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Proprioception, Stretch Reflex   Monosynaptic stretch reflex (! C). Muscles
                                       spindles are also affected by sudden stretching
       Proprioception is the mechanism by which we  of a skeletal muscle, e.g. due to a tap on the ten-
       sense the strength that our muscles develop as  don attaching it. Stretching of the muscle
       well as the position and movement of our body  spindles triggers the activation of type Ia affer-
       and limbs. The vestibular organ (! p. 342) and  ent impulses (! B2, C), which enter the spinal
       cutaneous mechanosensors (! p. 314) assist  cord via the dorsal root and terminate in the
                                       ventral horn at the α motoneurons of the same
       the propriosensors in muscle spindles, joints
    Central Nervous System and Senses  Muscle spindles (! A1) contain intensity (P)  only one synaptic connection. The reflex time
                                       muscle. This type Ia afferent input therefore
       and tendons. Sensors of Golgi tendon organs
       are located near muscle–tendon junctions.
                                       induces contraction of the same muscle by
       and differential (D) sensors for monitoring of
                                       for this monosynaptic stretch reflex is there-
       joint position and movement. The velocity of
                                       fore very short (ca. 30 ms). This is classified as a
                                       proprioceptive reflex, since the stimulation and
       position change is reflected by a transient rise
       in impulse frequency (D sensor; ! p. 315 D1,
                                       response arise in the same organ. The mono-
       spike), and the final joint position is expressed
                                       synaptic stretch reflex functions to rapidly cor-
       as a constant impulse frequency (P-sensor,
                                       rect “involuntary” changes in muscle length
                                       and joint position.
       ! p. 315 D2, plateau). Muscle spindles func-
       tion to regulate muscle length. They lie parallel
                                        Supraspinal activation (! B3). Voluntary
       to the skeletal muscle fibers (extrafusal muscle
                                       activation of α and γ neurons. The latter adjust
                                       the muscle spindles (length sensors) to a cer-
       trafusal muscle fibers). There are two types of
    12  fibers) and contain their own muscle fibers (in-  muscle contractions are characterized by co-
                                       tain set-point of length. Any deviations from
       intrafusal muscle fibers: (1) nuclear chain
       fibers (P sensors) and (2) nuclear bag fibers (D  this set-point due, for example, to unexpected
       sensors). The endings of type Ia afferent neu-  shifting of weight, are compensated for by re-
       rons coil around both types, whereas type II  adjusting the α-innervation (load compensa-
       neurons wind around the nuclear chain fibers  tion reflex). Expected changes in muscle
       only (neuron types described on p. 49 C). These  length, especially during complex movements,
       annulospiral  endings  detect  longitudinal  can also be more precisely controlled by (cen-
       stretching of intrafusal muscle fibers and re-  trally regulated) γ fiber activity by increasing
       port their length (type Ia and II afferents) and  the preload and stretch sensitivity of the intra-
       changes in length (Ia afferents) to the spinal  fusal muscle fibers (fusimotor set).
       cord. The efferent γ motoneurons (fusimotor
       fibers) innervate both intrafusal fiber types, al-  Hoffmann’s reflex can be also used to test the
                                       stretch reflex pathway. This can be done by position-
       lowing variation of their length and stretch  ing electrodes on the skin over (mixed) muscle
       sensitivity (! A1, B1).         nerves and subsequently recording the muscle con-
         Golgi tendon organs (! A2) are arranged in  traction induced by electrical stimuli of different in-
       series with the muscle and respond to the con-  tensity.
       traction of only a few motor units or more.  Polysynaptic circuits, also arising from type II af-
       Their primary function is to regulate muscle  ferents complement the stretch reflex. If a stretch re-
       tension. Impulses from Golgi tendon organs  flex (e.g., knee-jerk reflex) occurs in an extensor
                                       muscle, the α motoneurons of the antagonistic
       (conveyed by type Ib afferents), the skin and  flexor muscle must be inhibited via inhibitory Ia inter-
       joints, and muscle spindles (some of which are  neurons to achieve efficient extension (! D1).
       type Ia and II afferent fibers), as well as de-  Deactivation of stretch reflex is achieved by in-
       scending impulses, are jointly integrated in  hibiting muscle contraction as follows: 1) The muscle
       type Ib interneurons of the spinal cord; this is  spindles relax, thereby allowing the deactivation of
       referred to as multimodal integration (! D2).  type Ia fibers; 2) the Golgi tendon organs inhibit the
       Type Ib interneurons inhibit α motoneurons of  α motoneurons via type Ib interneurons (! D2); 3)
       the muscle from which the Ib afferent input  the α motoneurons are inhibited by the interneurons
                                       (Renshaw cells; ! D4) that they themselves stimu-
       originated (autogenous inhibition) and activate  lated via axon collaterals (recurrent inhibition; ! D3;
  316  antagonistic muscles via excitatory inter-  p. 321 C1).
       neurons (! D5).
       Despopoulos, Color Atlas of Physiology © 2003 Thieme
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