Summary
An attempt has been made to assess the functional significance of certain spinal reflexes demonstrable in man, and to consider their relationships to tendon jerks and tonus. Selected older studies have been reviewed in light of current knowledge of stretch reflex activity. The physiological basis of the electrically induced reflexes first described by Paul Hoffmann has been more strictly defined. Certain features of motoneuronal excitability changes associated with them apparently represent properties, within the monosynaptic arc, of motor nerve cells themselves. Other, later, changes indicate participation of additional and more complex inhibitory mechanisms relayed through much higher levels. Two have been identified by their effects on motoneurone excitability. Others, perhaps more important in the total pattern of control of motor nerve cell discharge in response to muscle stretch, have not yet been recognized. This is emphasized by lack of correlation between clinical tonus and/or tendon jerk activity, on the one hand, and demonstrable interference with the identified central inhibitory mechanisms, on the other. It has been postulated that control of Hoffmann's reflexes, tendon jerks, and tonus, to the extent that it is myotatic, depends on additive recruitment of afferent discharge from muscle and of successively complex central mechanisms.
Similar content being viewed by others
References
Bastian, H. C.: On the symptomatology of total transverse lesions of the spinal cord. Med. Chir. Trans. (London) 73, 313 (1890).
Belke, R.: Über die Möglichkeit der isolierten elektrischen Reizung der hinteren Rückenmarkswurzeln beim Menschen. Pflügers Arch. 250, 733 (1948).
Bell, C.: A new idea of the anatomy of the brain. London 1811.
Björk, A., and E. Kugelberg: The electrical activity of the muscles of the eye and eyelids in various positions and during movement. Electroencephalogr. Clin. Neurophysiol. 5, 595 (1953).
Brondgeest, P. J.: Untersuchungen über den Tonus der willkürlichen Muskeln. Arch. f. Anat. 1860, 702.
Bruns, L.: Über einen Fall totaler traumatischer Zerstörung des Rückenmarkes an der Grenze zwischen Hals- und Dorsalmark. Arch. f. Psychiatr. 25, 759 (1893).
Buchanan, F.: The electrical response of muscle to voluntary, reflex, and artificial stimulation. Quart. J. Exper. Physiol. 1, 211 (1908).
Cattaneo, A.: Organes nerveux terminaux musculo-tendineux, leur conditions normales et leur manière de se comporter aprés la section des racines nerveuses et des nerfs spinaux. Arch. ital. de Biol. 10, 337 (1888).
Chauveau, A.: On the sensorimotor nerve-circuit of muscles. Brain 14, 145 (1891).
Creed, R. S., D. Denny-Brown, J. C. Eccles, E. G. T. Liddell, and C. S. Sherrington: Reflex activity of the spinal cord. Vi + 183 pp., Oxford: Clarendon Press 1932.
Dawson, G. D.: Cerebral responses to nerve stimulation in man. Brit. Med. Bull. 6, 326 (1950).
Eccles, J. C.: The responses of motoneurones. Brit. Med. Bull. 6, 304 (1950).
Eccles, J. C.: The neurophysiological basis of mind. Oxford: Clarendon Press 1953.
Erb, W.: Über Sehnenreflexe bei Gesunden und bei Rückenmarkskranken. Arch. f. Psychiatr. 5, 792 (1875).
Ferrier, D.: The functions of the Brain. London: Smith Elder and Co. 1876.
Ferrier, D.: Discussion of Dr. Bastians paper. Brain 10, 89 (1888).
Gasser, H. S., and H. T. Graham: Potentials produced in the spinal cord by stimulation of dorsal roots. Amer. J. Physiol. 103, 303 (1933).
Goltz, F.: Über die Verrichtungen des Großhirns. Pflügers Arch. 13, 1 (1876).
Goltz, F.: Über die Verrichtungen des Großhirns. Pflügers Arch. 34, 456 (1884).
Gowers, W. R.: A manual of diseases of the nervous system. London: J. and A. Churchill (second edition) 1881.
Granit, R.: Reflex self-regulation of muscle contraction and autogenetic inhibition. J. of Neurophysiol. 13, 351 (1950).
Hagbarth, K. E.: Excitatory and inhibitory skin areas for flexor and extensor motoneurones. Acta physiol. scand. (Stockh.) 26, 94 (1952).
Hall, Marshall: On the reflex function of the medulla oblongata and medulla spinalis. Philosophic. Trans. Roy. Soc. Lond. 123, 635 (1833).
