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The Use of Short- and Long-Latency Reflex Testing in Leg Muscles of Neurological Patients

  • Conference paper
Clinical Aspects of Sensory Motor Integration

Part of the book series: Advances in Applied Neurological Sciences ((NEUROLOGICAL,volume 4))

Abstract

Hammond [27, 28] originally described electromyographic (EMG) responses of long latency, which were evoked 50 ms later than the stretch reflex, when the biceps brachii muscle was suddenly extended and the subject was instructed to resist the displacement. These EMG responses were considered to be “automatic” in nature, for their latency was 40 ms shorter than the fastest voluntary reaction to a mechanical stimulus. There has been a long controversy as to the possible pathway and generators as well as the function of “long-loop reflexes” (for reviews see [8, 12, 13, 57]). Despite the fact that different types of EMG responses can be evoked from finger, hand, arm, and leg muscles labelled with a varying terminology, there are some common features of these long-latency responses. The best way to generate them is a sudden angular displacement of the joint with a certain minimal velocity and duration [5, 8, 34]. Prestretching or loading of the stretched muscle is required but can be replaced by an instruction given to the subject to resist the imposed displacement. Functional requirements obviously determine strength and temporal pattern of these responses [15, 30].

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References

  1. Ackermann H, Diener HC, Dichgans J (1985) Diagnostische Bedeutung von Long loop-Reflexen bei spinalen Läsionen. EEG EMG 16: 35

    Google Scholar 

  2. Allum JHJ, Pfaltz CR (1985) Visual and vestibular contributions to pitch sway stabilization in the ankle muscles of normals and patients with bilateral peripheral vestibular deficits. Exp Brain Res 58: 82–94

    Article  PubMed  CAS  Google Scholar 

  3. Angel RW (1982) Shortening reaction in normal and parkinsonian subjects. Neurology (Ny) 32: 246–251

    CAS  Google Scholar 

  4. Bathien N, Toma S, Rondot P (1981) Etude de la réaction de raccourcissement présente chez l’homme dans diverses affections neurologiques. Rôle des afférences articulaires. Electroencephalogr Clin Neurophysiol 51: 156–164

    Article  PubMed  CAS  Google Scholar 

  5. Berardelli A, Hallett M, Kaufman C, Fine E, Berenberg W, Simon SR (1982) Stretch reflexes of triceps surae in normal man. J Neurol Neurosurg Psychiatry 45: 513–525

    Article  PubMed  CAS  Google Scholar 

  6. Berardelli A, Sabra AF, Hallett M (1983a) Physiological mechanisms of rigidity in Parkinson’s disease. J Neurol Neurosurg Psychiatry 46: 45–53

    Article  PubMed  CAS  Google Scholar 

  7. Berardelli A, Sabra AF, Hallett M, Berenberg W, Simon SR (1983b) Stretch reflexes of triceps surae in patients with upper motor neuron syndromes. J Neurol Neurosurg Psychiatry 46: 54–60

    Article  PubMed  CAS  Google Scholar 

  8. Chan CWY (1983) Segmental versus suprasegmental contributions to long-latency stretch responses in man. In: Desmedt JE (ed) Motor control mechanisms in health and disease. Raven, New York, pp 467–487

    Google Scholar 

  9. Chan CWY, Kearney RE, Melvill Jones G (1979a) Tibialis anterior responses to sudden ankle displacements in normal and Parkinsonian subjects. Brain Res 173: 303–314

    Article  PubMed  CAS  Google Scholar 

  10. Chan CWY, Melvill Jones G, Kearney RE, Watt DGD (1979b) The “late” electromyographic response to limb displacement in man. Electroencephalogr Clin Neurophysiol 46: 173–181

    Article  PubMed  CAS  Google Scholar 

  11. Cheney PD, Fetz EE (1984) Corticomotoneural cells contribute to long-latency stretch reflexes in the rhesus monkey. J Physiol (Lond) 349: 249–272

