch reflexes as indicators of changes in muscle spindle sensitivity. Fourteen healthy, male volunteers participated in the study. Muscle pain was produced by infusion of 5% hypertonic saline over a period of 10-15 min in m. soleus and in m. tibialis anterior. Reflexes were elicited in the relaxed and active soleus muscle (10-15 Nm ankle torque) before, during and after muscle pain. Control measurements were made with infusions of 0.9% isotonic saline. Surface electromyograms (EMG) were measured from the soleus muscle, and torque was measured from the ankle joint. With pain in the soleus muscle the mechanical stretch reflex response (ankle torque) increased significantly (P = 0.0007) as compared to before pain. With pain in the tibialis anterior muscle both the mechanical and EMG responses increased significantly (P = 0.001; P = 0.0003) as compared to before pain. The H-reflex showed no significant changes during the infusions in either muscles. This study has demonstrated a muscle pain-related increase in the amplitude of the stretch reflex without a corresponding increase in the H-reflex amplitude. One explanation could be an increased dynamic sensitivity of the muscle spindles during muscle pain caused by an increased firing rate in the dynamic gamma-motoneurones. However, the data could not support the vicious cycle model because the excitability of the alpha-motoneurone pool was unchanged.
Adult↗
Peroneus longus stretch reflex amplitude increases after ankle brace application.
BACKGROUND: The use of external ankle support is widespread throughout sports medicine. However, the application of ankle bracing to a healthy ankle over a long period has been scrutinised because of possible neuromuscular adaptations resulting in diminished dynamic support offered by the peroneus longus. OBJECTIVE: To investigate the immediate and chronic effects of ankle brace application on the amplitude of peroneus longus stretch reflex. METHODS: Twenty physically active college students (mean (SD) age 23.6 (1.7) years, height 168.7 (8.4) cm, and mass 69.9 (12.0) kg) who had been free from lower extremity pathology for the 12 months preceding the study served as subjects. None had been involved in a strength training or conditioning programme in the six months preceding the study. A 3 x 3 x 2 (test condition x treatment condition x time) design with repeated measures on the first and third factor was used. The peroneus longus stretch reflex (% of maximum amplitude) during sudden foot inversion was evaluated under three ankle brace conditions (control, lace up, and semi-rigid) before and after eight weeks of ankle brace use. RESULTS: A 3 x 3 x 2 repeated measures analysis of variance showed that peroneus longus stretch reflex amplitude increased immediately after application of a lace up brace (67.1 (4.4)) compared with the semi-rigid (57.9 (4.3)) and control (59.0 (5.2)) conditions (p<0.05). Peroneus longus stretch reflex also increased after eight weeks of use of the semi-rigid brace compared with the lace up and control conditions (p<0.05). CONCLUSIONS: Initial application of a lace up style ankle brace and chronic use of a semi-rigid brace facilitates the amplitude of the peroneus longus stretch reflex. It appears that initial and long term ankle brace use does not diminish the magnitude of this stretch reflex in the healthy ankle.
Adaptation, Physiological↗
The ankle stretch reflexes in normal and spastic subjects. The response to sinusoidal movement.
Forces and electromyograms were recorded during sinusoidal flexion-extension movements of normal and spastic ankle joints. Spastic subjects showed relatively stereotyped responses, with evidence of a vigorous spinal stretch reflex. The responses of normal limbs were variable; there was little reflex response to the first cycles, but as the movement continued the reflex responses increased and often came to resemble the responses of spastic limbs. At some frequency between 3 and 7 Hz, the reflex response was so timed that it tended to assist rather than resist the movement; this was the frequency at which many subjects (normal, as well as spastic) exhibited spontaneous clonus if an appropriate load was attached to the foot. The frequency of this clonus changed with changes of load. It is concluded that whereas the gain of a normal stretch reflex may vary considerably, the stretch reflex of the spastic subject is set at one end of the normal range. With this high gain, the stretch reflex may support spontaneous clonus in both normal and spastic subjects.
Adolescent↗
Baclofen increases the soleus stretch reflex threshold in the early swing phase during walking in spastic multiple sclerosis patients.
The effect of baclofen on walking performance was examined in nine spastic multiple sclerosis patients. In addition, nine healthy subjects were tested as controls. The modulation of the short latency soleus stretch reflex was closer to normal with baclofen compared to the recordings without baclofen, the modulation index being 74% (range: 60 - 100) with baclofen and 62% (range: 20 - 100) without baclofen, P=0.03. In healthy subjects the modulation index was 100% (range: 52 - 100). In the early swing phase the threshold of the soleus stretch reflex was significantly higher during baclofen medication being 139 deg/s (range: 63 - 302) compared with 93 deg/s (range: 37 - 187) without baclofen, P=0.004. The relation between the stretch velocity (input) and the amplitude of the stretch reflex (output) in early swing phase was unchanged being 0. 27 microVs/deg (range: 0.1 - 1.51) in patients with baclofen and 0. 24 microVs/deg (range: 0.08 - 0.79) without baclofen, P=0.25. Baclofen induced no change in input - output properties of the stretch reflex during walking compared with findings in a sitting position at matched EMG activity. There was a significant correlation between clinical spasticity score and stretch reflex threshold in the early swing phase (rho=-0.61, P=0.04) and between clinical spasticity score and the slope of the best linear fit in the early swing phase (rho=0.72, P=0.009).
