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PubMed1979

Hyperbaric hyperreflexia: tendon-jerk and Hoffmann reflexes in man at 43 bars.

Tendon jerk (TJR) and Hoffmann (H) reflexes of the soleus muscle were studied in two men during a 26-day simulated oxygenhelium dive to a maximum pressure of 43 bars. The amplitude of the TJR response was observed to increase markedly after compression and also at the end of decompression. This biphasic pattern of enhanced reflectivity was reproduced by synchronised but much smaller variations in H reflex response. The positive facilitatory effects of applying Jenkdrassik's manoeuvre were reduced and the negative effects increased during hyperbaric exposure. Excitability cycles (twin-pulses methods) revealed modifications in one subject similar to those observed in clinical hyperreflexia, namely a shortening of Phase III and an enhancement of Phase IV. The other subject exhibited a notable depression of Phase IV. Abnormal EMG recordings are described including randomly-triggered slow wave potentials with no mechanical effects, and fixed, long latency late responses of a reflex nature with a definite mechanical effect. The contention that alterations in vestibulo-spinal relations may result in the release from tonic presynaptic inhibitory control of myotatic reflex arc excitability is discussed as a partial explanation for these and related findings.

Adult↗
PubMed2002

The influence of increased muscle spindle sensitivity on Achilles tendon jerk and H-reflex in relaxed human subjects.

Whether the fusimotor system contributes to reflex gain changes during reinforcement maneuvers is re-examined in the light of new data. Recently, from direct recordings of spindle afferent activity originating from ankle flexor muscles, we showed that mental computation increased the muscle spindle mechanical sensitivity in completely relaxed human subjects without concomitant alpha-motoneuron activation, providing evidence for selective fusimotor drive activation. In the present study, the effects of mental computation were investigated on monosynaptic reflexes elicited in non-contracting soleus muscle either by direct nerve stimulation (Hoffmann reflex, H) or by tendon tap (Tendinous reflex, T). The aim was to relate the time course of the changes in reflex size to the increase in spindle sensitivity during mental task in order to explore whether fusimotor activation can influence the size of the monosynaptic reflex. The results show changes in reflex amplitude that parallel the increase in muscle spindle sensitivity. When T-reflex is consistently facilitated during mental effort, the H-reflex is either depressed or facilitated, depending on the subjects. These findings suggest that the increased activity in muscle spindle primary endings may account for mental computation-induced changes in both tendon jerk and H-reflex. The facilitation of T-reflex is attributed to the enhanced spindle mechanical sensitivity and the inhibition of H-reflex is attributed to post-activation depression following the increased Ia ongoing discharge. This study supports the view that the fusimotor sensitization of muscle spindles is responsible for changes in both the mechanically and electrically elicited reflexes. It is concluded that the fusimotor drive contributed to adjustment of the size of tendon jerk and H-reflex during mental effort. The possibility that a mental computation task may also operate by reducing the level of presynaptic inhibition is discussed on the basis of H-reflex facilitation.

Achilles Tendon↗
PubMed1983

Propriospinal control of interneurons in spinal reflex pathways from tendon organs in the cat.

After chronic hemisection at C3, stimulation of propriospinal fibers in the dorsal quadrant at Th 10 facilitated disynaptic PSPs from Ib afferents in hindlimb motoneurons. Recording from interneurons monosynaptically activated from group I muscle afferents, and of extracellular focal synaptic potentials around them, revealed monosynaptic EPSPs from long propriospinal neurons. It is suggested that propriospinal neurons originating in the forelimb segments have direct excitatory connexions with inter-neurons of Ib reflex pathways to hindlimb motoneurons.

Animals↗
PubMed2000

From spinal shock to spasticity: neuronal adaptations to a spinal cord injury.

OBJECTIVE: To investigate the adaptational changes in excitability of spinal neuronal circuits below the level of lesion from spinal shock to spasticity in patients with spinal cord injury (SCI). METHODS: More than 6 months after an acute SCI, clinical follow-up examinations were paralleled by electrophysiologic recordings with tibial nerve stimulation (M-wave, F-wave, H-reflex, and flexor reflex). RESULTS: During spinal shock, the loss of tendon tap reflexes and flaccid muscle tone were associated with low persistence of F-waves and loss of flexor reflexes, whereas H-reflexes were already elicitable. During the transition to spasticity, the reappearance of tendon tap reflexes and muscle tone and the occurrence of spasms was associated with the recovery of F-waves and flexor reflex excitability, whereas the H-to-M ratio remained about stable over months. At later stages (2 to 6 months after SCI) when clinical signs of spasticity became established, the electrophysiologic measures showed little change. In paraplegic patients, in contrast to tetraplegic patients, M-wave and flexor reflex amplitudes even decreased. CONCLUSIONS: The late decrease in M-wave and flexor reflex amplitude in paraplegic patients suggests a secondary impairment/degeneration of premotoneuronal circuits and of motoneurons. The divergent course of clinical signs of spasticity and their probable neuronal correlates indicates the occurrence of non-neuronal changes contributing to spasticity.