    CAS  Google Scholar 

  12. Desmedt JE (ed) (1978) Cerebral motor control in man: long loop mechanisms. Karger, Basel

    Google Scholar 

  13. Desmedt JE (ed) (1983) Motor control mechanisms in health and disease. Raven, New York

    Google Scholar 

  14. Dichgans J, Diener HC (1985) Clinical evidence for functional compartmentalization of the cerebellum. In: Bloedel JR, Dichgans J, Precht W (eds) Cerebellar functions. Springer, Berlin Heidelberg New York, pp 126–147

    Google Scholar 

  15. Diener HC, Bootz F, Dichgans J, Bruzek W (1983) Variability of postural “reflexes” in humans. Exp Brain Res 52: 423–428

    Article  PubMed  CAS  Google Scholar 

  16. Diener HC, Dichgans J, Bacher M, Guschlbauer B (1984a) Characteristic alterations of long loop “reflexes” in patients with Friedreich’s ataxia and late atrophy of the anterior cerebellar lobe. J Neurol Neurosurg Psychiatry 47: 679–685

    Article  PubMed  CAS  Google Scholar 

  17. Diener HC, Dichgans J, Bacher M, Guschlbauer B (1984b) Improvement of ataxia in late cortical cerebellar atrophy through alcohol abstinence. J Neurol 231: 258–262

    Article  PubMed  CAS  Google Scholar 

  18. Diener HC, Dichgans J, Bootz F, Bacher M (1984c) Early stabilization of human posture after a sudden disturbance: influence of rate and amplitude of displacement. Exp Brain Res 56: 126–134

    Article  PubMed  CAS  Google Scholar 

  19. Diener HC, Dichgans J, Guschlbauer B, Mau H (1984d) The significance of proprioception on postural stabilization as assessed by ischemia. Brain Res 296: 103–109

    Article  PubMed  CAS  Google Scholar 

  20. Diener HC, Dichgans J, Hülser PJ, Buettner UW, Bacher M, Guschlbauer B (1984e) The significance of long loop “reflexes” for the diagnosis of multiple sclerosis. Electroencephalogr Clin Neurophysiol 57: 336–342

    Article  PubMed  CAS  Google Scholar 

  21. Diener HC, Ackermann H, Dichgans J, Guschlbauer B (1985) Medium-and long-latency responses to displacements of the ankle joint in patients with spinal and central lesions. Electroencephalogr Clin Neurophysiol 60: 407–416

    Article  PubMed  CAS  Google Scholar 

  22. Eklund G, Hagbarth KE, Hagglund JU, Wallin EU (1982) Mechanical oscillations contributing to the segmentation of the reflex electromyogram response to stretching human muscles. J Physiol 326: 65–77

    PubMed  CAS  Google Scholar 

  23. Friedemann HH, Noth J, Diener HC, Bacher M (1987) Long-latency EMG responses in hand and leg muscles. I. Cerebellar disorders. J Neurol Neurosurg Psychiatry 50: 71–77

    Article  PubMed  CAS  Google Scholar 

  24. Ghez C, Shinoda Y (1978) Spinal mechanisms of the functional stretch reflex. Exp Brain Res 32: 55–68

    Article  PubMed  CAS  Google Scholar 

  25. Gottlieb GL, Agarwal CG (1979) Response to sudden torques about the ankle in man: Myotatic reflex. J Neurophysiol 42: 91–105

    PubMed  CAS  Google Scholar 

  26. Hagbarth KE, Hägglund JV, Wallin EU, Young KK (1981) Grouped spindle and electromyographic responses to abrupt wrist extension movements in man J Physiol 312: 81–96

    PubMed  CAS  Google Scholar 

  27. Hammond PH (1956) The influence of prior instruction to the subject on an apparently involuntary neuromuscular response. J Physiol (Lond) 122: 17P - 18 P

    Google Scholar 

  28. Hammond PH (1960) An experimental study of servo action in human muscular control. Proceedings: Illyd Int Conference on Medical Electronics:190–199. Institution of Electrical Engineers, London

