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PubMed1985

Distribution of the human jaw stretch reflex response elicited by percutaneous, localized stretch of jaw-closing muscles.

In the present study homonymous and heteronymous projections of muscle spindle afferent fibers in the human jaw-closing system were investigated. Stretch reflex responses were elicited with percutaneous displacement stimuli applied to the belly of the anterior superficial divisions of temporalis and masseter muscles. The distribution of reflex responses in jaw-closing muscles was assessed. Reflex responses to this stimulus were observed in all jaw-closing muscles ipsilateral to the stimulated muscle, suggesting that the projection of spindle afferent fibers to jaw-closing muscles in humans is diffuse. Comparisons of homonymous and heteronymous reflex response amplitudes indicated that homonymous response amplitudes tended to be larger. However, the relative strength of heteronymous inputs to masseter motoneurons appeared to be stronger than those to temporalis motoneurons.

Adult↗
PubMed2004

Change of stretch reflex threshold in spasticity: effect of botulinum toxin injections.

Spasticity is a disorder of hypertonus associated with neurological diseases, characterized by a decrease in stretch reflex threshold. Stretch reflex threshold of wrist flexors has been recorded in subjects affected by forearm spasticity due to acute neurological lesions, occurred from one to sixty-one months before. In all the subjects a decreased stretch reflex threshold was recorded and a negative correlation between stretch reflex threshold and time of the disease resulted. In five subjects affected by mild spasticity the velocity stretch reflex threshold was tested one-three months after stroke and then six months later. In three cases a further decrease in stretch reflex threshold was recorded. Sixteen subjects affected by heavy forearm spasticity (quantified by Ashworth scale), were treated with Botulinum toxin injections to reduce spasticity. Fourteen of 16 subjects were responsive to the antispastic therapy: a decrease of at least 1 point in the Ashworth scale was detected after the treatment. In all the responsive cases an increase of stretch reflex threshold was recorded. The results confirm that the stretch reflex threshold is decreased in spastic muscles; it decreases progressively in time after the acute lesion. In addition, these results demonstrate that the decreased stretch reflex threshold can be reversed with Botulinum toxin injections. It is known that Botulinum toxin reduce the presynaptic release of Acetylcholine of neuromuscular synapses, but there are experimental evidences that it acts even on spindle's fibres, decreasing the sensitivity of intrafusal muscle fibres. This effect explains how Botulinum toxin increases the stretch reflex threshold in spastic muscles.

Action Potentials↗
PubMed2004

Reduction of clinical temporomandibular joint pain is associated with a reduction of the jaw-stretch reflex.

AIMS: To examine the jaw-stretch reflex after injection of local anesthetic (LA) into painful temporomandibular joints (TMJs), since the functional role of jaw-stretch reflexes in patients with painful temporomandibular disorders is still not well understood. METHODS: Thirteen female patients with a clinical diagnosis of disc displacement without reduction and TMJ pain participated in this open study. Reflex responses were evoked by fast stretches at 15% of the maximal voluntary contraction level before and after injection of 1 mL carbocaine into the painful TMJ. Electromyographic (EMG) activity was recorded from the left and right masseter and temporalis muscles, and the mean level of prestimulus EMG activity and peak-to-peak amplitude of the stretch reflex were measured. Visual analog scale ratings of TMJ pain and TMJ pressure pain thresholds (PPTs) were also obtained. Eleven healthy women were examined with the same protocol (except for PPT determinations) before and after injection of LA into the TMJ. RESULTS: In patients, injection of LA reduced the TMJ pain during jaw movements and maximum clenching (P < .021) and increased the PPTs in the painful TMJ (P < .01). The prestimulus EMG activity in the masseter on the painful side (feedback muscle) was unaffected by the injection of LA (P > .262). There were no significant side-to-side asymmetries of latency or amplitude measures of the stretch reflex in the patient group. Both the peak-to-peak amplitude and the normalized peak-to-peak amplitude of the stretch reflex were reduced in the masseter and temporalis muscles on the painful side and in the masseter on the nonpainful side after LA injections (P < .048). There were no effects of LA injections into the TMJ in the healthy group on any EMG or stretch parameters. CONCLUSION: These results do not support the notion of asymmetries in the jaw-stretch reflex in patients with TMJ pain, but they do suggest that the reflex sensitivity can be influenced by nociceptive activity from the TMJ area.

