PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “REFLEX, PROPRIOCEPTIVE”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 145 records · Page 8Linked to original sources
PubMed1980

Detection of uremic neuropathy by reflex response latency.

Dialysis time necessary for treatment of terminal renal failure is very different in different patients. Adequacy of therapy cannot be controlled by laboratory measures but only clinical means. Uremic peripheral neuropathy is regarded as the most reliable indicator of insufficient dialysis treatment. Serial measurements of peripheral nerve function therefore make individual adjustment of dialysis schedule possible. In some cases motor nerve conduction velocity is not sensitive enough for this purpose, as conduction velocity in afferent nerve fibers is disturbed at an earlier stage of uremic intoxication. Measurement of sensory nerve conduction velocity is time consuming and afferent fibers can also be examined in proprioceptive reflexes. Ths suitability of H-reflex response latency (RRL) for detection of slight uremic neuropathy was analysed. The wide range of RRL in healthy subjects can be explained by the different length of neural pathway in different subjects. A strong correlation between RRL and body height was found in healthy subjects. Relating RRL to the body height gives a highly sensitive measure of peripheral nerve function. Asymptomatic uremic neuropathy was detected very much earlier by RRL than by motor nerve conduction velocity. The method proved to be well suited for routine monitoring of uremic neuropathy in patients on dialysis.

H-Reflex↗
PubMed2001

Reflex extension loss after anterior cruciate ligament reconstruction due to femoral "high noon" graft placement.

We describe a rare case of a painful reflex extension loss due to femoral malplacement of an anterior cruciate ligament (ACL) graft in a female high-level athlete. The graft was placed on the femoral site in the "high noon" position combined with a slight medial tibial tunnel placement. The resulting anterior-posterior cruciate ligament impingement near extension caused a persistent functional extension deficit of 20 degrees. Under anesthesia, the extension loss diminished, and thus it was hypothesized that the ACL-PCL impingement during extension activates a proprioceptive reflex leading to a functional extension loss while the patient is awake. After sacrifice of the graft and subsequent replacement of the ACL, full range of motion was achieved within 2 months. After a 3-year postinjury history of 3 arthroscopies and 2 ACL reconstructions, the athlete reached her preinjury activity level again. This rare cause of a reflex extension loss due to femoral high noon graft placement has not been described previously and should be included as a differential diagnosis when evaluating patients with an extension deficit after ACL reconstruction.

Adolescent↗
PubMed1977

[Recent concepts of respiratory regulation (author's transl)].

There are two functional aspects of the respiratory control system, the one being adaptation of ventilation to metabolic needs and the other acid-base homeostasis of the extracellular fluid of the brain. These two functions are perfectly compatible with one another under normal conditions. During hypoxia or hyperthermia, however, a compromise has to be reaches by the system between securing oxygen availability or homeothermy, respectively and acid-base homeostasis of the brain. The control system works with tonic chemosensitive and non-chemosensitive neural input of action potentials to the centres. The centres, either by indigenous mechanisms or by phasic reflex input from the stretch receptors of the lungs or phasic feedback mechanisms from the pontine pneumotaxic centre, modulate the tonic impulse input into the rhythmic output to the respiratory muscles. Recent observations on this "inspiratory off switch mechanism" are discussed. Chemosensitive sensors are found in the carotid and aortic glomera responding to low pO2 and, additionally, to pH and pCO2 and in central chemosensitive structures on the ventral side of the medulla oblongata, responding mainly to changes in local hydrogen ion concentration. The proprioceptive reflexes in the sense of a gamma loop improve the performance of the system if additional flow resistance must be overcome. In metabolic and respiratory acidosis-alkalosis the kidney either plays a compensatory role or serves to restore normal conditions. The maternal hormones in pregnancy effect air improvement in CO2 output of the fetus.

Acid-Base Equilibrium↗
PubMed1991

Prolonged peroneal reaction time in ankle instability.

