Diurnal rhythm in the spinal stretch reflex

We studied primate spinal stretch reflex (SSR) amplitude as a function of time of day. SSR amplitude was greatest around midnight and smallest around noon. The diurnal rhythm was not simply a function of number of trials, or of the lighting cycle. This rhythm offers an opportunity to study the neuronal and synaptic mechanisms producing a diurnal change in CNS function. Its existence indicates that the CNS response to a given limb disturbance, and thus the CNS activity underlying a given performance, varies with time of day.     

Role of the masseter reflex in the assessment of subacute sensory neuropathy

In 3 patients with a severe pure sensory neuropathy of subacute onset, the masseter reflex remained normal despite absent blink reflex responses and absent stretch reflexes in the extremities. In 20 patients with primary disorders of peripheral nerve axons or myelin, the masseter reflex was abnormal. This study suggests that a normal masseter reflex in patients presenting with a pure sensory neuropathy favors a polyganglionopathy rather than a primary axonal sensory neuropathy, particularly if the blink reflex is abnormal. © 1998 John Wiley & Sons, Inc. Muscle Nerve 21:800–801, 1998.     

Stretch reflex variation in the relaxed and the pre-activated quadriceps muscle of normal humans

The stretch reflex to patellar tendon taps was quantified by force measurements at the ankle in 7 normal subjects. In each experiment the stretch reflex was elicited from 14 consecutive stretches by two types of hammers (an ordinary hand-held hammer and a motorized hammer) in the relaxed and the pre-activated quadriceps muscle. The coefficient of variation for the 14 stretch reflexes fell from 54% in the relaxed muscle to 39% in the contracting muscle (p less than 0.05). The stretch reflex varied less between the different levels of active contraction than between the relaxed state and the contracted level (p less than 0.05). The experiment was repeated in all subjects and at all contraction levels. The coefficient of variation of the mean for the two experiments fell non-significantly from a mean value of 27% in the relaxed muscle to 14% in the contracting muscle. The coefficients of variation for the two hammers were almost identical. It is concluded that quantification of the stretch reflex can be made more precisely in the contracting muscle.     

Tetanus toxin reduces local and descending regulation of the H‐reflex

Introduction: Skeletal muscles that are under the influence of tetanus toxin show an exaggerated reflex response to stretch. We examined which changes in the stretch reflex may underlie the exaggerated response. Methods: H‐reflexes were obtained from the tibialis anterior (TA) and flexor digitorum brevis (FDB) muscles in rats 7 days after intramuscular injection of tetanus toxin into the TA. Results: We found effects of the toxin on the threshold, amplitude, and duration of H‐waves from the TA. The toxin inhibited rate‐dependent depression in the FDB between the stimulation frequencies of 0.5–50 HZ and when a conditioning magnetic stimulus applied to the brain preceded a test electrical stimulus delivered to the plantar nerve. Conclusions: Tetanus toxin increased the amplitude of the H‐wave and reduced the normal depression of H‐wave amplitude that is associated with closely timed stimuli, two phenomena that could contribute to hyperactivity of the stretch reflex. Muscle Nerve 49:495–501, 2014     

Differential effects of plantar cutaneous afferent excitation on soleus stretch and H‐reflex

Previous studies have demonstrated that plantar cutaneous afferents can adjust motoneuron excitability, which may contribute significantly to the control of human posture and locomotion. However, the role of plantar cutaneous afferents in modulating the excitability of stretch and H‐reflex with respect to the location of their excitation remains unclear. In the present study, it was hypothesized that electrical stimulation delivered to the sole of the foot might be followed by modulation of spinal excitability that depends on: (1) the stimulation location and (2) the reflex studied. In these experiments, conditioned and unconditioned stretch and H‐reflexes were evoked in 16 healthy subjects in a seated position. Both reflexes were conditioned by non‐noxious electrical plantar cutaneous afferent stimulation at two different sites, the heel and metatarsal regions, at four different conditioning–test (CT) intervals. The conditioning stimulation delivered to the heel caused a significant facilitation of the soleus stretch reflex for all CT intervals, whereas the soleus H‐reflex had significant facilitation only at CT interval of 50 ms and significant inhibition at longer CT intervals. Stimulation delivered to the metatarsal region, however, resulted mainly in reduced stretch and H‐reflex sizes. This study extends the reported findings on the contribution of plantar cutaneous afferents within spinal interneuron reflex circuits as a function of their location and the reflex studied. Muscle Nerve, 2008     