Adaptation, Physiological↗
PubMed1981

The effects of non-painful transcutaneous electrical nerve stimulation on cutaneous pain threshold and muscular reflexes in normal men and in subjects with chronic pain.

In healthy subjects and in subjects with chronic myofascial pain of one lower limb, the following was measured in both lower limbs: (i) sequential Hoffman (H) reflex, (ii) sequential Achilles tendon (T) reflex, (iii) cutaneous pain threshold determined with electrical stimuli, before, during and after transcutaneous electrical nerve stimulation (TENS). In healthy subjects no significant differences were observed between the pain thresholds of the two limbs. During and after TENS, changes of the reflexes were related to the pain thresholds. In the pathological subjects a significant difference of pain threshold was present between the affected limb and the contralateral one. An important difference between healthy and pathological subjects is not the quality but the quantity of the changes induced by TENS, in the sense that the levels of inhibition and facilitation of the reflexes are more evident in patients with pain. Indeed, TENS induces a reset of sensory and of motor system and a parallel long lasting effect both on sensory and on muscular function, with concomitant pain relief in the pathological subjects.

Adult↗
PubMed2002

Influence of long-term spaceflight on neuromechanical properties of muscles in humans.

Reflex and elastic properties of the triceps surae (TS) were measured on 12 male cosmonauts 28-40 days before a 3- to 6-mo spaceflight, 2 or 3 days after return (R+2/+3) and a few days later (R+5/+6). H reflexes to electrical stimulations and T reflexes to tendon taps gave the reflex excitability at rest. Under voluntary contractions, reflex excitability was assessed by the stretch reflex, elicited by sinusoidal length perturbations. Stiffness measurements concerned the musculoarticular system in passive conditions and the musculotendinous complex in active conditions. Results indicated 1) no changes (P > 0.05) in H reflexes, whatever the day of test, and 2) increase in T reflexes (P < 0.05) by 57%, despite a decrease (P < 0.05) in musculoarticular stiffness (11%) on R+2/+3. T reflexes decreased (P < 0.05) between R+2/+3 and R+5/+6 (-21%); 3) increase in stretch reflexes (P < 0.05) on R+2/+3 by 31%, whereas it decreased (P < 0.05) between R+2/+3 and R+5/+6 (-29%). Musculotendinous stiffness was increased (P < 0.05) whatever the day of test (25%). Links between changes in reflex and stiffness were also studied by considering individual data. At R+2/+3, correlated changes between T reflexes and musculoarticular stiffness suggested that, besides central adaptive phenomena, musculoarticular structures took part in the reflex adaptation. This mechanical contribution was confirmed when data collected at R+2/+3 and R+5/+6 were used because correlations between changes in stretch reflexes and musculotendinous stiffness were improved. In conclusion, the present study shows that peripheral influences take part in reflex changes in gravitational unloaded muscles, but can only be revealed when central influences are reduced.

Elasticity↗
PubMed1986

Stretch reflexes of the normal infant.

Tendon-jerk reflexes were tested in normal, fullterm infants aged one to four days. EMGs were recorded from gastrocnemius-soleus and tibialis anterior muscles. Reflex-like EMGs were evoked when tapping sites which should not excite the muscles from which that activity is recorded--this included the simultaneous activation of antagonistic muscles by a tendon tap. The possible mechanisms which could produce these results are discussed, as are the possible relationships between the proposed pathways and the reciprocally excitatory paths in cerebral palsy.

Electromyography↗
PubMed1995

Reflex effects from Golgi tendon organ (Ib) afferents are unchanged after spinal cord lesions in humans.

The reflex actions of medial gastrocnemius (MG) group I afferents on soleus motoneurons were examined in 20 normal subjects and 13 patients with well-defined chronic spinal cord lesions. In normal subjects, stimulation of the MG nerve with near-nerve electrodes at or below the threshold of the alpha motoneuron axons resulted in inhibition of the soleus H reflex at a condition-test interval of 6 msec. The central delay was estimated to be 2.5 msec. This inhibition was attributed to Ib afferents. We found that this inhibition was present in patients with spinal cord lesions. This contrasts with previous reports that stimulation of MG afferents facilitates the soleus H reflex in hemiplegic limbs, and it may represent a physiologic difference between cerebral and spinal spasticity.