Adult↗
PubMed1997

Effects of long term bed rest on stretch reflex responses of elbow flexor muscles.

Stretch reflex responses of m. biceps brachii and m. brachioradialis of ten normal adults were studied before and after 20 days of strict bed rest. A standard torque perturbation (15 Nm, 170 ms) was applied to the forearm to induce reflex electromyographic (EMG) activities of the two muscles investigated. Totally 30 perturbations were applied during submaximal isometric elbow flexion movements at 80 deg flexed joint angle, and ensemble averaged EMG waveforms were calculated by aligning the signal to the onset of perturbations. All subjects showed that both short and long latency stretch reflex FMG activities of m. biceps brachii were reduced immediately after 20 days bed rest, and then recovered gradually to pre-bed rest levels at one- to two-months after bed rest, whereas there was no such variation in the stretch reflex induced in m. brachioradialis. It was demonstrated that the muscle stretch reflex gain might be reduced with long-term inactivity, but the effects on stretch reflex gains were different in the two tested muscles.

Adult↗
PubMed2001

Neural control: novel evaluation of stretch reflex sensitivity.

We evaluated the stretch reflex activities of the elbow flexor and extensor muscles considering the relationship between the reflex electromyographic (EMG) responses and their corresponding standardized muscle stretch velocities. Specifically, muscular stretch velocity was estimated by using ultrasonograms. Stretch reflex EMG responses were elicited in the biceps brachii, brachioradialis and triceps brachii with a ramp-and-hold rotation at the elbow joint, which consisted of various angular velocities for the extension- or flexion-direction. The whole muscle stretch velocity induced by each ramp-and-hold rotation was calculated on the basis of fibre length changes associated with the elbow joint angle. A linear regression equation was fitted to the relation between the whole muscle stretch velocity and the reflex EMG responses, and the variables from the equation were used to quantify sensitivity of each reflex EMG component. The reflex EMG responses were increased as the ramp-and-hold rotational velocity increased. There were no significant differences in the recorded magnitudes of reflex EMG responses with equivalent joint rotational velocity between the brachioradialis and the triceps brachii medial head. These muscles showed the highest reflex responses in the flexor and extensor muscles, respectively. To the contrary, the reflex EMG response elicited by the standardized muscle stretches was significantly greater in the extensor muscles, indicating a higher reflex sensitivity. This was because of the lower muscle stretch velocity of the triceps brachii with an equivalent elbow joint rotation. The stretch reflex sensitivity in both the elbow flexor and extensor muscles might be regulated so as to make the reflex responses the same when the equivalent joint rotational velocity is applied to these muscles.

Elbow Joint↗
PubMed1987

Interaction between the vestibulo-collic reflex and the cervico-collic stretch reflex in the decerebrate cat.

1. Interactions between the sagittal vestibulo-collic reflex (v.c.r.) and the cervico-collic stretch reflex (c.c.r.) have been studied in the neck extensor muscles biventer cervicis (b.c.) in the decerebrate cat. The v.c.r. was evoked by a 'standard' vestibular stimulus consisting of a sinusoidal nose-up, nose-down head movement of 6-8 deg amplitude at 1 Hz. The c.c.r. was evoked by sinusoidal stretching of the b.c. muscles at 1 Hz. The amplitude of muscle stretching, and its phase in relation to head movement, were systematically varied. 2. When muscle stretching was applied in phase with head movement (so that the muscles were stretched as the head moved in the nose-down direction), the gain of the combined (v.c.r. + c.c.r.) reflex in the b.c. muscles increased above that of the v.c.r. If the muscle stretching was applied out of phase with head movement (so that the muscles shortened as the head moved downward), the gain of the combined reflex was reduced to a value below that of the v.c.r. 3. The effects on the gain of the combined reflex varied in proportion to the amplitude of muscle stretching. The gain and phase of the combined reflex is modelled reasonably well by a linear vectorial addition between the v.c.r. and the c.c.r. over a wide range of amplitudes of muscle stretching. The linear summation model contains a proportionality constant K, which may represent a factor by which the two reflexes are 'calibrated' against each other. 4. If one of the b.c. muscles was held at a fixed length and the other stretched sinusoidally, the c.c.r. was evoked only in the stimulated muscle. Vestibular stimulation then summed with the c.c.r in the stimulated muscle, while on the contralateral side the reflex response was the same as that of the v.c.r. alone. It would appear therefore that the motoneurone pools of the b.c. muscles are organized as independent entities without mutually excitatory or inhibitory reflex linkages. This arrangement presumably allows flexibility in the supraspinal control of the b.c. muscles, which are often used either as synergists during sagittal head movement or as antagonists during horizontal or roll movements of the head. 5. The interaction between the v.c.r. and the c.c.r. results in an apparent 'servo-assistance' role for the muscle afferent feed-back from the b.c. muscles, amplifying or attenuating the reflex response of the muscles to a given head movement.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗
PubMed2002

A task dependent change in the medium latency component of the soleus stretch reflex.

In comparison to the H-reflex, the task dependency of the human stretch reflex during locomotive and postural tasks has not received a great deal of attention in the literature. The few studies on reflex task dependency that have been performed to date have concentrated on either the group Ia mediated H-reflex or the short latency stretch reflex. In the present study the medium latency component of a mechanically evoked stretch reflex is investigated during walking, pedalling, and sitting. Stretch reflexes were evoked in the soleus muscle using dorsiflexion perturbations generated with a portable stretching device. Perturbations of equal amplitude and velocity (8 deg, 300 deg/s) were presented to 16 healthy subjects while they walked on a treadmill and pedalled a cycle ergometer. For eight of these subjects, an additional set of data was collected as they sat on the ergometer holding a steady posture. Perturbations were presented in the early to mid stance phase of walking and the downstroke of the pedal cycle. During all three conditions, the background soleus muscle activity was matched. The short (SLR) and medium (MLR) components of the soleus reflex responses were quantified by calculating the area of each burst in a 15-ms window centred on the peak of the respective burst. In addition, the stretch velocity-stretch reflex input-output curve was examined for the two locomotion tasks over a range of velocities from 100 to 400 deg/s. Peak latencies for the two reflex responses were observed at 52+/-5/77+/-6 ms (SLR/MLR) for walking, 51+/-3/76+/-6 ms (SLR/MLR) for pedalling, and 50+/-3/76+/-7 ms for sitting. A statistically significant increase in the magnitude of the MLR was observed during walking compared with pedalling and sitting ( P=0.007), whereas no difference in magnitude was observed between the three tasks for the SLR ( P=0.616). Furthermore, no difference was observed in the stretch velocity-stretch reflex input-output relationship between walking and pedalling. It is suggested that the medium component of the stretch reflex response is modulated to provide increased control for the postural demands of walking.

Adult↗
PubMed1996

The influence of dizocilpine (MK-801) on the reserpine-enhanced electromyographic stretch reflex in rats.

The electromyographic (EMG) stretch reflex in the gastrocnemius and tibialis anterior muscles was elicited by passive bending and stretching of the rat's hind foot in the ankle joint. The EMG stretch reflex was increased by pretreatment with reserpine (10 mg/kg ip) which is a model compound commonly used to induce parkinsonian rigidity in laboratory animals. Dizocilpine (MK-801) (0.32, 0.64 and 1.28 mg/kg sc) inhibited long-latency supraspinal components of the reserpine-increased EMG stretch reflex, whereas a short-latency spinal component was not diminished. The present results suggest that MK-801 exhibits an antiparkinsonian action against reserpine-induced rigidity.

