Active and passive characteristics of muscle tone and their relationship models of subluxation/joint dysfunction Part I

The relationship of muscles to the causes and effects of the pathophysiologic entity referred to as chiropractic subluxation or joint dysfunction is critical. Part I of this paper reviews complexities of skeletal muscle in regards to anatomy, active and passive tone, detection of muscle tone, neurophysiology, and how muscle function fits into a variety of subluxation/joint dysfunction models. The review culminates in Part II with a hypothesis to describe and explain varying degrees of muscle tone that may be encountered clinically. It is hoped that knowledge of the differing levels of muscle tone and their causes will help the clinician to better determine the underlying cause of a neuro-musculoskeletal problem allowing application of necessary and proper intervention. (JCCA 2003; 47(3):168–179)

[1]  U. Proske,et al.  Thixotropy in skeletal muscle and in muscle spindles: A review , 1993, Progress in Neurobiology.

[2]  H. Johansson Rubrospinal and rubrobulbospinal influences on dynamic and static γ-motoneurones , 1988, Behavioural Brain Research.

[3]  E. Talbott,et al.  Chronic low back pain assessment using surface electromyography. , 2000, Journal of occupational and environmental medicine.

[4]  C. Marsden,et al.  The Physiology of Idiopathic Dystonia , 1987, Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques.

[5]  R. Gevirtz,et al.  Needle electromyographic evaluation of trigger point response to a psychological stressor. , 1994, Psychophysiology.

[6]  A. Seaber,et al.  Viscoelastic properties of muscle-tendon units , 1990, The American journal of sports medicine.

[7]  D. