Monosynaptic Reflex Pathway Research Articles

Time Window of Perturbation-Induced Response Triggered by Ankle Motion and Body Sway above the Ankle.

We determined the precise time windows of the electromyographic (EMG) response components triggered by ankle motion and by body sway above the ankle. A support surface under the feet of healthy young adult participants in the quiet stance was moved in translation. The EMG response component triggered by body displacement above the ankle began at 95–100 ms and ended 145–155 ms after the onset of the support surface translation. The EMG response triggered by ankle dorsiflexion began at 35–50 ms and ended 110–115 ms after the onset of the translation in the soleus muscle, indicating that the response component began at a time similar to the short-latency response. In contrast, the response component in the gastrocnemius muscle began noticeably after that. The EMG response triggered by ankle dorsiflexion began at 75–85 ms and ended 125–135 ms after the onset of the translation in the gastrocnemius muscle. Our findings indicate that the threshold of the early response component to the somatic sensation of the ankle motion in the soleus muscle is lower than that in the gastrocnemius muscle. The response component triggered by the ankle motion continued long after the end of ankle dorsiflexion, indicating that the early component is mediated not only by the monosynaptic stretch reflex pathway but also by the polysynaptic pathway.

Sensor-Motor Maps for Describing Linear Reflex Composition in Hopping.

In human and animal motor control several sensory organs contribute to a network of sensory pathways modulating the motion depending on the task and the phase of execution to generate daily motor tasks such as locomotion. To better understand the individual and joint contribution of reflex pathways in locomotor tasks, we developed a neuromuscular model that describes hopping movements. In this model, we consider the influence of proprioceptive length (LFB), velocity (VFB) and force feedback (FFB) pathways of a leg extensor muscle on hopping stability, performance and efficiency (metabolic effort). Therefore, we explore the space describing the blending of the monosynaptic reflex pathway gains. We call this reflex parameter space a sensor-motor map. The sensor-motor maps are used to visualize the functional contribution of sensory pathways in multisensory integration. We further evaluate the robustness of these sensor-motor maps to changes in tendon elasticity, body mass, segment length and ground compliance. The model predicted that different reflex pathway compositions selectively optimize specific hopping characteristics (e.g., performance and efficiency). Both FFB and LFB were pathways that enable hopping. FFB resulted in the largest hopping heights, LFB enhanced hopping efficiency and VFB had the ability to disable hopping. For the tested case, the topology of the sensor-motor maps as well as the location of functionally optimal compositions were invariant to changes in system designs (tendon elasticity, body mass, segment length) or environmental parameters (ground compliance). Our results indicate that different feedback pathway compositions may serve different functional roles. The topology of the sensor-motor map was predicted to be robust against changes in the mechanical system design indicating that the reflex system can use different morphological designs, which does not apply for most robotic systems (for which the control often follows a specific design). Consequently, variations in body mechanics are permitted with consistent compositions of sensory feedback pathways. Given the variability in human body morphology, such variations are highly relevant for human motor control.

Short-Term Plasticity in a Monosynaptic Reflex Pathway to Forearm Muscles after Continuous Robot-Assisted Passive Stepping.

Both active and passive rhythmic limb movements reduce the amplitude of spinal cord Hoffmann (H-) reflexes in muscles of moving and distant limbs. This could have clinical utility in remote modulation of the pathologically hyperactive reflexes found in spasticity after stroke or spinal cord injury. However, such clinical translation is currently hampered by a lack of critical information regarding the minimum or effective duration of passive movement needed for modulating spinal cord excitability. We therefore investigated the H-reflex modulation in the flexor carpi radialis (FCR) muscle during and after various durations (5, 10, 15, and 30 min) of passive stepping in 11 neurologically normal subjects. Passive stepping was performed by a robotic gait trainer system (Lokomat®) while a single pulse of electrical stimulation to the median nerve elicited H-reflexes in the FCR. The amplitude of the FCR H-reflex was significantly suppressed during passive stepping. Although 30 min of passive stepping was sufficient to elicit a persistent H-reflex suppression that lasted up to 15 min, 5 min of passive stepping was not. The duration of H-reflex suppression correlated with that of the stepping. These findings suggest that the accumulation of stepping-related afferent feedback from the leg plays a role in generating short-term interlimb plasticity in the circuitry of the FCR H-reflex.