Between‐day reliability of the trapezius muscle H‐reflex and M‐wave

Introduction: The aim of this study was to investigate the between‐day reliability of the trapezius muscle H‐reflex and M‐wave. Methods: Sixteen healthy subjects were studied on 2 consecutive days. Trapezius muscle H‐reflexes were evoked by electrical stimulation of the C3/4 cervical nerves; M‐waves were evoked by electrical stimulation of the accessory nerve. Relative reliability was estimated by intraclass correlation coefficients (ICC_2,1). Absolute reliability was estimated by computing the standard error of measurement (SEM) and the smallest real difference (SRD). Bland–Altman plots were constructed to detect any systematic bias. Results: Variables showed substantial to excellent relative reliability (ICC = 0.70–0.99). The relative SEM ranged from 1.4% to 34.8%; relative SRD ranged from 3.8% to 96.5%. No systematic bias was present in the data. Conclusions: The amplitude and latency of the trapezius muscle H‐reflex and M‐wave in healthy young subjects can be measured reliably across days. Muscle Nerve 52 : 1066–1071, 2015     

The stretch reflex in the Eaton Lambert syndrome, myasthenia gravis and myotonic dystrophy

The stretch reflex at rest and after muscle work was studied in three cases of Eaton Lambert syndrome. After muscle work a potentiation of the stretch reflex was demonstrated clinically and electrophysiologically. The presence of muscle stretch reflexes and their potentiation after muscle work was correlated with the clinical stage of the disease. The enhancement of the stretch reflex after voluntary effort was absent in normal subjects, myastehenia gravis and myotonic dystrophy.     

Involvement of astroglial glutamate–glutamine shuttle in modulation of the jaw‐opening reflex following infraorbital nerve injury

To evaluate the mechanisms underlying orofacial motor dysfunction associated with trigeminal nerve injury, we studied the astroglial cell activation following chronic constriction injury (CCI) of the infraorbital nerve (ION) immunohistochemically, nocifensive behavior in ION‐CCI rats, and the effect of the glutamine synthase (GS) blocker methionine sulfoximine (MSO) on the jaw‐opening reflex (JOR), and also studied whether glutamate–glutamine shuttle mechanism is involved in orofacial motor dysfunction. GFAP‐immunoreactive (IR) cells were observed in the trigeminal motor nucleus (motV) 3 and 14 days after ION‐CCI, and the nocifensive behavior and JOR amplitude were also strongly enhanced at these times. The number of GS‐ and GFAP‐IR cells was also significantly higher in ION‐CCI rats on day 7. The amplitude and duration of the JOR were strongly suppressed after MSO microinjection (m.i.) into the motV compared with that before MSO administration in ION‐CCI rats. After MSO administration, the JOR amplitude was strongly suppressed, and the duration of the JOR was shortened. Forty minutes after m.i. of glutamine, the JOR amplitude was gradually returned to the control level and the strongest attenuation of the suppressive effect of MSO was observed at 180 min after glutamine m.i. In addition, glutamine also attenuated the MSO effect on the JOR duration, and the JOR duration was extended and returned to the control level thereafter. The present findings suggest that astroglial glutamate–glutamine shuttle in the motV is involved in the modulation of excitability of the trigeminal motoneurons affecting the enhancement of various jaw reflexes associated with trigeminal nerve injury.     