The peroneal reflex time to sudden ankle inversion and the postural control of 15 athletes with functionally instable ankles were compared with 15 stable controls. A trapdoor produced sudden ankle inversion. Surface electrodes recorded electromyographic activity of the peroneal muscles. Postural sway was expressed by a transverse sway value obtained during single limb stance on a force plate. Increased postural sway was found in subjects with functional instability (p less than 0.01). This is in accordance with previous studies. Functionally instable subjects also displayed an increased peroneal reaction time (p less than 0.01) supporting the theory that functional instability is induced by a proprioceptive reflex defect. Nine of the 15 instable subjects were unilaterally instable and showed lower peroneal reaction time and postural sway values for the stable ankle, but the difference was not significant. There was a high degree of correlation between postural sway and peroneal reaction time (Spearman's rho = .92). In ten functionally instable athletes tested with and without ankle taping, it could not be verified that a reflex enhancing effect of taping occurs through stimulation of cutaneous afferents.

Adult↗
PubMed1987

Reflex origin of parkinsonian tremor.

The 8-Hz wrist tremor seen in normal subjects results from an oscillation in the spinal stretch reflex arc but the resting 4-Hz tremor of Parkinson's disease is believed to result from synchronization of motor unit activity by periodic descending inputs driven by an oscillator which resides within the brain. Accelerometer and smoothed EMG (0.8 to 16.0-Hz pass) recordings of resting tremor were taken from the upper limbs of 10 volunteers with Parkinson's disease for several different limb positions and while the limb was fixed to prevent tremor movements. The smoothed EMG and accelerometer records produced a complex periodic waveform with prominent 4- and 8-Hz components. Spectral analysis of both records produced large peaks at those frequencies which were harmonically related. The appearance of the regular tremor waveform in accelerometer and smoothed EMG records was greatly altered by changes in limb posture in all patients. Fixing of the shoulder and elbow joints only, also altered the smoothed EMG waveform and reduced the tremor amplitude. Fixing of the entire limb removed all signs of synchronization of motor unit activity in raw and smoothed EMG records. Similarly, the prominent 4- and 8-Hz peaks, found in the smoothed EMG power spectra from trembling muscles, were eliminated if the limb was effectively prevented from trembling. These experiments showed that the synchronization of motor unit activity at Parkinson's tremor frequency is wholly dependent on the oscillation in limb position and thus proprioceptive reflex activity. It is suggested that the known properties of the 4-Hz resting tremor of Parkinson's disease can be attributed to a flip-flop oscillation involving the mutually inhibitory connections between the spinal stretch reflexes of antagonist muscles. The supraspinal contribution to the tremor may thus be confined to an "aperiodic" descending facilitation of spinal reflex pathways.

Arm↗
PubMed1976

Sensory and central nervous control of gill ventilation in Limulus.

The gills of Limulus are ventilated by a metachronal rhythm of movements of five pairs of gill plates. A gill plate is promoted and remoted by action of alternating nerve impulse bursts to antagonist promotor and remotor muscles. The motor output pattern is centrally generated, requiring no sensory feedback. Intracellularly recorded rhythmic activity of respiratory motoneurons consists of cyclic depolarization and spiking, and repolarization. The repolarizations have reversal potentials that indicate that motoneuron burst terminations result from synaptic inhibition. Intracellular and antidromic stimulation of motoneurons has little effect on other motoneurons. This apparent lack of interaction between motoneurons indicates that the central respiratory pattern is generated at interneuronal levels. Proprioceptive reflexes are present; they play little role in modulating the centrally generated motor pattern, but they are capable of partially entraining the rhythm when all gill plates are cycled at frequencies near the respiratory rate. Respiratory rate in intact animals is proportional to the ambient oxygen content, respiration ceasing in an anoxic environment. This oxygen dependence may result from sensory input from external oxygen receptors located in the cuticle between the coxae of the walking legs and within the lamellas of the book gills. The intercoxal units are inhibited by anoxia. Three classes of units are recorded from the gills: units excited by oxygen, units inhibited by oxygen, and units whose mechanosensitivity is oxygen dependent. These external oxygen receptors may modulate ventilation via command fibers present in the ventral nerve cord.