Reduction of spinal sensory transmission by facilitation of 5-HT1B/D receptors in noninjured and spinal cord-injured humans

Activation of receptors by serotonin (5-HT1) and norepinephrine (α2) on primary afferent terminals and excitatory interneurons reduces transmission in spinal sensory pathways. Loss or reduction of descending sources of serotonin and norepinephrine after spinal cord injury (SCI) and the subsequent reduction of 5-HT1/α2 receptor activity contributes, in part, to the emergence of excessive motoneuron activation from sensory afferent pathways and the uncontrolled triggering of persistent inward currents that depolarize motoneurons during muscle spasms. We tested in a double-blind, placebo-controlled study whether facilitating 5-HT1B/D receptors with the agonist zolmitriptan reduces the sensory activation of motoneurons during an H-reflex in both noninjured control and spinal cord-injured participants. In both groups zolmitriptan, but not placebo, reduced the size of the maximum soleus H-reflex with a peak decrease to 59% (noninjured) and 62% (SCI) of predrug values. In SCI participants we also examined the effects of zolmitriptan on the cutaneomuscular reflex evoked in tibialis anterior from stimulation to the medial arch of the foot. Zolmitriptan, but not placebo, reduced the long-latency, polysynaptic component of the cutaneomuscular reflex (first 200 ms of reflex) by ∼50%. This ultimately reduced the triggering of the long-lasting component of the reflex (500 ms poststimulation to end of reflex) known to be mediated by persistent inward currents in the motoneuron. These results demonstrate that facilitation of 5-HT1B/D receptors reduces sensory transmission in both monosynaptic and polysynaptic reflex pathways to ultimately reduce long-lasting reflexes (spasms) after SCI.

Heteronymous reflex connections in human upper limb muscles in response to stretch of forearm muscles

Torque motor produced stretch of upper limb muscles results in two distinct reflex peaks in the electromyographic activity. Whereas the short-latency reflex (SLR) response is mediated largely by the spinal monosynaptic reflex pathway, the longer-latency reflex (LLR) is suggested to involve a transcortical loop. For the SLRs, patterns of heteronymous monosynaptic Ia connections have been well-studied for a large number of muscles in the cat and in humans. For LLRs, information is available for perturbations to proximal joints, although the protocols for most of these studies did not focus on heteronymous connections. The main objective of the present study was to elicit both SLRs and LLRs in wrist flexors and extensors and to examine heteronymous connections from these muscles to elbow flexors (biceps brachii; BiBr) and extensors (triceps brachii; TriBr) and to selected distal muscles, including abductor pollicis longus (APL), first dorsal interosseous (FDI), abductor digiti minimi (ADM), and Thenars. The stretch of wrist flexors produced SLR and LLR peaks in APL, FDI, ADM, Thenars, and BiBr while simultaneously inducing inhibition of wrist extensors and TriBr. When wrist extensors were stretched, SLR and LLR peaks were observed in TriBr, whereas the primary wrist flexors, APL and BiBr, were inhibited; response patterns of FDI, ADM, and Thenars were less consistent. The main conclusions from the observed data are that: 1) as in the cat, afferents from wrist flexors and extensors make heteronymous connections with proximal and distal upper limb muscles; and 2) the strength of heteronymous connections is greater for LLRs than SLRs in the distal muscles, whereas the opposite is true for the proximal muscles. In the majority of observations, SLR and LLR excitatory peaks were observed together. However, on occasion, LLRs were observed without the SLR response in hand muscles when wrist extensors were stretched.

