Related Experiment Video
Updated: Nov 23, 2025

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
Influence of a light touch reference on cutaneous reflexes from the hand during standing
John E Misiaszek1,2, Heather Hackett3, Arden J McMahon3
1Department of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, 2-64 Corbett Hall, Edmonton, AB, T6G 2G4, Canada. john.misiaszek@ualberta.ca.
Stable touch reduces body sway, but unstable touch shifts balance reactions from leg to arm muscles. This study shows spinal sensorimotor pathways rapidly adjust reflex excitability based on touch reliability.
Area of Science:
- Neuroscience
- Motor Control
- Somatosensation
Background:
- Light touch of a stable surface aids postural control by reducing body sway.
- Unexpected changes in touch can elicit rapid balance adjustments, initially involving leg muscles and later shifting to arm muscles.
Purpose of the Study:
- To investigate how the excitability of sensorimotor pathways, specifically those originating from finger cutaneous afferents, changes with the reliability of a touch reference.
- To test if interlimb and intralimb cutaneous reflexes are modulated by the stability of a tactile cue during postural tasks.
Main Methods:
- Cutaneous reflexes were evoked using transcutaneous electrical stimulation of the median nerve (MED) and radial nerve (RAD).
- Reflex responses were recorded using electromyography in muscles of the ipsilateral arm (anterior deltoid) and leg (soleus).
- Participants performed standing tasks involving stable touch, unstable touch, or no touch.
Main Results:
- Median nerve (MED) reflexes in the soleus muscle (interlimb) were facilitated with stable touch but reduced with unstable touch.
- Median nerve (MED) reflexes in the anterior deltoid muscle (intralimb) were facilitated when touch was unstable.
- Radial nerve (RAD) reflexes in the soleus muscle were unaffected by touch condition, consistent with its non-involved innervation territory.
Conclusions:
- Cutaneous reflexes originating from the hand are rapidly scaled in response to changes in the reliability of tactile input.
- Spinal sensorimotor pathways demonstrate functional reweighting, adapting reflex activity based on the perceived reliability of tactile afferents.
- These findings highlight the dynamic nature of sensorimotor integration in maintaining balance and adapting motor behavior.
Related Concept Videos
Reflex Activity
A reflex exam is a diagnostic procedure performed by a healthcare professional to evaluate the functionality of a patient's...
Somatic Spinal Reflexes
One of the most well-known somatic spinal reflexes is the stretch reflex, which is activated by the sudden stretching of a muscle. This reflex involves the activation of specialized sensory receptors called muscle spindles, which are located in the muscle tissue and detect changes in the length and speed of muscle contractions. When a muscle is suddenly...
Somatosensation
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Responses to Gravity and Touch
Sensory Functions of the Skin
There are two main categories of receptors on the skin: capsulated and non-capsulated. The non-capsulated ones are mainly the pain receptors. The capsulated ones can be further categorized based on the...