    Google Scholar 

  29. Hendrie A, Lee RG (1978) Selective effects of vibration on human spinal and long loop reflexes. Brain Res 157: 369–375

    Article  PubMed  CAS  Google Scholar 

  30. Hore J, Vilis T (1985) A cerebellar-dependent efference copy mechanism for generating appropriate muscle responses to limb perturbations. In: Bloedel JR, Dichgans J, Precht W (eds) Cerebellar functions. Springer, Berlin Heidelberg New York, pp 24–35

    Google Scholar 

  31. Hultborn H, Wigström H (1980) Motor response with long latency and maintained duration evoked by activity in Ia afferents. In: Desmedt JE (ed) Spinal and supra-spinal mechanisms of voluntary motor control and locomotion. Karger, Basel, pp 99–116

    Google Scholar 

  32. Katz R, Rondot P (1978) Muscle reaction to passive shortening in normal man. Electroencephalogr Clin Neurophysiol 45: 90–99

    Article  PubMed  CAS  Google Scholar 

  33. Lee RG, Tatton WG (1975) Motor responses to sudden limb displacements in primates with specific CNS lesions and in human patients with motor system disorders. Can J Neurol Sci 2: 285–293

    PubMed  CAS  Google Scholar 

  34. Lee RG, Tatton WG (1982) Long-latency reflexes to imposed displacements of the human wrist: dependence on duration of movement. Exp Brain Res 45: 207–216

    Article  PubMed  CAS  Google Scholar 

  35. Lee RG, Murphy JT, Tatton WG (1983) Long-latency myotatic reflexes in man• mechanisms, functional significance and changes in patients with Parkinson’s disease or hemiplegia. In: Desmedt JE (ed) Motor control mechanism in health and disease. Raven, New York, pp 489–508

    Google Scholar 

  36. Lenz FA, Tatton WG, Tasker RR (1983a) Electromyographic response to displacement of different forelimb joints in the squirrel monkey. J Neurosci 3: 783–794

    CAS  Google Scholar 

  37. Lenz FA, Tatton WG, Tasker RR (1983b) The effect of cortical lesions on the electromyographic response to joint displacement in the squirrel monkey forelimb. J Neurosci 3: 795–805

    CAS  Google Scholar 

  38. Marsden CD, Merton PA, Morton HB (1973) Latency measurements compatible with a cortical pathway for the stretch reflex in man. J Physiol 230: 58–59

    Google Scholar 

  39. Marsden CD, Merton PA, Morton HB, Adam J (1978) The effect of lesions of the central nervous system on long-latency stretch reflexes in the human thumb. In: Desmedt JE (ed) Cerebral motor control in man: long loop mechanisms. Karger, Basel, pp 334–341

    Google Scholar 

  40. Matthews PBC (1984) Evidence from the use of vibration that the human long-latency stretch reflex depends upon spindle secondary afferents. J Physiol 348: 383–415

    PubMed  CAS  Google Scholar 

  41. Mauritz KH, Schmitt C, Dichgans J (1981) Delayed and enhanced long-latency reflexes as the possible cause of postural tremor in late cerebellar atrophy. Brain 104: 97–116

    Article  PubMed  CAS  Google Scholar 

  42. Miller AD, Brooks VB (1981) Late muscular responses to arm perturbations persist during supraspinal dysfunctions in monkeys. Exp Brain Res 41: 146–158

    Article  PubMed  CAS  Google Scholar 

  43. Nashner LM (1983) Analysis of movement control in man using the movable platform. In: Desmedt JE (ed) Motor control mechanisms in health and disease. Raven, New York, pp 607–619

    Google Scholar 

  44. Noth J, Engel L, Friedemann HH, Lange HW (1984) Evoked potentials in patients with Huntington’s disease and their offspring. I. Somatosensory evoked potentials. Electroencephalogr Clin Neurophysiol 59: 134–141

    Article  PubMed  CAS  Google Scholar 

  45. Noth J, Podoll K, Friedemann HH (1985) Long-loop reflexes in small hand muscles studied in normal subjects and in patients with Huntington’s disease. Brain 108: 65–80