Better functional outcome of compression spinal cord injury in mice is associated with enhanced H-reflex responses

Alterations in spinal reflexes and functional improvements occur after incomplete spinal cord injury but the relationship between these phenomena is not understood. Here we show that spontaneous functional recovery after compression injury of the spinal cord at low-thoracic level (Th10–12) in C57BL/6J mice is associated with a progressively increasing, over 3 months, excitability of the plantar H-reflex. The stimulation rate-sensitive H-reflex depression, already strongly reduced at 1 week after injury, when compared with non-injured mice, decreased further during the observation time period. Twelve weeks after injury, the degree of motor recovery estimated by single-frame motion analysis in individual animals correlated positively with their H-reflex responses at 2-Hz stimulation. Functional recovery and reflex alterations were accompanied by an increase in glycine/GABAergic and glutamatergic terminals around motoneuron cell bodies between 6 and 12 weeks after injury. Enhanced H-reflex responses at frequencies between 0.1 and 5 Hz were also observed in mice deficient in the extracellular matrix glycoprotein tenascin-R and the adhesion molecule close homolog of L1, mice previously shown to have better motor recovery after spinal cord injury than wild-type littermates. These results indicate that better functional outcome of compression spinal cord injury in mice is associated with alterations of the monosynaptic reflex pathway which facilitate motoneuron recruitment. Our observations support the view that plasticity of spinal circuitries underlies specific aspects of motor recovery and demonstrate the usefulness of H-reflex analyses in studies on spinal cord injury in mice.

The monosynaptic Ia afferent pathway can largely explain the stretch duration effect of the long latency M2 response

Sudden stretch of active muscle typically results in two characteristic electromyographic responses: the short latency M1 and the long latency M2. The M1 response originates from the monosynaptic Ia afferent reflex pathway. The M2 response is less well understood and is likely a compound response to different afferent inputs mediated by spinal and transcortical pathways. In this study the possible contribution of the Ia afferent pathway to the M2 response was investigated. A mechanism was hypothesized in which the M1 response synchronizes the motoneurons, and therewith their refractory periods. Stretch perturbation experiments were performed on the wrist and results were compared with a computational model of a pool of motoneurons receiving tonic and Ia afferent input. The simulations showed the same stretch amplitude, velocity, and duration-dependent characteristics on the M2 as found experimentally. It was concluded that the stretch duration effect of the M2 likely originates from the proposed Ia afferent mediated mechanism.

Inhibitory effect of the Jendrassik maneuver on the stretch reflex

The Jendrassik maneuver (JM) is a method for enhancing sluggish tendon-tap jerks at medical examination. It is the thesis of this paper that JM effects should not be limited to the monosynaptic reflex pathway but extend to the entire response elicited in the stretched muscle. This consists of a short-latency response (SLR) corresponding to the mono- and oligosynaptic reflex and a medium-latency response (MLR) relayed by group-II spindle afferent fibers and likely made of a segmental burst and a transcortical loop. Soleus (Sol) SLR and MLR were evoked by toe-up and tibialis anterior (TA) MLR by toe-down platform rotation in 15 standing subjects and recorded by surface electromyogram (EMG). For each stimulus type, up to 20 perturbations were elicited during i) quiet stance (Control) and while ii) performing JM, iii) leaning forward (FW), iv) holding onto a stable frame (Holding). For each subject, stimulus type and condition, rectified EMG traces were averaged. Based on the comparison of the population grand averages, selective effects of JM on the responses were identified. Appropriate time windows were set for measuring the area of SLR and of the early and late burst of MLR (MLR1 and MLR2). Significant changes in response size, but not latency, were induced by all conditioning procedures. During toe-up, JM slightly increased Sol SLR; FW increased both Sol background activity and SLR; MLR1 was not affected by JM, but increased by FW; MLR2 was strongly diminished by JM and increased by FW. During toe-down, JM did not affect TA MLR1, but strongly diminished MLR2. Under Holding condition, Sol SLR to toe-up was unaffected, but both MLR1 and MLR2 to toe-up and toe-down were diminished, in both Sol and TA. JM selectively decreases the response component (MLR2) starting about 100 ms from onset of the stretch, in both extensor and flexor muscles. Latency and quality of the JM effect on MLR2 indicate that JM operates by gating a long-loop, possibly transcortical pathway. This new information suggests that lesions of cortical areas or descending pathways can exert enhancing effects on muscle tone by removing an inhibitory action on the late component of the stretch reflex.