Motor unit territory in relation to tendons in the human masseter muscle

In the human masseter, motor-unit (MU) territories are reportedly focal and it is possible that they are confined to the muscle's internal aponeuroses. However, previous electromyographic (EMG) investigations of MU sizes have not correlated them with the muscle's internal architecture. In this study, 162 single-MU territories were assessed by scanning EMG recordings throughout the masseter muscles of 4 subjects. The needle-electrode scans were stereotactically located with magnetic resonance imaging and an optical system capable of tracking the needle movement in three dimensions. Mediolateral territorial dimensions were then displayed graphically within muscle reconstructions. The mean territorial width was 3.7 ± 2.3 mm and varied between 0.4 and 13.1 mm. The widths were comparable in size to those of previous reports, and were related to the subject's muscle size. Most MU territories were confined, and lay between tendons, although 10% of the units clearly extended across at least one tendon. The dispersion of most territories within discrete tendon-bounded compartments in the masseter provides an anatomical basis for selective activation of the muscle. However, it is also possible that this arrangement provides a flexible means for ensuring tendon stiffness and mechanical adaptation of the multipennate masseter during growth and development, whether or not the muscle is activated selectively. © 1994 John Wiley & Sons, Inc.     

The influence of experimental muscle pain on the human soleus stretch reflex during sitting and walking.

OBJECTIVES: The stretch reflex is functionally important during human locomotion. Muscle pain has been found to increase the stretch reflex amplitude during sitting, possibly due to an altered fusimotor drive. To further study the importance of altered fusimotor activity due to muscle pain we investigated the combined effect of muscle pain and motor task on the soleus stretch reflex. METHODS: Stretch reflexes were elicited before, during and after experimentally induced muscle pain in soleus (i.m. infusion of 6% saline) in 3 experiments: (1) in the relaxed soleus muscle and before, during and after an isometric ramp contraction (500 ms, 0-10 Nm), (2) at 3 different time periods during walking, and (3) at matched pain intensity and soleus activity during sitting and walking. RESULTS: Infusion of hypertonic saline into the soleus muscle caused a significant facilitated stretch reflex in the relaxed muscle (P<0.01), but not during walking or during sitting and walking at matched soleus EMG and matched pain levels. The infusion of isotonic saline (non-painful) did not cause any changes (P = 0.75). CONCLUSIONS: The main findings of the present study were that experimental muscle pain facilitated the stretch reflex during pain in the relaxed muscle, but caused no changes in stretch reflex amplitude during sitting and walking at higher "functional" background EMG levels.     

Behavior of the stretch reflex in a multi-jointed limb

Local microiontophoretic administration of cholecystokinin octapeptide (CCK) increased the firing rates of neurons in the dorsomedial nucleus accumbens (NAc), but exerted little to no effect on lateral NAc neurons. This regionally defined CCK-effect corresponds to the topographical distribution of CCK-like immunoreactive nerve terminal fiber networks and CCK receptors within the NAc. The excitatory effects of CCK were selectively antagonized by the CCK antagonist proglumide. Dopamine (DA) decreased the firing of NAc cells and reversed CCK-induced excitation. These results suggest that CCK and DA may interact to influence the activity of neurons within the dorsomedial NAc.     

Improved organotypic cell culture model for analysis of the neuronal circuit involved in the monosynaptic stretch reflex

Knowledge regarding neuronal circuit formation is central for the understanding of the vast network making up the brain. It is therefore necessary to find novel ways to analyze the mechanisms involved in well-defined neural circuits. We present an improved in vitro model of the monosynaptic stretch reflex circuit, based on primary organotypic cell cultures. By using limb tissue as a source of muscle fibers instead of circumspinal tissue we could make the in vitro system more in vivo like in the sense that it focuses on the stretch reflex involving limb muscles. Furthermore, our analyses showed that this procedure allows muscle fibers to follow the normal developmental pattern. Particularly interesting was the finding of slow tonic myosin heavy chain expressing muscle fibers, a developmental marker for muscle spindles, in the cultures showing that this system has the potential to contain the complete reflex circuits.     

Recruitment order of motor units during the stretch reflex in man

The recruitment pattern of single motor units contributing to the short- and long-latency periods of the stretch reflex was investigated in human adults. When non-tonic, a given unit responded to stretch during the long-latency reflex period. When made tonic, the same unit showed a reflex response during the short-latency period, while a higher threshold, non-tonic unit would respond during the long-latency period. The data show an orderly recruitment of motor units during both phases of the stretch reflex in man.     