Adolescent↗
PubMed2005

Movement analysis in neonates with spina bifida aperta.

INTRODUCTION: In neonates with spina bifida aperta (SBA), leg movements by myotomes caudal to the meningomyelocele (MMC) are transiently observed. It is unclear whether these leg movements relate to functional neural conduction through the MMC. For optimal therapeutical intervention, pathophysiological insight in these transient leg movements seems relevant. If leg movements by myotomes caudal to the MMC concur with the execution of general movements (GMs), functional neural conduction through the MMC is implicated. OBJECTIVE: In neonates with SBA, we aimed to determine whether the transiently present leg movements caudal to the MMC indicate functional neural conduction through the MMC. METHODS: During the perinatal period, fetuses and neonates with SBA (n = 7 and n = 13, respectively) were longitudinally analysed for concurrency between leg movements caudal to the MMC and GMs. To address the integrity of the reflex arc in spinal segments (at, or) caudal to the MMC, tendon leg reflexes were assessed during the first postnatal week. RESULTS: At postnatal day 1, leg movements caudal to the MMC concurred with GMs in 12 of 13 infants. Isolated leg movements were observed in only 3 of these 12 infants (isolated vs. concurrent; p < 0.005). Leg movements concurring with GMs lasted longer than isolated leg movements (median duration = 11 s vs. 2 s; p < 0.05). Between days 1 and 7, tendon leg reflexes (at, or) caudal to the MMC had disappeared in all but 1 neonate. However, leg movements caudal to the MMC remained concurrently present with GMs in all five neonates available for follow-up after day 7. Comparing these leg movements between days 1 and 7 indicated a decreased duration (-44%, p < 0.05). CONCLUSIONS: In neonates with SBA, leg movements caudal to the MMC concur with GMs, indicative of functional neural conduction through the MMC. The disappearance of these leg movements is caused by lower motor neuron dysfunction at the reflex arc, whereas neural conduction through the MMC is still functional.

Fetus↗
PubMed1983

Shared reflex pathways from Ib tendon organ afferents and Ia muscle spindle afferents in the cat.

The possibility was investigated that group Ia muscle spindle afferents and group Ib tendon organ afferents influence spinal motoneurones via shared neuronal pathways. Mutual facilitation of actions of these afferents at a premotoneuronal level has been taken as evidence that they use the same interneurones to evoke post-synaptic potentials (p.s.p.s) in motoneurones. Inhibitory p.s.p.s (i.p.s.p.s) or excitatory p.s.p.s (e.p.s.p.s) were evoked in motoneurones by selective activation of group Ia afferents or group Ib afferents. P.s.p.s following stimulation of both Ia and Ib afferents were then compared with the arithmetic sum of p.s.p.s evoked by each of them separately. When the former were larger the difference was used as a measure of synaptic actions mediated by interneurones co-excited by Ia and Ib afferents. Both excitatory and inhibitory pathways to motoneurones have been found to be shared by Ia and Ib afferents, although the proportion of interneurones actually used in common by these afferents could not be established. The latencies of post-synaptic actions mediated by such interneurones indicated that they were evoked disynaptically or trisynaptically. The study leads to two main conclusions: that group Ia muscle spindle afferents, and in consequence also fusimotor systems, may modulate the reflex action of tendon organs, and that the two groups of afferents are a source of information in a common feed-back system.

Action Potentials↗
PubMed2004

Neuromuscular characteristics of endurance- and power-trained athletes.

In response to chronic physical training, the human neuromuscular system undergoes significant and specific adaptations. More importantly, these influences are the result of the type and quantity of physical activity. One of the simplest neuromuscular mechanisms is the spinal stretch reflex. The reflex system was previously viewed as inflexible, with a relatively fixed response that could vary only slightly. However, more recent data have identified an adaptive plasticity in the reflex system. In this respect, the reflex system can be used to assess training and aging adaptations of the human neuromuscular system. Due to their methodological simplicity, both the tendon-tap reflex and the electrically evoked Hoffmann reflex (H-reflex) can be used to assess training adaptations of the human neuromuscular system. The purpose of this paper is to review briefly the tendon-tap and H-reflex paradigms and delineate the research findings pertaining to changes in the reflex system with physical training. For purposes of clarity, this discussion will be divided into the following: (a) differences observed in the tendon-tap reflex, (b) differences observed in the H-reflex, and (c) role of interneurons in mediating these changes.

Humans↗