Modulation of soleus H reflex due to stance pattern and haptic stabilization of posture

The quiet stance is a complicated motor act requiring sophisticated sensorimotor integration to balance an artificial inverted pendulum with the ankle musculature. The objective of this study was to characterize the effects of stance pattern (bilateral stance vs. unilateral stance) and directional influence of light finger touch (medial–lateral vs. anterior–posterior) in unilateral stance upon responsiveness of the soleus H reflex. Sixteen healthy volunteers (mean age, 24.25 ± 1.77 years) participated in four postural tasks with the eyes open, including the bilateral stance (BS), the unilateral stance without finger touch (USNT), and with finger touch in the medial–lateral direction (USML) and anterior–posterior direction (USAP). Meanwhile, the soleus H reflex, the pre-stimulus background activity of ankle antagonist pairs, and center of pressure (CoP) sway were measured. In reference to the BS, the USNT resulted in a significant stance effect on suppression of the soleus H reflex ( H/ M max) associated with enhancement of CoP sway. Among the conditions of unilateral stance, there was a marked directional effect of finger touch on modulation of the H/ M max. A greater disinhibition of the H/ M max in consequence to light touch in the ML direction than in the AP direction was noted ( H/ M max: USML > USAP > USNT). This directional modulation of the soleus H reflex concurred with haptic stabilization of posture in unilateral stance, showing a more pronounced reduction in CoP sway in the USML condition than in the USAP condition. However, alteration in postural sway and modulation of the soleus H reflex were not mutually correlated when stance pattern or touch vector varied. In conclusion, gating of the soleus H reflex indicated adaptation of an ankle strategy to stance pattern and haptic stabilization of posture. Relative to bilateral stance, postural maintenance in unilateral stance relied less on reflexive correction of the soleus. When finger touch was provided in line with prevailing postural threat in the lateral direction, postural stability in unilateral stance was better secured than finger touch in anterior–posterior direction, resulting in more pronounced disinhibition of the monosynaptic reflex pathway.

Stochastic Resonance in the Motor System: Effects of Noise on the Monosynaptic Reflex Pathway of the Cat Spinal Cord

In sensory systems, the presence of a particular nonzero level of noise may significantly enhance the ability of an individual to detect weak sensory stimuli through a phenomenon known as stochastic resonance (SR). The aim of this study was to demonstrate if such phenomenon is also exhibited by the motor system; in particular, in the Ia-motoneuron synapse of the cat spinal cord. Monosynaptic reflexes elicited by periodic electrical stimulation to the medial gastrocnemius nerve were recorded in the L(7) ventral root (or in single motoneurons) of decerebrated cats. Random stretches (mechanical noise) were applied to the lateral gastrocnemius plus soleus muscle by means of a closed-loop mechanical stimulator-transducer. In all cats, we observed the SR phenomenon. The amplitude of the monosynaptic reflexes (or number of action potentials recorded in the motoneurons) evoked by the weak electrical stimuli applied to the medial gastrocnemius nerve were an inverted U-like function of the mechanical noise applied to the lateral gastrocnemius plus soleus muscle. A significant maximum value in the amplitude of the monosynaptic responses was reached with a particular noise amplitude value. Numerical simulations on a model of the monosynaptic reflex pathway qualitatively reproduce this stochastic resonance behavior. We conclude that the monosynaptic reflex response elicited by Ia afferents is optimized by the noisy stretching of a synergistic muscle. Our study provides the first direct demonstration that the motor system, and not only the sensory systems, exhibits the SR phenomenon.