    Article  PubMed  Google Scholar 

  46. Oepen G, Doerr M, Thoden U (1981) Visual (VEP) and somatosensory ( SSEP) evoked potentials in Huntington’s chorea. Electroencephalogr Clin Neurophysiol 51: 666–670

    Article  PubMed  CAS  Google Scholar 

  47. Rondot P, Metral S (1973) Analysis of the shortening reaction in man In• Desmedt JE (ed) New developments in electromyography and clinical neurophysiology. Karger, Basel, pp 629–634

    Google Scholar 

  48. Rothwell JC, Obeso JA, Traub MM, Marsden CD (1983) The behaviour of the long-latency stretch reflex in patients with Parkinson’s disease. Electroencephalogr Clin Neurophysiol 46: 35–41

    CAS  Google Scholar 

  49. Scholz E, Diener HC, Noth J, Friedemann H, Dichgans J, Bacher M (1986) Long-latency EMG responses in leg muscles. II. Parkinson’s disease. J Neurol Neurosurg Psychiatry 50: 66–70

    Article  Google Scholar 

  50. Struppler F, Lehmann-Horn F, Klein W, Lucking CH, Deuschl G (1984) Effect of stereoencephalotomy on long-latency EMG responses and motor control of arm movements in Parkinson’s syndrome. Adv Neurol 40: 437–445

    PubMed  CAS  Google Scholar 

  51. Tatton WG, Lee RG (1975) Evidence for abnormal long-loop reflexes in rigid parkinsonian patients. Brain Res 100: 671–676

    Article  PubMed  CAS  Google Scholar 

  52. Tatton WG, Fomer SD, Gerstein GL, Chambers WW, Lin CM (1975) The effect of postural lesions on motor responses to sudden upper limb displacement in monkeys. Brain Res 96: 108–113

    Article  PubMed  CAS  Google Scholar 

  53. Tatton WG, Bedingham W, Verrier MC, Blair RDG (1984) Characteristic alterations in responses to imposed wrist displacements in parkinsonian rigidity and dystonia musculorum deformans. Can J Neurol Sci 11: 281–287

    PubMed  CAS  Google Scholar 

  54. Tracey DJ, Walmsley B, Brinkman J (1980) Long-loop reflexes can be obtained in spinal monkeys. Neurosci Lett 18: 59–65

    Article  PubMed  CAS  Google Scholar 

  55. Verrier MC, Tatton WG, Blair RDG (1984) Characteristics of EMG responses to imposed limb displacement in patients with vascular hemiplegia. Can J Neurol Sci 11: 288–296

    PubMed  CAS  Google Scholar 

  56. Westphal C (1880) Über eine Art paradoxer Muskelkontraktion. Arch Psychiatr Nervenkr 10: 243–248

    Article  Google Scholar 

  57. Wiesendanger M, Miles TS (1982) Ascending pathway to low-threshold muscle afferents to the cerebral cortex and its possible role in motor control. Physiol Rev 62: 1234–1270

    PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Neurology, University of Tübingen, Liebermeisterstr. 18-20, D-7400, Tübingen, Germany

    J. Dichgans & H. C. Diener

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  1. J. Dichgans
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  2. H. C. Diener
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Editors and Affiliations

  1. Neurologische Klinik und Poliklinik, Technischen Universität München, Möhlstr. 28, D-8000, München 80, Germany

    Albrecht Struppler  & Adolf Weindl  & 

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© 1987 Springer-Verlag Berlin Heidelberg

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Dichgans, J., Diener, H.C. (1987). The Use of Short- and Long-Latency Reflex Testing in Leg Muscles of Neurological Patients. In: Struppler, A., Weindl, A. (eds) Clinical Aspects of Sensory Motor Integration. Advances in Applied Neurological Sciences, vol 4. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-71540-2_19

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  • DOI: https://doi.org/10.1007/978-3-642-71540-2_19

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-71542-6

  • Online ISBN: 978-3-642-71540-2

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