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Assessment of Neuromuscular Function Using Percutaneous Electrical Nerve Stimulation
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Both standing and postural threat decrease Achilles' tendon reflex inhibition from tendon electrical stimulation.

Brian C Horslen1, J Timothy Inglis1,2,3, Jean-Sébastien Blouin1,3,4

  • 1School of Kinesiology, University of British Columbia, Vancouver, Canada.

The Journal of Physiology
|March 23, 2017
PubMed
Summary
This summary is machine-generated.

Golgi tendon organ (GTO) Ib reflexes, crucial for balance, are reduced during upright standing and further diminished by height-induced postural threat. Tendon electrical stimulation effectively probes these context-dependent reflexes.

Keywords:
golgi tendon organib reflexespostural threat

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Area of Science:

  • Neuroscience
  • Human Motor Control
  • Biomechanics

Background:

  • Golgi tendon organs (GTOs) and their Ib reflexes are vital for maintaining standing balance.
  • The modulation of Ib reflexes under conditions of postural threat remains largely unexplored.

Purpose of the Study:

  • To investigate how upright stance influences GTO Ib reflexes.
  • To determine the effect of height-induced postural threat on GTO Ib reflexes during standing balance.
  • To validate tendon electrical stimulation (TStim) as a method for probing Ib reflexes in standing individuals.

Main Methods:

  • Tendon electrical stimulation (TStim) was used to elicit short-latency Ib inhibitory reflexes in the medial gastrocnemius muscle.
  • Experiments compared Ib inhibition during prone lying versus upright standing (postural orientation).
  • Postural threat was manipulated by having participants stand on elevated surfaces of varying heights and proximity to an edge.

Main Results:

  • Ib inhibition was significantly reduced (42.2% in area, 32.9% in duration) during upright standing compared to prone lying.
  • Height-induced postural threat led to further significant reductions in Ib inhibition (area: 32.4%, duration: 16.4%, amplitude: 24.8%) in the high-threat condition versus the low-threat condition.
  • Tendon electrical stimulation proved to be a viable technique for assessing Ib reflexes during standing balance.

Conclusions:

  • Human GTO Ib reflexes are modulated by postural orientation, being reduced during upright stance.
  • Ib reflexes are context-dependent, with increased postural threat leading to decreased Ib inhibition.
  • These findings suggest that threat or emotional processing centers in the central nervous system modulate human Ib reflex pathways.