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Skeletal muscle tone and the misunderstood stretch reflex
1Department of Neurology, University of Miami School of Medicine, FL 33101.
Neurology
|May 1, 1992
Summary
Muscle tone in humans is not solely a reflex. Mechanical factors and adaptable neural pathways, including transcortical responses, contribute to maintaining posture and responding to stretch.
Area of Science:
- Neuroscience
- Human Physiology
- Biophysics
Background:
- Traditional understanding of human muscle tone relies heavily on Sherrington's decerebrate animal models.
- This view posits muscle tone is primarily a monosynaptic stretch reflex, requiring tonic fusimotor activity for maintenance.
- Existing models suggest tonic muscle tone in antigravity muscles is crucial for posture.
Purpose of the Study:
- To revise long-held beliefs about the origins and mechanisms of human muscle tone.
- To present a more comprehensive model integrating mechanical and neural factors.
- To challenge the exclusive reliance on reflex mechanisms in explaining muscle tone.
Main Methods:
- Review of existing physiological data and research on muscle tone.
- Analysis of nonreflex mechanical contributions to resting muscle tone.
- Examination of spinal cord reflex plasticity and interneuronal activity.
- Investigation of long-latency transcortical responses to muscle stretch.
- Evaluation of inertial and viscoelastic forces in postural control.
Main Results:
- Nonreflex mechanical properties significantly contribute to resting muscle tone.
- Spinal reflex responses are dynamic, influenced by interneuronal activity and converging inputs.
- Long-latency transcortical pathways actively manage substantial muscle stretch displacements.
- Inertial and viscoelastic forces play a role in stabilizing posture against minor sway.
Conclusions:
- Human muscle tone is not solely reflex-driven but involves significant mechanical components.
- Muscle stretch responses are adaptable, not fixed, adjusting to situational demands.
- A revised understanding integrating mechanical and adaptable neural mechanisms is necessary for human muscle tone.