The posture-related interaction between Ia-afferent and descending input on the spinal reflex excitability in humans

The separate and combined depressive effects induced by vibration and standing on the soleus H-reflex have been studied by administering Achilles’ tendon vibration in prone position and during stance. Without vibration, H-reflex amplitude was larger under prone than standing condition. Vibration reduced the reflex both in prone position and even more during stance. When vibration was superimposed to inclined stance (greater EMG background), the reflex was reduced of the same absolute amount as when it was superimposed to normal stance. When vibration was superimposed on stance with minimal or no background EMG, the reflex disappeared. These results confirm that both upright posture and vibration have a strong depressive effect on the H-reflex. They also show that muscle activity during stance is enough for overcoming the reflex depression. These findings provide information about the origin of the disfacilitatory effects on the monosynaptic reflex pathway, contribute to the understanding of the posture-related mechanisms responsible for the modulation of the spinal reflex excitability, and allow arguing in favour of a minor but adaptable role for the short latency stretch reflex in the control of quiet unperturbed stance.

Stretch and H Reflexes in Triceps Surae Are Similar During Tonic and Rhythmic Contractions in High Decerebrate Cats

During locomotion in decerebrate and spinal cats the group Ia afferents from hind leg muscles are depolarized rhythmically. An earlier study concluded that this locomotor-related primary afferent depolarization (PAD) does not contribute to modulation of monosynaptic reflex pathways during locomotion. This finding indicated that the neural network generating the locomotor rhythm, the central pattern generator (CPG), does not presynaptically inhibit monosynaptic reflexes. In this investigation we tested this prediction in decerebrate cats by measuring the magnitude of reflexes evoked in ankle extensor muscles during periods of tonic contractions and during sequences of rhythmic contractions. The latter occurred when the animal was induced to walk on a treadmill. At the similar levels of activity in the soleus muscle there was no significant difference in the magnitude of the soleus H reflex in these two behavioral situations. Similar results were obtained for reflexes evoked by brief stretches of the soleus muscle. We also examined the reflexes evoked by ramp-and-hold stretches during periods of rhythmic and tonic activity of the isolated medial gastrocnemius (MG) muscle. At similar levels of background activity, the reflexes evoked in the MG muscle were the same during rhythmic and tonic contractions. Our failure to observe a reduction in the magnitude of H reflexes and stretch reflexes during rhythmic contractions, compared with reflexes evoked at the same level of background activity during tonic contractions, is consistent with the notion that the CPG for stepping does not presynaptically inhibit monosynaptic reflexes during the extension phase of locomotor activity. Our results indicate that presynaptic inhibition of the monosynaptic reflex associated with normal locomotion in cats or humans arises from sources other than the extensor burst generating system of the central pattern generator.

Neurotrophin Modulation of the Monosynaptic Reflex after Peripheral Nerve Transection

The effects of neurotrophin-3 (NT-3) and NT-4/5 on the function of axotomized group Ia afferents and motoneurons comprising the monosynaptic reflex pathway were investigated. The axotomized medial gastrocnemius (MG) nerve was provided with NT-3 or NT-4/5 for 8-35 d via an osmotic minipump attached to its central end at the time of axotomy. After this treatment, monosynaptic EPSPs were recorded intracellularly from MG or lateral gastrocnemius soleus (LGS) motoneurons in response to stimulation of the heteronymous nerve under pentobarbital anesthesia. Controls were preparations with axotomized nerves treated directly with vehicle; other axotomized controls were administered subcutaneous NT-3. Direct NT-3 administration (60 microgram/d) not only prevented the decline in EPSP amplitude from axotomized afferents (stimulate MG, record LGS) observed in axotomy controls but, after 5 weeks, led to EPSPs larger than those from intact afferents. These central changes were paralleled by recovery of group I afferent conduction velocity. Removal of NT-3 4-5 weeks after beginning treatment resulted in a decline of conduction velocity and EPSP amplitude within 1 week to values characteristic of axotomy. The increased synaptic efficacy after NT-3 treatment was associated with enhanced connectivity of single afferents to motoneurons. NT-4/5 induced modest recovery in group I afferent conduction velocity but not of the EPSPs they elicited. NT-3 or NT-4/5 had no effect on the properties of treated motoneurons or their monosynaptic EPSPs. We conclude that NT-3, and to a limited extent NT-4/5, promotes recovery of axotomized group Ia afferents but not axotomized motoneurons or the synapses on them.

