The Stretch Reflex Response to Movement of Human Elbow Joint

1973 ◽  
pp. 245-255 ◽  
Author(s):  
P. M. H. Rack
Keyword(s):  
Elbow Joint ◽  
Stretch Reflex ◽  
Reflex Response

QUANTIFIED DEEP TENDON REFLEX DEVICE, SECOND GENERATION

2008 ◽  
Vol 08 (01) ◽  
pp. 75-85 ◽  
Author(s):  
ROBERT LEMOYNE ◽  
FOAD DABIRI ◽  
ROOZBEH JAFARI
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Stretch Reflex ◽  
Evaluation System ◽  
Deep Tendon Reflex ◽  
Reflex Response ◽  
Fundamental Aspect ◽  
Maximum Acceleration ◽  
Mems Accelerometer ◽  
Tendon Reflex

The deep tendon reflex is a fundamental aspect of neurological examinations. The severity of and degree of recovery from a traumatic brain injury can be assessed by the myotatic stretch reflex. A hyperactive reflex response is correlated with spasticity, which can also be correlated with the degree of damage to the supraspinal input, in essence assessing the severity of traumatic brain injury. The myotatic stretch reflex is clinically evaluated by the National Institute of Neurological Disorders and Stroke (NINDS) reflex scale (0–4); however, this scale lacks temporal data and may also vary in interpretation. The solution is a fully quantified evaluation system of the myotatic stretch reflex, whereby a patellar hammer's force input is based on original potential energy and a microelectromechanical system (MEMS) accelerometer quantifies the output. The MEMS accelerometer is attached to a set anchor point near the ankle. The reflex amplitude is based on the maximum acceleration of the reflex response. The quantified data collected from MEMS accelerometers are transmitted by a portable computer (i.e. a Pocket PC). This paper describes a device that quantitatively evaluates the reflex response using accelerometers and that demonstrates precision for reproducibility.

Contributions of motor-unit recruitment and rate modulation of compensation for muscle yielding

1982 ◽  
Vol 47 (5) ◽  
pp. 797-809 ◽  
Author(s):  
P. J. Cordo ◽  
W. Z. Rymer
Keyword(s):  
Motor Unit ◽  
Stretch Reflex ◽  
Muscle Force ◽  
Motor Units ◽  
Muscle Stiffness ◽  
Motor Unit Recruitment ◽  
Reflex Response ◽  
Rate Modulation ◽  
Stimulus Rate ◽  
Wide Range

1. Subdivided portions of the cut ventral root innervation of the soleus muscle were electrically stimulated in 14 anesthetized cats. The stimulus trains imposed on these nerves simulated the recruitment and rate-modulation patterns of single motor units recorded during stretch-reflex responses in decerebrate preparations. Each activation pattern was evaluated for its ability to prevent muscle yield. 2. Three basic stimulus patterns, recruitment, step increases in stimulus rate, and doublets were imposed during the course of ramp stretches applied over a wide range of velocities. The effect of each stimulus pattern on muscle force was compared to the force output recorded without stretch-related recruitment or rate modulation. 3. Motor-unit recruitment was found to be most effective in preventing yield during muscle stretch. Newly recruited motor units showed no evidence of yielding for some 250 ms following activation, at which time muscle stiffness declined slightly. This time-dependent resistance to yield was observed regardless of whether the onset of the neural stimulus closely preceded or followed stretch onset. 4. Step increases in stimulus rate arising shortly after stretch onset did not prevent the occurrence of yield at most stretch velocities, but did augment muscle stiffness later in the stretch. Doublets in the stimulus train were found to augment muscle stiffness only when they occurred in newly recruited motor units. 5. These results suggest that at low or moderate initial forces, the prevention of yield in lengthening, reflexively intact muscle results primarily from rapid motor-unit recruitment. To a lesser extent, the spring-like character of the stretch-reflex response also derives from step increases in firing rate of motor units active before stretch onset and doublets in units recruited during the course of stretch. Smooth rate increases appear to augment muscle force later in the course of the reflex response.

scholarly journals Modulation of Stretch Reflexes of the Finger Flexors by Sensory Feedback From the Proximal Upper Limb Poststroke

2009 ◽  
Vol 102 (3) ◽  
pp. 1420-1429 ◽  
Author(s):  
Gilles Hoffmann ◽  
Derek G. Kamper ◽  
Jennifer H. Kahn ◽  
William Z. Rymer ◽  
Brian D. Schmit
Keyword(s):  
Upper Limb ◽  
Stretch Reflex ◽  
Sensory Input ◽  
Biceps Brachii ◽  
Elbow Flexion ◽  
Spinal Reflex ◽  
Reflex Response ◽  
Emg Activity ◽  
Triceps Brachii ◽  
Flexor Digitorum

