Conditioning of the spinal stretch reflex: implications for rehabilitation.

The purpose of this article is to describe a new technique that can potentially be applied to patients with hyperactive spinal stretch reflexes (SSRs). The progression of clinical research from conditioning of individual muscles or muscle groups (electromyographic biofeedback) to conditioning SSRs is explained. Research data from subhuman primates in addition to the first human experiments are reviewed. Potential applications of SSR conditioning are discussed, as are the issues requiring further delineation and research before the specificity of a training effect can be ascertained.

[1]  V. A. Kieffer,et al.  Adaptive plasticity in the spinal stretch reflex , 1983, Brain Research.

[2]  S. Wolf,et al.  Essential considerations in the use of EMG biofeedback. , 1978, Physical therapy.

[3]  S. Wolf,et al.  Modification of human spinal stretch reflexes: Preliminary studies , 1989, Neuroscience Letters.

[4]  J. Wolpaw,et al.  Memory traces in primate spinal cord produced by operant conditioning of H-reflex. , 1989, Journal of neurophysiology.

[5]  F. Keefe,et al.  Biofeedback in the Management of Chronic Pain Syndromes , 1987 .

[6]  D. Burke,et al.  Monosynaptic and oligosynaptic contributions to human ankle jerk and H-reflex. , 1984, Journal of neurophysiology.

[7]  S. Wolf,et al.  The Use of Biofeedback in Disorders of Motor Function , 1987 .

[8]  J R Wolpaw,et al.  Adaptive plasticity in primate spinal stretch reflex: persistence. , 1986, Journal of neurophysiology.

[9]  Jonathan R. Wolpaw,et al.  Adaptive plasticity in the primate spinal stretch reflex: reversal and re-development , 1983, Brain Research.

[10]  S L Wolf,et al.  Electromyographic biofeedback applications to stroke patients. A critical review. , 1983, Physical therapy.

[11]  M. Beall,et al.  Electromyographic biofeedback in the treatment of voluntary posterior instability of the shoulder , 1987, The American journal of sports medicine.

[12]  J R Wolpaw,et al.  Adaptive plasticity in primate spinal stretch reflex: initial development. , 1983, Journal of neurophysiology.

[13]  J. Wolpaw,et al.  Adaptive plasticity in the primate spinal stretch reflex: evidence for a two-phase process , 1984, The Journal of neuroscience : the official journal of the Society for Neuroscience.

[14]  R. Gerard,et al.  Fixation of experience in the rat spinal cord. , 1963, Journal of neurophysiology.

[15]  S L Wolf,et al.  Electromyographic biofeedback applications to the hemiplegic patient. Changes in lower extremity neuromuscular and functional status. , 1983, Physical therapy.

[16]  V Draper,et al.  Electromyographic biofeedback and recovery of quadriceps femoris muscle function following anterior cruciate ligament reconstruction. , 1990, Physical therapy.

[17]  S L Wolf,et al.  Comparison of motor copy and targeted biofeedback training techniques for restitution of upper extremity function among patients with neurologic disorders. , 1989, Physical therapy.