Control of transmission in muscle group IA afferents during fictive locomotion in the cat.

1. Primary afferent depolarization (PAD) can be evoked by sensory volleys, supraspinal commands, or the activity of spinal locomotor networks (locomotor-related PAD). In this study we investigated the effect of locomotor-related PAD and of sensory-evoked PAD on the monosynaptic transmission between the group IA muscle afferents and motoneurons in the lumbosacral spinal cord. 2. Six pairs of group IA afferents and motoneurons [4 tibialis anterior (TA), 1 medial gastrocnemius (MG), 1 lateral gastrocnemius-soleus (LGS)] were successfully recorded intracellularly during spontaneous fictive locomotion in the decerebrate cat. The membrane potentials of TA axons and motoneurons were maximally depolarized during the flexor phase of the locomotor cycle. In MG and LGS pairs, the maximum depolarization in IA axons occurred during the flexor phase and, in motoneurons, during the extensor phase. There were no antidromic discharges in the recorded axons. The effects of locomotor-related PAD on IA transmission were evaluated by comparing the unitary excitatory postsynaptic potentials (EPSPs) in the motoneuron evoked by the spontaneous orthodromic firing of the group IA axon during the flexor and extensor phases, respectively. In TA pairs, the maximum amplitude of unitary EPSPs occurred during the flexor phase when the motoneuron and the axon were maximally depolarized. In the MG and LGS pairs, the maximal amplitude of unitary EPSPs occurred during the extensor phase when the motoneuron was maximally depolarized and when the axon was the least depolarized. Overall, the amplitude of unitary EPSPs was clearly modulated during the fictive step cycle and always reached a maximum during the depolarized phase of the motoneuron, whether the group IA axon was maximally depolarized or not during that phase. 3. The effect of sensory-evoked PAD on synaptic transmission was also studied in nonlocomoting preparations. One TA pair was successfully recorded and PADs were evoked by the stimulation of a peripheral nerve. The amplitude of unitary EPSPs in the motoneuron was greatly depressed during the PADs. This result is a direct demonstration of the presynaptic inhibition associated with the sensory-evoked PAD in the monosynaptic reflex pathway of the cat. 4. We conclude from these results that the locomotor-related PAD did not contribute significantly to the modulation of transmission in the monosynaptic reflex pathway of the cat during fictive locomotion. On the other hand, the results confirmed that PAD evoked by sensory input decreases group IA afferent transmission efficiently most probably by presynaptic inhibition. The results suggest therefore that, during real locomotion, sensory feedback induced by the moving limbs or perturbations will evoke an important presynaptic inhibition of the release from group IA primary afferent terminals.

Fluctuations of excitability in the monosynaptic reflex pathway to lumbar motoneurons in the cat