Animals↗
PubMed2000

Significance of load receptor input during locomotion: a review.

A basic aspect of the neuronal control of quadrupedal locomotion of cat and of bipedal stance and gait of humans concerns the antigravity function of leg extensors. In humans proprioceptive reflexes involved in the maintenance of body equilibrium depend on the presence of contact forces opposing gravity. Extensor load receptors are thought to signal changes of the projection of body's centre of mass with respect to the feet. According to observations in the cat, this afferent input probably arises from Golgi tendon organs and represents a newly discovered function of these receptors in the regulation of stance and gait. From these experiments it can be concluded that during locomotion there is a closing of Ib inhibitory and an opening of Ib extensor facilitatory paths. In humans evidence for a significant contribution of load receptor contribution to the leg muscle activation came from immersion experiments. Compensatory leg muscle activation depends on the actual body weight. Also during gait the strength of leg extensor activation during the stance phase is load dependent. In patients with Parkinson's disease there is a reduced load sensitivity and decreased leg extensor activation, which might contribute to the movement disorder. Recent experiments in paraplegic patients show that the beneficial effects of a locomotor training critically depends on the initial degree of body unloading and reloading during the course of the training period.

Animals↗
PubMed1984

Activation history and constant errors in human force production.

Spinal proprioceptive reflexes and muscle tension are transiently potentiated in the aftermath of isometric muscle contractions. To determine if such alterations may bias ongoing motor commands, subjects were tested for accuracy of matching a criterion force following relaxation or a maximum contraction. Large postcontraction overestimations of the criterion force were consistently found. Errors progressively decayed to postrelaxation control values within 50 s. It is proposed that transient postcontractile potentiation of spinal reflex pathways may summate with previously set motor commands to produce inadvertent errors in perceived effort.

Biofeedback, Psychology↗
PubMed1996

Interaction between central programs and afferent input in the control of posture and locomotion.

Two basic aspects of the neuronal control of bipedal stance and gait have been discussed, namely the interlimb coordination and the antigravity function of leg extensors. During stance and gait both legs act in a cooperative manner as each limb affects the strength of muscle activation and the time-space behaviour of the other. There are indications that interlimb coordination is mediated by spinal interneuronal circuits, which are themselves under supraspinal (e.g. cerebral and cerebellar) control. Proprioceptive reflexes involved in the maintenance of body equilibrium depend on the presence of contract forces opposing gravity. Extensor load receptors are thought to signal changes of the projection of body's centre of mass with respect to the feet. According to recent observations in the spinal cat, this afferent input probably arises from Golgi tendon organs and represents a newly discovered function of these receptors in the regulation of stance and gait.

Adaptation, Physiological↗
PubMedDate not supplied

Further studies on the effects of a thyrotropin releasing hormone analogue on locomotor activity in the rat.

In these experiments, the relationship between two of the variables of locomotion, stepping frequency and velocity, after injection of the TRH analogue RX77368 (10 mg/Kg i.p.), has been studied. A shift towards higher stepping frequencies was observed, confirming previous observations. However, there was no difference between the velocities of locomotion produced by treated and control rats. In the treated rats the relationship between stepping frequency and velocity was disturbed, such that a higher stepping frequency was employed to attain any particular velocity. This was accompanied by a reduction in stride length. Possible reasons for this disturbance are discussed in terms of changes in muscle stiffness and proprioceptive reflexes.

Animals↗
PubMed2004

Behavioural consequences of hypergravity in developing rats.