Animals↗
PubMed1994

Reduction of spasticity in cerebral palsy using feedback of the tonic stretch reflex: a controlled study.

Subjects with cerebral palsy aged six to 19 years undertook a training programme to reduce spasticity and contracture of the triceps surae muscle using feedback of the gain of the tonic stretch reflex. Stretch reflex gain was significantly reduced (by 50 per cent on average) in all eight test subjects, whereas there was no significant change in control subjects, matched for age and level of spasticity, who had no reflex training. Contracture of the triceps surae muscle was not altered. Since the reduction in spasticity can be expected to slow the recurrence of muscle shortening, it is suggested that for correction of muscle contracture, muscle-lengthening procedures to promote muscle growth should be combined with reflex training to maintain the growth achieved.

Adolescent↗
PubMed1989

Stretch reflex dynamics in spastic elbow flexor muscles.

Previous studies of stretch reflexes in patients with spastic hypertonia have emphasized the dynamic character of stretch reflex output. In contrast, our own studies of stretch reflex dynamics in spastic elbow flexor muscles of 14 hemiparetic human subjects have shown that stretch-evoked torque displays a relatively weak dependence on stretch velocity, and there is generally no preferential enhancement of dynamic as compared with static reflex output. Moreover, stretch reflex dynamics are broadly similar in voluntarily activated spastic and normal elbow flexor muscles. These findings support our hypothesis that spastic hypertonia results primarily from a decrease in stretch reflex threshold. The strong velocity dependence of stretch-evoked electromyographic activity in initially inactive spastic muscles could be due to a decrease in reflex threshold with increasing stretch velocity, rather than an abnormal velocity-dependent increase in stretch reflex responsiveness.

Adult↗
PubMed1996

Soleus stretch reflex modulation during gait in humans.

1. The modulation of the short-latency stretch reflex during walking at different walking speeds was investigated and compared with the stretch reflex during standing in healthy human subjects. 2. Ankle joint stretches were applied by a system able to rotate the human ankle joint during treadmill walking in any phase of the step cycle. The system consisted of a mechanical joint attached to the subject's ankle joint and connected to a motor placed beside the treadmill by means of bowden wires. The weight of the total system attached to the leg of the subject was 900 g. 3. The short-latency soleus stretch reflex was modulated during a step. In the stance phase, the amplitude equaled that found during standing at matched soleus background electromyogram (EMG). In the transition from stance to swing, the amplitude was 0 in all subjects. In late swing, the stretch reflex amplitude increased to 45 +/- 27% (mean +/- SD) of the maximal amplitude in the stance phase (stretch amplitude 8 degrees, stretch velocity 250 degrees/s). 4. The onset (42 +/- 3.2 ms) and peak latencies (59 +/- 2.5 ms) of the stretch reflex did not depend on the phase in the step cycle at which the reflex was elicited. 5. When the ankle joint is rotated, a change in torque can be measured. The torque measured over the first 35 ms after stretch onset (nonreflex torque) was at a maximum during late stance, when the leg supported a large part of the body's weight, and at a minimum during the swing phase. At heel contact the nonreflex torque was 50% of its maximal value. 6. During the stance phase the maximal EMG stretch reflex had a phase lead of approximately 120 ms with respect to the maximal background EMG and a phase lead of approximately 250 ms with respect to the maximal nonreflex torque. 7. The constant latency of the stretch reflex during a step implied that the ankle extensor muscle spindles are always taut during walking. 8. The relatively high amplitude of the stretch reflex in late swing and at heel contact made it likely that the stretch reflex contributed to the activation of the ankle extensor muscles in early stance phase.

Adult↗
PubMed2001

[Reevaluation of physiological mechanisms generating the stretch reflex: new hypotheses on the physiopathology of spasticity].

