A Novel Approach using Tendon Vibration to study Spinal Reflexes

Abstract

<p> Although most muscle spindle investigations have used the cat model and mvasiVe surgical measurement techniques, several investigators have used microneurography to record from the Ia and II fibres in humans during tendon vibration. In these studies the muscle spindle primary (Ia) endings are stimulated using transverse vibration of the tendon at reflex sub-threshold amplitudes. Others have used low amplitude vibration and the H-reflex (monosynaptic electrical response) to determine reflex properties during both agonist and antagonist voluntary contractions. Both of these methods explore only certain parts of the monosynaptic reflex arc; microneurography focus on the properties and firing characteristics of the muscle spindles themselves, whereas the H-reflex response to vibration is a representation of the response of the spinal cord as well as the muscle spindles. </p> <p> In the past we have developed a PC based instrument that uses Lab VIEW and a linear servomotor to study tendon reflex properties by recording H-reflexes (or stretch reflexes for mechanical stimuli) from single tendon taps or electrical stimuli to the afferent nerve. In this thesis we describe a further development of this system to provide precise vibrations of the tendon at up to 55 Hz with amplitudes up to 4 mm. The resultant vibration stretch reflex train is extracted from 2 major background noise sources, 60 Hz power line noise, and vibration artifact noise, of the EMG recording via phase coherent subtractive filtering. </p> <p> To demonstrate the versatility and efficacy of this system in studying the monosynaptic reflex arc, test results from several pilot studies are presented, using the system to vibrate the human distal flexor carpi radialis tendon: (i) whether stretch reflexes could be entrained with high frequency vibration, as contrary to H-reflexes, (ii) whether the responses were affected by low levels of agonist or antagonist contraction, in agreement with the existing pool of work on the subject using the H-reflex, (iii) whether a separation of the Ia (primary) and II (secondary) ending pathways is observable as individual but delayed responses at low vibration frequencies due to different activation characteristics, and axon diameters, of each ending. Possible physiological mechanisms that explain the resultant behaviour are also discussed. </p>