scholarly journals Self-reinnervated muscles lose autogenic length feedback, but intermuscular feedback can recover functional connectivity

2016 ◽  
Vol 116 (3) ◽  
pp. 1055-1067 ◽  
Author(s):  
Mark A. Lyle ◽  
Boris I. Prilutsky ◽  
Robert J. Gregor ◽  
Thomas A. Abelew ◽  
T. Richard Nichols

In this study, we sought to identify sensory circuitry responsible for motor deficits or compensatory adaptations after peripheral nerve cut and repair. Self-reinnervation of the ankle extensor muscles abolishes the stretch reflex and increases ankle yielding during downslope walking, but it remains unknown whether this finding generalizes to other muscle groups and whether muscles become completely deafferented. In decerebrate cats at least 19 wk after nerve cut and repair, we examined the influence of quadriceps (Q) muscles' self-reinnervation on autogenic length feedback, as well as intermuscular length and force feedback, among the primary extensor muscles in the cat hindlimb. Effects of gastrocnemius and soleus self-reinnervation on intermuscular circuitry were also evaluated. We found that autogenic length feedback was lost after Q self-reinnervation, indicating that loss of the stretch reflex appears to be a generalizable consequence of muscle self-reinnervation. However, intermuscular force and length feedback, evoked from self-reinnervated muscles, was preserved in most of the interactions evaluated with similar relative inhibitory or excitatory magnitudes. These data indicate that intermuscular spinal reflex circuitry has the ability to regain functional connectivity, but the restoration is not absolute. Explanations for the recovery of intermuscular feedback are discussed, based on identified mechanisms responsible for lost autogenic length feedback. Functional implications, due to permanent loss of autogenic length feedback and potential for compensatory adaptations from preserved intermuscular feedback, are discussed.

2016 ◽  
Vol 96 (5) ◽  
pp. 687-695 ◽  
Author(s):  
Andreanne K. Blanchette ◽  
Aditi A. Mullick ◽  
Karina Moïn-Darbari ◽  
Mindy F. Levin

Background Commonly used spasticity scales assess the resistance felt by the evaluator during passive stretching. These scales, however, have questionable validity and reliability. The tonic stretch reflex threshold (TSRT), or the angle at which motoneuronal recruitment begins in the resting state, is a promising alternative for spasticity measurement. Previous studies showed that spasticity and voluntary motor deficits after stroke may be characterized by a limitation in the ability of the central nervous system to regulate the range of the TSRT. Objective The study objective was to assess interevaluator reliability for TSRT plantar-flexor spasticity measurement. Design This was an interevaluator reliability study. Methods In 28 people after stroke, plantar-flexor spasticity was evaluated twice on the same day. Plantar-flexor muscles were stretched 20 times at different velocities assigned by a portable device. Plantar-flexor electromyographic signals and ankle angles were used to determine dynamic velocity-dependent thresholds. The TSRT was computed by extrapolating a regression line through dynamic velocity-dependent thresholds to the angular axis. Results Mean TSRTs in evaluations 1 and 2 were 66.0 degrees (SD=13.1°) and 65.8 degrees (SD=14.1°), respectively, with no significant difference between them. The intraclass correlation coefficient (2,1) was .851 (95% confidence interval=.703, .928). Limitations The notion of dynamic stretch reflex threshold does not exclude the possibility that spasticity is dependent on acceleration, as well as on velocity; future work will study both possibilities. Conclusions Tonic stretch reflex threshold interevaluator reliability for evaluating stroke-related plantar-flexor spasticity was very good. The TSRT is a reliable measure of spasticity. More information may be gained by combining the TSRT measurement with a measure of velocity-dependent resistance.


1997 ◽  
Vol 78 (6) ◽  
pp. 2975-2984 ◽  
Author(s):  
John E. Misiaszek ◽  
Keir G. Pearson