Helmholtz, H., and N. Baxt: Neue Versuche über die Fortpflanzungsge-schwindigkeit der Reizung in den motorischen Nerven der Menschen. Monatsberichte der Königlichen Preußischen Akademie der Wissenschaften zu Berlin 1870.
Hoffmann, P.: Beiträge zur Kenntnis der menschlichen Reflexe mit besondere Berücksichtigung der elektrischen Erscheinungen. Arch. f. Physiol. 1910, 223.
Hoffmann, P.: Über die Beziehungen der Sehnenreflexe zur willkürlichen Bewegung und zum Tonus. Z. Biol. 68, 351 (1918).
Hoffmann, P.: Demonstration eines Hemmungsreflexes im menschlichen Rückenmark. Z. Biol. 70, 515 (1920).
Hoffmann, P.: Untersuchungen über die refraktäre Periode des menschlichen Rückenmarkes. Z. Biol. 81, 37 (1924).
Horsley, V.: Note on the patellar knee jerk. Brain 6, 369 (1883).
Hunt, C. C.: The effect of stretch receptors from muscle on the discharge of motoneurones. J. of Physiol. 117, 359 (1952).
Hunt, C. C.: Relation of function to diameter in afferent fibers of muscle nerves. J. Gen. Physiol. 38, 117 (1954).
Johns, R. J., D. Grob and A. M. Harvey: An electromyographic study of a spinal cord reflex in the normal human arm. Res. Proc. Amer. Fed. Clin. Res. 2, 73 (1954).
Kaada, B. R.: Suprasegmental mechanisms. Proc. XIX Internat. Physiol. Congress 1953.
Kerschner, L.: Bemerkungen über ein besonderes Muskelsystem im willkürlichen Muskel. Anat. Anz. 3, 126 (1888).
Kuffler, S. W., C. C. Hunt and J. P. Quilliam: Function of medullated small-nerve fibres in mammalian ventral roots: efferent muscle spindle innervation. J. of Neurophysiol. 14, 29 (1951).
Kugelberg, E.: Demonstration of A and C fibre components in the Babinski plantar response and the pathological flexion reflex. Brain 71, 304 (1948).
Kugelberg, E.: Facial reflexes. Brain 75, 385 (1952).
Kuhn, R. A.: Functional capacity of the isolated human spinal cord. Brain 73, 1 (1950).
Laporte, Y., and D. P. C. Lloyd: Nature and significance of the reflex connections established by large afferent fibers of muscular origin. Amer. J. Physiol. 169, 609 (1952).
Leksell, L.: The action potential and excitatory effects of the small ventral root fibres to skeletal muscle. Acta physiol. scand. (Stockh.) 10, 31 (1945).
Liddell, E. G. T., and C. S. Sherrington: Reflexes in response to stretch (myotatic reflexes). Proc. Roy. Soc., London 96B, 212 (1925).
Lloyd, D. P. C.: Activity in neurons of the bulbospinal correlation system. J. of Neurophysiol. 4, 115 (1941a).
Lloyd, D. P. C.: The spinal mechanisms of the pyramidal system in cats. J. of Neurophysiol. 4, 525 (1941b).
Lloyd, D. P. C.: Reflex action in relation to pattern and peripheral source of afferent stimulation. J. of Neurophysiol. 6, 111 (1943a).
Lloyd, D. P. C.: Conduction and synaptic transmission of reflex response to stretch in spinal cats. J. of Neurophysiol. 6, 317 (1943b).
Lloyd, D. P. C.: Facilitation and inhibition of spinal motoneurons. J. of Neurophysiol. 9, 421 (1946).
Lloyd, D. P. C., and A. K. McIntyre: Dorsal column conduction of group I muscle afferent impulses and their relay through Clarke's column. J. of Neurophysiol. 13, 39 (1950).
Magendie, F.: J. Physiol. exper. 1822 (cited by Sherrington).
Magladery, J. W., and D. B. McDougal jr.: Electrophysiological studies of nerve and reflex activity in normal man: I. Identification of certain reflexes in the electromyogram myogram and the conduction velocity of peripheral nerve fibres. Bull. John Hopkins Hospital 86, 265 (1950).
Magladery, J. W., W. E. Porter, A. M. Park and R. D. Teasdall: Electrophysiological studies of nerve and reflex activity in normal man: IV. The twoneurone reflex and identification of certain action potentials from spinal roots and cord. Bull. Johns Hopkins Hosp. 88, 499 (1951).
