Stretch reflex

The patellar reflex is an example of the stretch reflex.

The stretch reflex (myotatic reflex), or more accurately "muscle stretch reflex", is a muscle contraction in response to stretching a muscle. The function of the reflex is generally thought to be maintaining the muscle at a constant length but the response is often coordinated across multiple muscles and even joints.[1] The older term deep tendon reflex is now criticized as misleading. Tendons have little to do with the response, and some muscles with stretch reflexes have no tendons. Rather, muscle spindles detect a stretch and convey the information to the central nervous system.[2]

As an example of a spinal reflex, it results in a fast response that involves an afferent signal into the spinal cord and an efferent signal out to the muscle. The stretch reflex can be a monosynaptic reflex which provides automatic regulation of skeletal muscle length, whereby the signal entering the spinal cord arises from a change in muscle length or velocity. It can also include a polysynaptic component, as in the tonic stretch reflex.[3]

When a muscle lengthens, the muscle spindle is stretched and its nerve activity increases. This increases alpha motor neuron activity, causing the muscle fibers to contract and thus resist the stretching. A secondary set of neurons also causes the opposing muscle to relax.

Gamma motoneurons regulate how sensitive the stretch reflex is by tightening or relaxing the fibers within the spindle. There are several theories as to what may trigger gamma motoneurons to increase the reflex's sensitivity. For example, alpha-gamma co-activation might keep the spindles taut when a muscle is contracted, preserving stretch reflex sensitivity even as the muscle fibers become shorter. Otherwise the spindles would become slack and the reflex would cease to function.

This reflex has the shortest latency of all spinal reflexes including the Golgi tendon reflex and reflexes mediated by pain and cutaneous receptors.[4]

  1. ^ Reschechtko S; Pruszynski JA (2020). "Stretch Reflexes". Curr Biol. 30 (18): R1025–R1030. doi:10.1016/j.cub.2020.07.092. PMID 32961152.
  2. ^ Evidence-Based Physical Diagnosis; McGee; Chapter 63. 2018
  3. ^ Neilson PD (December 1972). "Interaction between voluntary contraction and tonic stretch reflex transmission in normal and spastic patients". J Neurol Neurosurg Psychiatry. 35 (6): 853–60. doi:10.1136/jnnp.35.6.853. PMC 494192. PMID 4346023.
  4. ^ Spirduso, Waneen Wyrick (1978). "Hemispheric Lateralization and Orientation in Compensatory and Voluntary Movement". Information Processing in Motor Control and Learning. pp. 289–309. doi:10.1016/B978-0-12-665960-3.50019-0. ISBN 9780126659603.

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