Changes in soleus H‐reflex during walking in middle‐aged,healthy subjects

Introduction: To assess the effect of aging on stretch reflex modulation during walking, soleus H‐reflexes obtained in 15 middle‐aged (mean age 56.4 ± 6.9 years) and 15 young (mean age 23.7 ± 3.9 years) subjects were compared. Methods: The H‐reflex amplitude, muscle activity (EMG) of the soleus and tibialis anterior muscles, and EMG/H‐reflex gain were measured during 4‐km/h treadmill walking. Results: The normalized H‐reflex amplitude was lower in the swing phase for the middle‐aged group, and there was no difference in muscle activity. EMG/H‐reflex gain did not differ between groups. Conclusions: H‐reflex amplitude during walking was affected by aging, and changes during the swing phase could be seen in the middle‐aged subjects. Subdividing the 2 age groups into groups of facilitated or suppressed swing‐phase H‐reflex revealed that the H‐reflex amplitude modulation pattern in the group with facilitated swing‐phase H‐reflex may be influenced by aging. Muscle Nerve 51: 419–425, 2015     

Trigeminal mesencephalic neurons innervating functionally identified muscle spindles and involved in the monosynaptic stretch reflex of the lateral pterygoid muscle of the guinea pig

Location of the neurons in the trigeminal mesencephalic nucleus innervating stretch receptors of the lateral pterygoid muscle and the mode of their synaptic connection on the lateral pterygoid motoneurons of the guinea pig were studied physiologically as well as morphologically, in comparison with the trigeminal mesencephalic neurons innervating muscle spindles in the superficial masseter muscle, with the following results: stimulation of the caudal half of the trigeminal mesencephalic nucleus evoked monosynaptic excitatory postsynaptic potentials in the ipsilateral lateral pterygoid motoneurons. Stimulation of the lateral pterygoid nerve directly evoked spike potentials in the neurons located in the caudal half of the ipsilateral trigeminal mesencephalic nucleus, which responded with increased firing to stretch, and with silent period to twitch, of the ipsilateral lateral pterygoid muscle. Averaging of intracellular potentials of the lateral pterygoid motoneurons with extracellular spike potentials of these trigeminal mesencephalic neurons revealed excitatory postsynaptic potentials after a monosynaptic latency, but no inhibitory postsynaptic potentials. Injection of horseradish peroxidase into the lateral pterygoid muscle labeled 15-20 cells in the caudal half of the ipsilateral trigeminal mesencephalic nucleus, while 174-228 cells retrogradely labeled by horseradish peroxidase were found throughout the whole rostrocaudal extent of the ipsilateral trigeminal mesencephalic nucleus following injection of horseradish peroxidase into the masseter muscle. It was concluded that neurons in the caudal half of the trigeminal mesencephalic nucleus send their peripheral processes to stretch receptors, presumably muscle spindles, in the ipsilateral lateral pterygoid muscle and that their central processes have excitatory synapses on ipsilateral lateral pterygoid motoneurons, thus comprising the afferent limb of a monosynaptic stretch reflex arc of the lateral pterygoid muscle of the guinea pig.     

Single-fiber electromyography of masseter muscle in myasthenia gravis

Jitter after axonal microstimulation in the masseter muscle was studied in 30 consecutive patients (12 women) with myasthenia gravis (MG). Patients' mean age was 42.3 (12-75), median disease duration was 3 months (1-72), and onset was ocular (15 cases), oculobulbar (7), bulbar (6), or generalized (2). There were 23 newly-diagnosed patients. Nine cases developed purely ocular MG and 21 cases developed generalized MG. In the latter group, five subjects had a rapidly progressive course and 16 subjects had stable or well-controlled disease (MGFA grade 2-3). Six patients did not have circulating anti-acetylcholine receptor antibodies. Masseter single-fiber electromyography (SFEMG) was abnormal in 6 of 9 ocular MG patients and in all generalized cases (overall sensitivity 27 of 30 cases or 90%; confidence interval 79.3%-100.0% at P = 0.95). Masseter should be considered for SFEMG in diagnosis of MG, especially in cases with bulbar onset.     