Misiaszek, John E. and Keir G. Pearson. Stretch of quadriceps inhibits the soleus H reflex during locomotion in decerebrate cats. J. Neurophysiol. 78: 2975–2984, 1997. Previously, it has been demonstrated that afferent signals from the quadriceps muscles can suppress H reflexes in humans during passive movements of the leg. To establish whether afferent input from quadriceps contributes to the modulation of the soleus H reflex during locomotion, the soleus H reflex was conditioned with stretches of the quadriceps muscle during bouts of spontaneous treadmill locomotion in decerebrate cats. We hypothesized that 1) in the absence of locomotion such conditioning would lead to suppression of the soleus H reflex and 2) this would be retained during periods of locomotor activity. In the absence of locomotion, slow sinusoidal stretches (0.2 Hz, 8 mm) of quadriceps cyclically modulated the amplitude of the soleus H reflex. The H reflex amplitude was least during the lengthening of the quadriceps and greatest as quadriceps shortened. Further, low-amplitude vibrations (48–78 μm) applied to the patellar tendon suppressed the reflex, indicating that the muscle spindle primaries were the receptor eliciting the effect. During bouts of locomotion, ramp stretches of quadriceps were applied during the extensor phase of the locomotor rhythm. Soleus H reflexes sampled at two points during the stance phase were reduced compared with phase-matched controls. The background level of the soleus electromyographic activity was not influenced by the applied stretches to quadriceps, either during locomotion or in the absence of locomotion. This indicates that the excitability of the soleus motoneuron pool was not influenced by the stretching of quadriceps, and that the inhibition of the soleus H reflex is due to presynaptic inhibition. We conclude that group Ia afferent feedback from quadriceps contributes to the regulation of the soleus H reflex during the stance phase of locomotion in decerebrate cats. This afferent mediated source of regulation of the H reflex, or monosynaptic stretch reflex, would allow for rapid alterations in reflex gain according to the dynamic needs of the animal. During early stance, this source of regulation might suppress the soleus stretch reflex to allow adequate yielding at the ankle and facilitate the movement of the body over the foot.


1995 ◽  
Vol 73 (6) ◽  
pp. 2578-2583 ◽  
Author(s):  
C. A. Pratt

1. The functional organization of heterogenic reflexes produced by activation of extensor force receptors (Golgi tendon organs) was studied in intact cats during stationary stance. Intramuscular stimulation (200 Hz, 20 ms) of hindlimb extensor muscles via chronically implanted electrodes was used to evoke weak muscle contractions and naturally activate Golgi tendon organ Ib afferents while cats stood unrestrained with each paw on a moveable triaxial force plate. 2. Intramuscular stimulation of every hindlimb extensor muscle tested in this study evoked excitatory responses that were widely distributed among hindlimb extensor muscles. Source and target specializations in the functional organization of this positive force feedback system were also observed. For example, stimulation of ankle extensors typically excited extensors and flexors at the ankle and hip (but not knee), whereas stimulation of hip extensors typically excited only extensors at all three joints. In addition, intramuscular stimulation of either lateral (LG) or medial (MG) gastrocnemius consistently inhibited soleus while exciting other extensors at the ankle and more proximal joints. 3. The electromyographic (EMG) reflex responses described above are attributed to the natural (via muscle contraction) activation of extensor group Ib afferents. Direct activation of intramuscular afferents by the stimulus was unlikely because there was no evidence that Ia afferents, which have the lowest electrical thresholds, were activated. Both the observed inhibition of the synergist, soleus, and the excitation of the antagonist, tibialis anterior, produced by gastrocnemius stimulation are opposite to the reflex effects that would be produced at the ankle by activation of gastrocnemius Ia afferents.(ABSTRACT TRUNCATED AT 250 WORDS)


1990 ◽  
Vol 64 (5) ◽  
pp. 1611-1624 ◽  
Author(s):  
J. A. Hoffer ◽  
T. R. Leonard ◽  
C. L. Cleland ◽  
T. Sinkjaer

1. The objective of this study was to evaluate the action of the stretch reflex on the ankle extensor muscles of normal and decerebrate cats. 2. Experiments were performed on nine freely standing, unrestrained cats and repeated after decerebration at the premammillary level. The length, force, and electromyograph (EMG) of the soleus (SOL) and lateral gastrocnemius (LG) muscles were recorded with the use of implanted transducers and electrodes. 3. The left ankle joint was unexpectedly and reproducibly dorsiflexed by briefly stimulating the common peroneal (CP) nerve with electrodes within an implanted nerve cuff. The ensuing twitch contractions of the ankle dorsiflexor muscles stretched the ankle extensor muscles by 0.3-2.0 mm. Lidocaine was infused into another nerve cuff proximal to the stimulation site, to reversibly block the central propagation of evoked volleys in the CP nerve. 4. Reflex action before and after decerebration was measured from the responses to perturbations of similar amplitude and duration delivered at approximately matched background values of muscle length and force. In most cats the temperature of the hindlimb was monitored with an implanted thermistor and was restored to normal values with radiant heat after decerebration. 5. A stretch imposed on the tonically active ankle extensor muscles immediately caused a considerable rise in the force recorded from the triceps tendon. Within 30-40 ms the triceps force peaked, reaching a value 10-20 N greater than background, and then rapidly declined while the extensor muscles were still lengthening. The initial rise in force preceded any change in triceps EMG. It was attributed to the intrinsic viscoelasticity of the stretched muscles and tendons. After decerebration the magnitude and timing of the initial force peak did not change. 6. A short-latency reflex EMG burst was typically recorded from both the SOL and LG muscles, starting 11-17 ms after stimulus onset. After decerebration the area of the reflex EMG burst increased in all nine cats, typically by a factor of 2 or 3. 7. After decerebration a second, smaller increase in force was typically observed starting 60-80 ms after onset of stretch. This later force rise, interpreted to be of reflex origin, was rarely apparent in normal cats. 8. Decerebration introduced consistent modifications in postural behavior that were revealed by pushing down on the back of quietly standing cats. In normal cats, after brief pushes that stretched the ankle extensor muscles by 1-2 mm, the EMG, force, and length quickly stabilized near their initial values.(ABSTRACT TRUNCATED AT 400 WORDS)