Gravity represents a stable reference for the nervous system. When the individual is increasing in size and weight, gravity may influence several aspects of the sensory and motor developments. To clarify this role, we studied age-dependent modifications of several exteroceptive and proprioceptive reflexes in five groups of rats conceived, born and reared in hypergravity (2 g). Rats were transferred to normal gravity (1 g) at P5 (post-natal day 5), P10, P15, P21, and P27. Aspects of neural development and adaptation to 1 g were assessed until P40. Hypergravity induced a delay in growth and a retardation in the development of contact-righting, air-righting, and negative geotaxis. However, we found an advance in eye opening by about 2-3 days in HG-P5 and HG-P10 rats and an increase in grip-time. No differences were found in tail and grasp reflexes. Our results show that hypergravity leads to a retarded development of motor aspects which are mainly dependent upon the vestibular system.

Age Factors↗
PubMed1987

Relation to extrafusal fibre-type composition in muscle-spindle structure and location in the human masseter muscle.

Muscle-spindle density and size, in relation to extrafusal fibre-type, were examined in different portions of the masseter of six normal males by enzyme histochemistry. A direct relationship between spindle density, intrafusal fibre density and spindle size, and proportion of type I muscle fibres was found in the deep portion. Out of 410 muscle spindles in random samplings, 74 per cent were in the deep portion which is predominantly composed of type I fibres. Spindle density was three times greater than in the other portions, and spindles were commonly clustered, sometimes sharing capsule tissue. The deep masseter spindles were distinctive; they had the largest diameter and the most intrafusal fibres, the fibre density being four times greater than in other portions. Eleven per cent of the spindles, mainly in the deep portion, contained an unusually high number of intrafusal fibres (15 or more fibres). The findings imply that individual portions of the masseter have specialized functions. An especially powerful proprioceptive reflex mechanism is suggested for the deep portion. Thus, the human masseter may be part of an intricate, evolutionarily advanced, motor system also connected with speech.

Adolescent↗
PubMed2000

Characteristics of parkinsonian and ataxic gaits: a study using surface electromyograms, angular displacements and floor reaction forces.

To clarify the characteristics of parkinsonian and ataxic gaits, we analyzed electromyograms (EMGs) of the thigh and leg muscles, angular displacements of the hip and leg joints, and floor reaction forces during free walking for each gait phase in 16 patients with Parkinson's disease (PD) and 14 ataxic patients with cerebellar degenerations. We studied 17 healthy elderly subjects whose walking speed was similar to that of patients with moderate disease. Free walking by PD patients was characterized by low maximum activity of the gastrocnemius/soleus (GC) and tibialis anterior (TA) muscles. Ataxic patients showed high activity of GC and TA during the period when these muscles were not active in normal walking. The ratio of changes of EMG of the distal muscles to changes in angular displacement of the ankle (DeltaEMG/Deltaangle) was reduced in GC of PD patients in ankle dorsiflexion, whereas it was high in GC and TA of ataxic patients in ankle dorsiflexion and plantarflexion, respectively. Changes in DeltaEMG/Deltaangle coincided with those in proprioceptive reflexes reported previously. Our results showed that measurement of EMG for each phase revealed disease-specific factors, and that of DeltaEMG/Deltaangle might be a conventional clue for estimation of reflexes for these gait disorders.

Aged↗
PubMed1998

Evidence for a load receptor contribution to the control of posture and locomotion.

A basic aspect of the neuronal control of bipedal stance and gait represents the antigravity function of leg extensors. Proprioceptive reflexes involved in the maintenance of body equilibrium depend on the presence of contact forces opposing gravity. Extensor load receptors are thought to signal changes of the projection of the body's centre of mass with respect to the feet. According to recent observations in the spinal cat, this afferent input probably arises from Golgi tendon organs and represents a newly discovered function of these receptors in the regulation of stance and gait. In humans, evidence for a significant contribution of the load receptor to leg muscle activation has come from immersion experiments. Compensatory leg muscle activation depends on the actual body weight. Furthermore, recent experiments in paraplegic patients showed that the beneficial effects of a locomotor training critically depends on the initial degree of body unloading and reloading during the course of the training period.

Animals↗