Relationship between amplitude of tremor and reflex response of the human jaw-closing system

Jaw-closing force was transduced while subjects maintained a biting force of 9.8 N. To estimate the amplitude of tremor in each subject's forces record, the average spectrum of the force was computed, and the definite integral of the averaged spectrum in the frequency range from 3.5 to 10 Hz was calculated. For the same sunjects, the amplitude of reflex responses to innocuous mechanical stimuli delivered to intraoral and perioral sites was measured as the peak-to-peak change in jaw-closing force following application of the stimulus. Force responses produced by stimulation at each site were used to compute an average reflex response measure for each subject. Large intersubject variability was observed in the amplitudes of jaw and reflex responses. A correlation coefficient computed between the tremor and reflex measures revealed that subjects with large amplitude tremor tended also to have a large reflex force responses. This correlation is consistent with the suggestion that activity in cutaneous reflex pathways contributes to tremor of the human mandible.     

Repetitive stretch suppresses denervation‐induced atrophy of soleus muscle in rats

This study was conducted to examine whether stretch‐related mechanical loading on skeletal muscle can suppress denervation‐induced muscle atrophy, and if so, to depict the underlying molecular mechanism. Denervated rat soleus muscle was repetitively stretched (every 5 s for 15 min/day) for 2 weeks. Histochemical analysis showed that the cross‐sectional area of denervated soleus muscle fibers with repetitive stretching was significantly larger than that of control denervated muscle (P < 0.05). We then examined the involvement of the Akt/mammalian target of the rapamycin (mTOR) cascade in the suppressive effects of repetitive stretching on muscle atrophy. Repetitive stretching significantly increased the Akt, p70S6K, and 4E‐BP1 phosphorylation in denervated soleus muscle compared to controls (P < 0.05). Furthermore, repetitive stretching‐induced suppression of muscle atrophy was fully inhibited by rapamycin, a potent inhibitor of mTOR. These results indicate that denervation‐induced muscle atrophy is significantly suppressed by stretch‐related mechanical loading of the muscle through upregulation of the Akt/mTOR signal pathway. Muscle Nerve, 2009     

Central distribution of synaptic contacts of primary and secondary jaw muscle spindle afferents in the trigeminal motor nucleus of the cat

Little is known about the differences of the terminations of group Ia and group II afferents within the brainstem or spinal cord. The present study was performed to classify cat jaw muscle spindle afferents by the use of succinylcholine (SCh) and to examine the morphological characteristics of the physiologically classified afferents at the light and electron microscopic levels through the use of the intra-axonal horseradish peroxidase (HRP) injection technique. The effects of SCh on stretch responses of 119 jaw muscle spindle afferents from the masseter were examined. The SCh converted the single skew distribution of the values for dynamic index (DI) into a bimodal one. Fifty-eight and 61 afferents were classified as group Ia and group II afferents, respectively. The central projections of 17 intra-axonally stained afferents (10 group Ia and 7 group II afferents) were examined. The spindle afferents terminated mainly in the supratrigeminal nucleus (Vsup), region h, and the dorsolateral subdivision of trigeminal motor nucleus (Vmo.dl) but differed in the pattern of projections of group Ia and group II afferents. The proportion of group Ia afferent terminals was higher in Vmo.dl but lower in Vsup than that of group II afferents. In Vmo.dl, the proportion of group Ia afferent terminals was higher in the central region but lower in the more outer regions than that of group II afferents. The ultrastructure of serially sectioned afferent boutons (63 group Ia and 72 group II boutons) also was examined. The boutons from the two groups were distributed widely from the soma to small-diameter dendrites, but the frequency of synaptic contacts on proximal dendrites was higher in group Ia than group II afferents. The present study provides evidence that the two groups of jaw muscle spindle afferents differ in their central projection and the spatial distribution of their synaptic contacts on Vmo.dl neurons. J. Comp. Neurol. 391:50–63, 1998. © 1998 Wiley-Liss, Inc.