INTRODUCTION: Spasticity has been defined as tendon reflex exaggeration and increased muscle reflex contraction in response to its stretch (Lance, 1980). It has been generally admitted that stretch reflex exaggeration was due to myotatic reflex hyperexcitability (Ia fibre-motoneurone synapses). This interpretation has been recently revisited taking into account neurophysiological data obtained in cat and recent data obtained in spastic patients. PROBLEMATICS: Myotatic reflex has been described in decerebrate cat in 1924 by Liddel and Sherrington. In 1943, Lloyd demonstrated that myotatic reflex was due to monosynaptic Ia fibre motoneurone alpha synapses. Almost all the following studies of stretch reflexes were devoted to monosynaptic reflexes both in animal and humans. In fact, the existence of group II fibres coming also from spindles and some restricted experiments performed in man have led to discuss the role of group II fibres in the static component of the stretch reflexes. RESULTS: Recent studies performed in humans have shown that group II fibres play an important role in the development of stretch reflexes in leg muscles and that in spastic hemiplegic patients group II fibres facilitatory effects was deeply increased. DISCUSSION: Results obtained both in humans and animals suggest that group II fibres play also a role in a stretch reflex and led to consider that the pathophysiological modifications of group II effects could contribute to spasticity. CONCLUSION: Modifications of network fed by group II fibres and modifications of muscular fibres intrinsic properties are likely to play a role in the developments of spasticity in humans.

Animals↗
PubMed1986

Phasic stretch reflex of the abdominal muscles.

This analysis of the abdominal stretch reflex (ASR) evoked by a tap to the abdomen was designed to explore how abdominal motoneurons process signals from respiratory and nonrespiratory sources. We recorded surface EMGs from the external and internal oblique muscles in standing subjects. Amplitudes of the abdominal stretch reflex varied despite constant tap forces, but strong taps evoked a larger reflex than weak taps. Trunk rotation toward the recording side, or voluntary contraction of the external and internal oblique muscles increased the reflex amplitudes, whereas contralateral rotation reduced their occurrence. An abdominal stretch reflex during a voluntary contraction was followed by a silent period of 40 to 80 ms. Often a late wave followed a reflex by 20 to 40 ms. Amplitudes during breathholds at residual lung volume were larger than those evoked during a breathhold at functional residual capacity, suggesting that abdominal stretch reflex amplitudes are inversely proportional to static lung volume. During quiet breathing the reflex amplitude reached a maximum slightly before end-expiration and decreased progressively to a minimum close to end-inspiration. During rebreathing, background abdominal activity was augmented with highest activity in late expiration. Abdominal stretch reflex amplitudes continued to wax and wane in phase with respiration, and the maximal reflex occurred progressively earlier in expiration. In summary, the abdominal stretch reflex reflects strong control from abdominal muscle spindles, lung proprioceptors, and chemoreceptors. The relative contributions of these inputs need to be determined.

Abdominal Muscles↗
PubMed1989

Quantitation of the stretch reflex. Technical procedures and clinical applications.

The stretch reflex should ideally be quantitated for better clinical use by standardizing the muscle stretch and measuring the resulting muscle contraction. Quantitation of muscle contraction can be done by force measurements or electromyographic recordings. The electromyographic response to stretch consists of one component (short latency response) for short stretches (less than 15 ms) and of 2 or 3 components (short and long latency responses) for longer stretches (greater than 40-50 ms). The magnitude of the phasic stretch reflex is reflected by the short latency response, whereas the magnitude of the tonic stretch reflex is reflected by both the short and the long latency responses. In clinical studies of upper motor neuron syndromes, the knee jerk and the muscle tone correlated with the magnitude of the short latency response. In patients with paralysis agitans an increased long latency response, which correlated to the rigidity, was found.

Humans↗
PubMed2003

The effect of glutamate-evoked masseter muscle pain on the human jaw-stretch reflex differs in men and women.

