Changes in the short- and long-latency stretch reflex components of the triceps surae muscle during ischaemia in man.
1. In order to establish the afferent source responsible for the M1 and M2 stretch reflex components of the voluntarily activated human triceps surae muscle, mechanical reflex testing was applied before and during ischaemic blockade of the lower limb. This procedure is known to affect large, fast conducting afferent fibres earliest, specifically Ia afferents arising from muscle spindle afferents. 2. It was found that both the M1 and M2 components were eliminated at the same time, at a point when the P40 peak in the somatosensory evoked potential, produced from stimulation of fast conducting peripheral afferents, was also abolished. This evidence indicates that both reflex components are mediated by information carried by muscle spindle Ia afferents. 3. The M1 component was selectively increased in the early stages of ischaemia. The M2 response did not increase during this period, but showed a tendency to reduce in amplitude. This effect may arise as the result of increased recruitment of motor units in the M1 component reducing the number of units available for activation in the M2 response. 4. These results do not support the view that the M2 reflex component of the triceps surae muscle is mediated by secondary afferent information, but indicate, rather, that both the M1 and M2 components are mediated by Ia afferent information acting on spinal pathways.
Fellows
S J
SJ
Neurologische Klinik, Alfried Krupp Krankenhaus, Essen, Germany.
Dömges
F
F
Töpper
R
R
Thilmann
A F
AF
Noth
J
J
D000328:Adult; D000344:Afferent Pathways / Q000503:physiopathology; D004558:Electric Stimulation; D004576:Electromyography; D005073:Evoked Potentials, Somatosensory / Q000502:physiology; D006801:Humans; D007511:Ischemia / Q000503:physiopathology*; D007866:Leg; D009046:Motor Neurons / Q000502:physiology; D009132:Muscles / Q000098:blood supply* / Q000294:innervation / Q000503:physiopathology*; D009431:Neural Conduction / Q000502:physiology; D012026:Reflex, Stretch / Q000502:physiology*