Maglandery, J. W., R. D. Teasdall, A. M. Park and W. E. Porter: Electrophysiological studies of nerve and reflex activity in normal man: V. Excitation and inhibition of two-neurone reflexes by afferent impulses in the same nerve trunk. Bull. Johns Hopkins Hosp. 88, 520 (1951).
Magladery, J. W., R. D. Teasdall, A. M. Park and H. W. Languth: Electrophysiological studies of reflex activity in patients with lesions of the nervous system. I. A comparison of spinal motoneurone excitability following afferent nerve volleys in normal persons and patients with upper motor neurone lesions. Bull. Johns Hopkins Hosp. 91, 219 (1952).
Magoun, H. W., and R. Rhines: An inhibitory mechanism in the bulbar reticular formation. J. of Neurophysiol. 9, 165 (1946).
Magoun, H. W., and R. Rhines: Spasticity. The stretch-reflex and extrapyramidal systems. Springfield: Charles C. Thomas 1947.
Mommsen, J.: Beitrag zur Kenntnis des Muskeltonus. Virchows Arch. 101, 22 (1885).
Park, A. M., R. D. Teasdall and J. W. Magladery: Electrophysiological studies of nerve and reflex activity in normal man. VII. Certain effects of brief stretch. Bull. Johns Hopkins Hosp. 88, 549 (1951).
Piper, H.: Über den willkürlichen Muskeltetanus. Pflügers Arch. 119, 301 (1907).
Renshaw, B.: Activity in the simplest spinal reflex pathways. J. of Neurophysiol. 3, 373 (1940).
Riddoch, G.: The reflex functions of the completely divided spinal cord in man, compared with those associated with less severe lesions. Brain 40, 264 (1917).
Sherrington, C. S.: Note on the knee-jerk and correlation of action of antagonistic muscles. Proc. Roy. Soc., London 52B, 556 (1893).
Sherrington, C. S.: On the anatomical constitution of nerves of skeletal muscles; with remarks on recurrent fibres in the ventral spinal nerve-root. J. of Physiol. 17, 237 (1894).
Sherrington, C. S.: Review of Bruns' paper. Brain 18, 175 (1895).
Sherrington, C. S.: Experiments in examination of the peripheral distribution of the fibres of the posterior roots of some spinal nerves. II. Philosophic. Trans. Roy. Soc. Lond. 190B, 45 (1898).
Sherrington, C. S.: The integrative action of the nervous system. XVi and 411 pp. New Haven: Yale University Press 1906.
Sherrington, C. S.: Flexion reflex of the limbs, crossed extension reflex, and reflex stepping and standing. J. of Physiol. 40, 28 (1910).
Sherrington, C. S.: Remarks on the reflex mechanism of the step. Brain 33, 1 (1911).
Teasdall, R. D., A. M. Park, H. W. Languth and J. W. Magladery: Electrophysiological studies of reflex activity in patients with lesions of the nervous system: II. Disclosure of normally suppressed monosynaptic reflex discharge of spinal motoneurones by lesions of lower brain-stem and spinal cord. Bull. Johns Hopkins Hosp. 91, 245 (1952).
Teasdall, R. D., H. W. Languth and J. W. Magladery: Electrophysiological studies of reflex activity in patients with lesions of the nervous system. IV. A note on the tendon jerk. Bull. Johns Hopkins Hosp. 91, 267 (1952).
Tschirjew, S.: Ursprung und Bedeutung des Kniephänomens und verwandter Erscheinungen. Arch. f. Psychiatr. 8, 689 (1878).
Tschirjew, S.: Tonus quergestreifter Muskeln. Arch. f. Anat. 1879, 78.
Waller, A.: On muscular spasms known as “tendon-reflex”. Brain 3, 179 (1880).
Walshe, F. M. R.: The physiological significance of the reflex phenomena in spastic paralysis of the lower limbs. Brain 37, 269 (1915).
Westphal, C.: Über einige Bewegungserscheinungen an gelähmten Gliedern. Arch. f. Psychiatr. 5, 803 (1875).
Author information
Authors and Affiliations
Additional information
With 8 figures in the text
Aided by grants from the National Institute of Neurological Diseases and Blindness, U. S. Public Health Service
Rights and permissions
About this article
Cite this article
Magladery, J.W. Some observations on spinal reflexes in man. Pflügers Archiv 261, 302–321 (1955). https://doi.org/10.1007/BF00364122
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00364122