Adult↗
Modulation of stretch reflexes during imposed walking movements of the human ankle.
Our overall objectives were to examine the role of peripheral afferents from the ankle in modulating stretch reflexes during imposed walking movements and to assess the mechanical consequences of this reflex activity. Specifically we sought to define the changes in the electromyographic (EMG) and mechanical responses to a stretch as a function of the phase of the step cycle. We recorded the ankle position of a normal subject walking on a treadmill at 3 km/h and used a hydraulic actuator to impose the same movements on supine subjects generating a constant level of ankle torque. Small pulse displacements, superimposed on the simulated walking movement, evoked stretch reflexes at different phases of the cycle. Three major findings resulted: 1) soleus reflex EMG responses were influenced strongly by imposed walking movements. The response amplitude was substantially smaller than that observed during steady-state conditions and was modulated throughout the step cycle. This modulation was qualitatively similar to that observed during active walking. Because central factors were held constant during the imposed walking experiments, we conclude that peripheral mechanisms were capable of both reducing the amplitude of the reflex EMG and producing its modulation throughout the movement. 2) Pulse disturbances applied from early to midstance of the imposed walking cycle generated large reflex torques, suggesting that the stretch reflex could help to resist unexpected perturbations during this phase of walking. In contrast, pulses applied during late stance and swing phase generated little reflex torque. 3) Reflex EMG and reflex torque were modulated differently throughout the imposed walking cycle. In fact, at the time when the reflex EMG response was largest, the corresponding reflex torque was negligible. Thus movement not only changes the reflex EMG but greatly modifies the mechanical output that results.
Adult↗
Regulation of stretch reflex threshold in elbow flexors in children with cerebral palsy: a new measure of spasticity.
The tonic stretch reflex threshold in children with cerebral palsy (CP) was measured to determine its test-retest reliability and its concurrent validity as a potential measure of spasticity. Fourteen children with spastic CP aged 6 to 18 years were tested on three separate occasions for clinical spasticity and stretch reflex thresholds of affected elbow flexors. Electromyographic (EMG) recordings were obtained by surface electrodes for elbow flexors and extensors during mechanical displacements of the passive joint towards extension. Displacements were produced by a torque motor at seven velocities which randomly varied from trial to trial. EMG activity was measured in the stretched flexor muscles to determine threshold angles and velocities for each velocity of stretch. These were plotted on a velocity-angle-phase diagram and regression analysis was used to determine the static stretch reflex threshold for each participant. The measure showed good test-retest reliability for the group (ICC 0.73, p<0.001) whereas a significant correlation between the measure and the clinical spasticity scale was not found. This technique is a potential outcome variable for measuring the efficacy of treatments aimed at decreasing spasticity in children with CP.
Adolescent↗
Neural and mechanical contributions to the stretch reflex: a model synthesis.
A model for the soleus stretch reflex in the decerebrate cat was synthesized from models of the neural and muscular components, including the two proprioceptors (the muscle spindle and Golgi tendon organ) and their associated afferents (Ia, II, and Ib), the alpha motoneuron pool with its reflex pathways, the branches of the alpha motoneurons to the intrafusal muscles (beta innervation), and the extrafusal muscle. Parameters for the muscle and receptor models were chosen independently to match their responses in isolation. Reflex gains and gamma inputs were estimated to fit the response to stretch measured by Nichols and Houk. The chosen reflex gains and gamma inputs are not unique; many different combinations reproduced the characteristic stretch response. With a single set of fixed parameters, the model predicted many mechanical properties of the stretch reflex, including linearization effects (when the stretch magnitude and direction are varied), as well as the dependence on operating force and initial muscle length. The model did not accurately predict the responses at higher stretch velocities, due to failure of the extrafusal muscle model.
Animals↗
Stretch reflexes of triceps surae in normal man.
In order to learn more about stretch reflex behaviour of triceps surae, normal human subjects sat in a chair with one foot on a platform attached to a torque motor that produced phasic dorsiflexion displacements on the ankle. EMG activity was recorded from triceps surae and responses were obtained for various conditions. When the subjects's foot was relaxed, stretch of triceps surae produced a single EMG component at short-latency which increased in magnitude with increasing velocity of stretch. The response was not altered if the subject was asked to plantarflex or dorsiflex the ankle voluntarily when he felt the perturbation. It was reduced by vibration of the Achilles tendon. If the triceps surae was stretched while the subject plantarflexed his ankle, the short-latency response was followed by one and sometimes two long-latency responses. Like the short-latency reflex when the foot was relaxed, none of these responses was altered by the subject's planned movement after feeling the perturbation. All of the responses were suppressed to a similar degree by vibration. The long-latency reflexes depended on long-duration of stretching and relatively slow acceleration of stretch. The reflexes persisted after anaesthesia to the foot suggesting that muscle afferents were responsible. Interactions between H-reflexes and stretch-reflexes revealed that the afferent volley producing a stretch reflex acted like the afferent volley producing a small H-reflex. Responses at an interval of 30 ms to both an electrical stimulus for an H-reflex and a stretch stimulus were possible if the electrical stimulus produced only a small H-reflex and if the subject had been plantarflexing the ankle. The short-latency reflex when the foot was relaxed or exerting a background force appears to be the monosynaptic, Ia mediated stretch reflex. The physiological properties of the long latency reflexes are similar to those of the short-latency reflex, and they may represent, at least to a certain extent, response of the motor neuron pool to successive Ia bursts.
Adult↗