2004 ◽  
Vol 92 (3) ◽  
pp. 1342-1356 ◽  
Author(s):  
Philippe Saltiel ◽  
Serge Rossignol

This study investigates the responses to phasic shoulder retractions or protractions given at different times in the fictive locomotor cycle of the forelimbs of decerebrate cats. Generally, the responses in flexor and extensor muscles acting at the shoulder or elbow were bilaterally coordinated according to a negative feedback scheme. Perturbations in the direction of the movements that would have taken place if the animal had not been paralyzed tended to shorten the duration of the burst of activity of the muscles active during that phase and vice versa in the opposite phase. Changes in response patterns took place around critical points corresponding to the critical points B–D described in the companion paper using tonic perturbations of the limb. Past point C, at 58% of the ipsilateral extensor burst, protractions no longer prolonged the burst and no longer delayed onset of the contralateral extensor. At point B, occurring at 41% of the contralateral extensor burst, ipsilateral protractions maximally shortened the ipsilateral flexor phase, advancing ipsilateral extensor onset (point D) to point C of the contralateral extensor burst. During a critical period from the end of the ipsilateral flexor (point D) until the contralateral flexor onset, retractions elicited two alternative responses. Either the contralateral extensor activity was abolished and the contralateral flexor turned on, or it persisted for another cycle. We argue that the critical points found here correspond to critical biomechanical events in real locomotion and may underlie a phase-dependent motor coordination.


2018 ◽  
Vol 119 (2) ◽  
pp. 668-678 ◽  
Author(s):  
Mark A. Lyle ◽  
T. Richard Nichols

Prior work has suggested that Golgi tendon organ feedback, via its distributed network linking muscles spanning all joints, could be used by the nervous system to help regulate whole limb mechanics if appropriately organized. We tested this hypothesis by characterizing the patterns of intermuscular force-dependent feedback between the primary extensor muscles spanning the knee, ankle, and toes in decerebrate cat hindlimbs. Intermuscular force feedback was evaluated by stretching tendons of selected muscles in isolation and in pairwise combinations and then measuring the resulting force-dependent intermuscular interactions. The relative inhibitory feedback between extensor muscles was examined, as well as symmetry of the interactions across limbs. Differences in the directional biases of inhibitory feedback were observed across cats, with three patterns identified as points on a spectrum: pattern 1, directional bias of inhibitory feedback onto the ankle extensors and toe flexors; pattern 2, convergence of inhibitory feedback onto ankle extensors and mostly balanced inhibitory feedback between vastus muscle group and flexor hallucis longus, and pattern 3, directional bias of inhibitory feedback onto ankle and knee extensors. The patterns of inhibitory feedback, while different across cats, were symmetric across limbs of individual cats. The variable but structured distribution of force feedback across cat hindlimbs provides preliminary evidence that inhibitory force feedback could be a regulated neural control variable. We propose the directional biases of inhibitory feedback observed experimentally could provide important task-dependent benefits, such as directionally appropriate joint compliance, joint coupling, and compensation for nonuniform inertia. NEW & NOTEWORTHY Feedback from Golgi tendon organs project widely among extensor motor nuclei in the spinal cord. The distributed nature of force feedback suggests these pathways contribute to the global regulation of limb mechanics. Analysis of this network in individual animals indicates that the strengths of these pathways can be reorganized appropriately for a variety of motor tasks, including level walking, slope walking, and landing.


2009 ◽  
Vol 102 (3) ◽  
pp. 1420-1429 ◽  
Author(s):  
Gilles Hoffmann ◽  
Derek G. Kamper ◽  
Jennifer H. Kahn ◽  
William Z. Rymer ◽  
Brian D. Schmit

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.


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