AIMS: To compare jaw-stretch reflex responses in male and female subjects and to determine whether injection of glutamate into the masseter muscle facilitates these responses in both sexes. METHODS: Jaw-stretch reflex responses were evoked with a muscle stretcher, and pain intensity was scored by 11 men and 13 women before and after the injection of glutamate (1.0 mol/L, 0.2 ml) into the masseter muscle. The subjects rated glutamate-evoked pain intensity on a visual analog scale. RESULTS: Baseline jaw-stretch reflex responses were larger and glutamate injections into the masseter muscle were significantly more painful in women than in men, however, glutamate significantly facilitated jaw-stretch reflex responses in men but not in women. CONCLUSION: These results suggest that there is a significant sex-related difference in human jaw-stretch reflex responses and their modulation by painful stimuli. Since one possible function of facilitated jaw-stretch reflex responses during jaw muscle pain may be to reduce jaw mobility and thus protect against further exacerbation of an existing injury, the finding of a sex-related difference in modulation of jaw-stretch reflex responses may prove to be important in clarifying why the prevalence of temporomandibular disorders is greater in women than in men.

Adult↗
PubMed1998

Interaction between muscle stiffness and stretch reflex sensitivity after long-term stretch-shortening cycle exercise.

The short latency stretch-reflex component (M1) and its interactions with muscle stiffness and with muscle performance were investigated before and after long-term stretch-shortening cycle (SSC) exercise. Dramatic fatigue induced reduction in maximal SSC performance capability, and electromyographic activity was accompanied by a consistent decrease in the M1 reflex component and eccentric peak stiffness of the muscle. It can be suggested, therefore, that the decreased muscle performance is not simply a direct effect of central or peripheral fatigue, but is partly due to impairment of the ability to utilize stiffness-related elastic energy.

Bicycling↗
PubMed1978

Reciprocal inhibition during the tonic stretch reflex in the decerebrate cat.

1. The aim of this study was to investigate post-synaptic reciprocal Ia inhibition during the stretch reflex; particularly the extent to which an increased Ia excitation of the Ia inhibitory interneurones will be counteracted by recurrent inhibition from motor axon collaterals. For this purpose we investigated depression of monosynaptic test reflexes antagonist flexors (reciprocal inhibition) during static stretch of quadriceps or triceps surae in unanaesthetized decerebrate cats. 3. With increasing stretch of the extensor muscle there was first a linear augmentation of reciprocal inhibition, but along with the stretch reflex in the extensor a plateau appeared in the inhibition of the flexors, although the extensor stretch reflex (judged by the e.m.g.) increased with further stretching. Within the range of stretching of triceps surae which gave increased stretch reflexes the plateau in the reciprocal inhibition was usually maintained, while during stretching of quadriceps a second phase of augmenting reciprocal inhibition often appeared. Stretch beyond the level which increased the stretch reflex activity gave augmenting reciprocal inhibition both in case of quadriceps and triceps surae. 3. Excitability measurements from central terminals of Ia afferents revealed that the increasing reciprocal inhibition during increasing stretch reflex activity in quadriceps was associated with a primary afferent depolarization in knee flexor Ia afferents; there was no corresponding effect in ankle flexor Ia afferents during stretch reflexes in triceps surae. 4. The primary afferent depolarization evoked in knee flexor Ia afferents by electrical nerve stimulation was then compared with the presynaptic inhibition of knee flexor monosynaptic test reflexes produced by the same stimuli. The results suggest that the second phase of increasing reciprocal inhibition in knee flexors is due to presynaptic inhibition and accordingly that the depth of post-synaptic reciprocal inhibition remains constant at different degrees of stretch reflex activity in both knee and ankle extensors. 5. It is postulated that during increasing stretch reflex activity the increment in Ia excitation and recurrent inhibitio; on to the Ia inhibitory interneurones almost exactly balance each other. It is suggested that recurrent inhibition of Ia inhibitory interneurones may serve as a segmental autoregulatory mechanism to keep 'alpha-gamma-linked reciprocal inhibition' at a constant depth during different levels of agonist activity.

Animals↗