Neural coupling of proximal and distal upper limb segments may have functional implications in the recovery of hemiparesis after stroke. The goal of the present study was to investigate whether the stretch reflex response magnitude of spastic finger flexor muscles poststroke is influenced by sensory input from the shoulder and the elbow and whether reflex coupling of muscles throughout the upper limb is altered in spastic stroke survivors. Through imposed extension of the metacarpophalangeal (MCP) joints, stretch of the relaxed finger flexors of the four fingers was imposed in 10 relaxed stroke subjects under different conditions of proximal sensory input, namely static arm posture (3 different shoulder/elbow postures) and electrical stimulation (surface stimulation of biceps brachii or triceps brachii, or none). Fast (300°/s) imposed stretch elicited stretch reflex flexion torque at the MCP joints and reflex electromyographic (EMG) activity in flexor digitorum superficialis. Both measures were greatest in an arm posture of 90° of elbow flexion and neutral shoulder position. Biceps stimulation resulted in greater MCP stretch reflex flexion torque. Fast imposed stretch also elicited reflex EMG activity in nonstretched heteronymous upper limb muscles, both proximal and distal. These results suggest that in the spastic hemiparetic upper limb poststroke, sensorimotor coupling of proximal and distal upper limb segments is involved in both the increased stretch reflex response of the finger flexors and an increased reflex coupling of heteronymous muscles. Both phenomena may be mediated through changes poststroke in the spinal reflex circuits and/or in the descending influence of supraspinal pathways.

Dysequilibrium Reaction Time and “Long-Loop” Recruitment Deficits in Subjects with Hemiplegia

1992 ◽  
Vol 12 (4) ◽  
pp. 229-241
Author(s):  
Richard P. DiFabio ◽  
Mary Beth Badke ◽  
Ann Breunig
Keyword(s):  
Reaction Time ◽  
Stretch Reflex ◽  
Onset Time ◽  
Reflex Response ◽  
Body Sway ◽  
Limiting Factor ◽  
Postural Reflex ◽  
Time Required ◽  
Gastrocnemius Muscles ◽  
Postural Muscles

Gaps in the recruitment of postural muscles to correct body sway may be a limiting factor in the rehabilitation of patients with stroke. The purpose of this study was to determine how the onset of a postural reflex compares to the conscious identification of body sway in patients with hemiplegia and in a comparison group of able-bodied subjects. All subjects stood on a movable force platform that was unexpectedly displaced backwards inducing a forward body sway. The excursion and velocity of the platform displacements were varied systematically and the frequency of activation of postural muscles was recorded. A hand held response key was used to measure the time required to react to the postural disturbance (RT). In addition, the onset time of a long-loop “stretch” reflex was measured in the gastrocnemius muscles bilaterally. Subjects with hemiplegia failed to recruit a reflex response in 53% of the trials, whereas able-bodied subjects had an absent response in only 3% of the trials. The upper extremity RT for subjects with hemiplegia was not significantly delayed compared to able-bodied subjects, and the onset of a stretch reflex response in the gastrocnemius muscles was not different between groups. In addition, there was no correlation between reflex onset and conscious reaction time for control or disabled groups. These results have implications for the practice of occupational therapy because lower extremity recruitment deficits may persist and require treatment even though the recognition of body sway and the onset of reflex muscle discharge (when recruited) was similar to that of able-bodied subjects.

scholarly journals Increased Ankle Plantar Flexor Stiffness Is Associated With Reduced Mechanical Response to Stretch in Adults With CP

2021 ◽  
Vol 9 ◽  
Author(s):  
Jakob Lorentzen ◽  
Rasmus Feld Frisk ◽  
Jens Bo Nielsen ◽  
Lee Barber
Keyword(s):  
Ankle Joint ◽  
Stretch Reflex ◽  
Gastrocnemius Muscle ◽  
Length Change ◽  
Medial Gastrocnemius ◽  
Reflex Response ◽  
Plantar Flexor ◽  
Flexor Muscle ◽  
Muscle Fascicles ◽  
Medial Gastrocnemius Muscle