1. It is well known that the amplitude of successive monosynaptic reflexes (MSR), elicited by afferent stimuli of constant strength, fluctuate from trial to trial. Previous evidence suggests that such excitability fluctuations within the motor pool can be introduced either pre- and/or postsynaptically. Using unanesthetized decerebrate or decerebrate/spinal cats, we attempted to evaluate the relative importance of pre- and postsynaptic mechanisms to MSR variability and the potential contribution of changes in the identities of responding motoneurons to such variability. 2. Comparisons between the MSR amplitude, measured in a severed ventral root, and the probability of firing of up to three individual motoneurons in fine filaments teased from the same root, confirmed that both correlated and uncorrelated fluctuations of motoneuron excitability are involved in MSR variability. Linear regression analysis from concurrent intracellular recordings from homonymous motoneurons showed that the MSR fluctuations were correlated with the variations in membrane potential baseline, as well as with the fluctuations in the monosynaptic excitatory postsynaptic potential peak amplitude. In all 11 cases tested, the former correlation was stronger than the latter. 3. Stimulation of the caudal cutaneous sural nerve (CCS) was used to alter the postsynaptic potential background on which triceps surae (GS) MSRs were generated. The interval chosen between CCS conditioning and the GS stimulation excluded the involvement of presynaptic inhibition. When conditioned by preceding CCS stimulation, GS population MSRs generally (8/9 cases tested) increased in amplitude without much change in their overall variance. However, the individual motoneurons that contributed to the population responses did show changes in both relative excitability and in the uncorrelated component of their response variance. About half of the concurrently recorded motoneurons (6/13) showed a decrease in relative excitability after CCS conditioning, 5/13 showed an increase, and 2/13 were unchanged. Comparison of unit and population responses indicated that the identities of the motoneurons that responded at any given level of population response were quite different with and without CCS conditioning. 4. High-frequency stimulation of Ia fibers was used to alter the state of presynaptic Group Ia-afferents that produced population MSRs. Post tetanic potentiation following high-frequency stimulation did not greatly alter the variance of population MSRs or ratio of correlated and uncorrelated fluctuations in MSR responses among individual motoneurons within the responding population. However, intratetanic depression and posttetanic potentiation of population MSRs were accompanied by marked shifts in individual motoneuron excitability relative to the population response, again indicated that changes in the identities of responding motoneurons contributes to population response fluctuations.(ABSTRACT TRUNCATED AT 400 WORDS)

Simulatory and inhibitory effects of 5-HT agonists on spinal monosynaptic reflex pathways

Simulatory and inhibitory effects of 5-HT agonists on spinal monosynaptic reflex pathways

FES and spasticity.

A model of hemiplegic spasticity based on electromyographical and biomechanical parameters measured during passive muscle stretching is presented. Two components of spasticity can be distinguished--phasic and tonic. This classification depends on the pattern of stretch reflex activity which can be either phasic or tonic as well as on the muscle stretch/tension characteristic. Stretch reflex, as a control loop, is in phasic spasticity characterized by increased sensitivity to velocity of stretching. In tonic spasticity, sensitivity to length of stretching is increased. After the injury, phasic spasticity appears first and invokes monosynaptic reflex pathways. The intensity of tonic spasticity increases with the duration of disability and hence causes changes in muscle fiber biomechanical properties. The model mentioned above has been used to evaluate the effects of FES on spasticity. Hemiplegic patients with implanted peroneal nerve stimulator for gait correction were followed up for one year starting a week before implantation. Long-term use of FES resulted in decrease of tonic spasticity in both ankle joint antagonistic muscle groups. In stimulated tibialis anterior muscle, the phasic type of spasticity increased. To obtain the correlation between changes in spasticity and functional abilities of patients, the maximal voluntary isometric contraction of both muscle groups was also measured. An improvement in voluntary strength was also observed. This can be taken as additional evidence that tonic spasticity is of greater physiological and clinical significance than phasic spasticity. It may be concluded that use of FES can decrease tonic spasticity and, if applied early after the injury, can prevent the appearance of tonic spasticity.

Development of the monosynaptic reflex pathway in the human spinal cord

Development of the monosynaptic reflex pathway of the spinal cord was investigated in 96 neurologically normal infants with ages ranging from 25 weeks in postconceptional age (PCA) to 24 months after full-term delivery (PDA) by examining H-reflexes from the triceps surae and hypothenar muscles in terms of their incidence, latency and maximal size in reference to the maximal M-wave. The triceps H-reflex was evoked in all cases, and the latency was longest (26 ms) in the youngest case of 25 weeks (PCA). It gradually shortened until full-term gestation, reaching the shortest value of 17 ms (mean). The H-reflex size initially increased until full-term gestation, reaching the maximum value of 70% and then reducing gradually to the plateau level of about 30% at 12 months (PDA). The hypothenar H-reflex could not be elicited until 32 weeks (PCA). The time course of changes in its latency and size was similar to those of the triceps H-reflex, except that it could not be elicited after 12 months (PDA). Thus, the monosynaptic reflex pathway is already functioning at the age of 25 weeks (PCA) in man. The significance of the systematic change in latency and excitability of the H-reflex with age is discussed.

Morphological and physiological studies of development of the monosynaptic reflex pathway in the rat lumbar spinal cord.

1. The developmental process of the monosynaptic reflex pathway was investigated morphologically and electrophysiologically in isolated lumbar spinal cords of new-born and fetal rats. 2. Dorsal root fibres were stained with horseradish peroxidase in the fourth lumbar (L4) segment at different ages ranging from embryonic day (E) 15.5 to post-natal day (P) 0. At E15.5, several collaterals issued from axons in the dorsal funiculus and reached the dorsal part of the dorsal horn. At E16.5, the number of collaterals entering the grey matter increased. Also, a group of collaterals extended ventralwards forming a bundle, and reached the intermediate region. At E17.5, a small number of collaterals reached the motor nuclei. The number of collaterals entering the motor nuclei increased almost linearly with age: 0 at E15.5 and at E16.5, 27 at E17.5, 184 at E18.5, 432 at E19.5 and 746 at P0. 3. The tips of collaterals and their branches had growth cones, boutons (round or oval varicosities) or other varicosities. The mean number of branches with these structures per collateral in the motor nuclei was 1.2 at E17.5, 2.5 at E18.5, 3.6 at E19.5 and 5.8 at E20.5. 4. The percentage of collaterals having growth cones in the motor nuclei was 75% at E17.5, 70% at E18.5, 38% at E19.5 and 15% at E20.5. 5. The mean number of boutons per collateral in the motor nuclei was 0.6 at E17.5, 3.2 at E18.5, 4.9 at E19.5 and 10.7 at E20.5. This increase with age was caused by both branching of collaterals and the increase in the number of boutons of the en passant type. The estimated total number of boutons in the motor nuclei of the L4 segment steeply increased after E17.5: 16 at E17.5, ca. 600 at E18.5, ca. 2000 at E19.5 and ca. 8000 at E20.5-P0. 6. Stimulation of the L4 dorsal root evoked a reflex response in the L4 ventral root, recorded as the ventral root potential, in two out of nine preparations at E15.5 and in all preparations at and after E16.5. The onset of the ventral root potential indicated the onset of excitatory post-synaptic potentials in motoneurones. The segmental latency of the ventral root potentials was markedly shortened between E17.5 and E18.5 (from 12.5 to 7.2 ms) and essentially unchanged at the later stages. 7. The magnitude of monosynaptic reflex responses in the L4 segment gradually increased with age during prenatal stages, becoming maximal at P2-3 and then decreased at the following stages (P4-P8).(ABSTRACT TRUNCATED AT 400 WORDS)

Effects of IDPN-induced axonal swellings on conduction in motor nerve fibers

Paranodal demyelination produces a reduction of conduction velocity and conduction block. The relative proportions of these changes appear to vary among different demyelinating disorders. In this study we have examined the effects on conduction of paranodal demyelination produced by giant axonal swellings. The axonal swellings were induced in rats by administration of β,β′-iminodipropionitrile (IDPN). In this experimental model synchronous axonal swellings occur in the proximal region of virtually every α-motorneuron without evidence of segmental demyelination or fiber loss. Conduction across the motor neuron was evaluated by two methods: a monosynaptic reflex pathway and intracellular recording from single motor neurons. Increases in the delay across the central region of the monosynaptic reflex pathway began between 2 and 4 days after toxin administration. Intracellular studies confirmed that the slowing occurred across the proximal regions of the motor axons; more distal regions of the motor axons were unaffected. The substantial reduction in conduction velocity over the swollen segment occurs with only moderate evidence of conduction block, as assayed by a reduction in the H-reflex/M-response amplitude ratio. Parallel morphological studies showed that in the enlarged fibers the myelin terminal loops maintained contact with the axon but were displaced from the paranodal region into the internode. The appearance of this “passive” paranodal demyelination correlated closely with the increase in conduction delay. We suggest that the contact maintained by the displaced myelin terminal loops with the axolemma allows saltatory conduction to continue, and explains the paucity of conduction block in this model despite the prominent conduction slowing.