Hyperexcitable stretch reflexes are often not present despite of other signs of spasticity in people with brain lesion. Here we looked for evidence that increased resistance to length change of the plantar flexor muscle-fascicles may contribute to a reduction in the stretch reflex response in adults with cerebral palsy (CP). A total of 17 neurologically intact (NI) adults (mean age 36.1; 12 female) and 13 ambulant adults with CP (7 unilateral; mean age 33.1; 5 female) participated in the study. Subjects were seated in a chair with the examined foot attached to a foot plate, which could be moved by a computer-controlled electromotor. An ultrasound probe was placed over the medial aspect of the leg to measure the length of medial gastrocnemius muscle fascicles. Slow (7 deg/s) and fast (200 deg/s) stretches with amplitude 6 deg of the plantar flexors were applied over an ankle range of 70 deg at 10 deg intervals between 60 and 130 deg plantarflexion. It was checked by EMG electrodes that the slow stretches were sufficiently slow not to elicit any activity and that the fast stretches were sufficiently quick to elicit a maximal stretch reflex in both groups. The torque elicited by the stretches was measured together with changes in the length of medial gastrocnemius muscle fascicles. Muscle fascicles increased significantly in length with increasing dorsiflexion position in both populations (p < 0.001), but the fascicles were shorter in the CP population at all positions. Slow stretches elicited significantly larger torque and significantly smaller length change of muscle fascicles as the ankle joint position was moved more towards dorsiflexion in CP than in NI (p < 0.001). Fast stretches elicited larger torque responses at ankle joint positions of 80–100 deg in the NI than in the CP group (p < 0.01). A significant negative correlation was observed between the torque response and muscle fascicle length change to slow stretch in CP (p < 0.05), but not in NI. These findings support that increased passive resistance of the ankle plantar flexor muscle-tendon unit and development of contractures may conceal stretch reflex response in adults with CP. We argue that this should be taken into account in the neurological examination of spasticity.

Sympathetic outflow enhances the stretch reflex response in the relaxed soleus muscle in humans

2005 ◽  
Vol 98 (4) ◽  
pp. 1366-1370 ◽  
Author(s):  
Nis Hjortskov ◽  
Jørgen Skotte ◽  
Christian Hye-Knudsen ◽  
Nils Fallentin
Keyword(s):  
Soleus Muscle ◽  
Stretch Reflex ◽  
Mental Arithmetic ◽  
Muscle Spindles ◽  
Short Latency ◽  
Reflex Response ◽  
Sympathetic Outflow ◽  
Direct Influence ◽  
Handgrip Exercise ◽  
Sympathetic Nervous

Animal experiments suggest that an increase in sympathetic outflow can depress muscle spindle sensitivity and thus modulate the stretch reflex response. The results are, however, controversial, and human studies have failed to demonstrate a direct influence of the sympathetic nervous system on the sensitivity of muscle spindles. We studied the effect of increased sympathetic outflow on the short-latency stretch reflex in the soleus muscle evoked by tapping the Achilles tendon. Nine subjects performed three maneuvers causing a sustained activation of sympathetic outflow to the leg: 3 min of static handgrip exercise at 30% of maximal voluntary contraction, followed by 3 min of posthandgrip ischemia, and finally during a 3-min mental arithmetic task. Electromyography was measured from the soleus muscle with bipolar surface electrodes during the Achilles tendon tapping, and beat-to-beat changes in heart rate and mean arterial blood pressure were monitored continuously. Mean arterial pressure was significantly elevated during all three maneuvers, whereas heart rate was significantly elevated during static handgrip exercise and mental arithmetic but not during posthandgrip ischemia. The peak-to-peak amplitude of the short-latency stretch reflex was significantly increased during mental arithmetic ( P < 0.05), static handgrip exercise ( P < 0.001), and posthandgrip ischemia ( P < 0.005). When expressed in percent change from rest, the mean peak-to-peak amplitude increased by 111 (SD 100)% during mental arithmetic, by 160 (SD 103)% during static handgrip exercise, and by 90 (SD 67)% during posthandgrip ischemia. The study clearly indicates a facilitation of the short-latency stretch reflex during increased sympathetic outflow. We note that the enhanced stretch reflex responses observed in relaxed muscles in the absence of skeletomotor activity support the idea that the sympathetic nervous system can exert a direct influence on the human muscle spindles.

scholarly journals Influence of mass and velocity of the tendon tap on the stretch reflex response

2018 ◽  
Vol 9 (2) ◽  
pp. 85-89
Author(s):  
Yaemi Koshino ◽  
Koki Yamaguchi ◽  
Yuki Takahashi ◽  
Yusuke Takahashi ◽  
Jun Watabe
Keyword(s):  
Stretch Reflex ◽  
Reflex Response ◽  
Tendon Tap
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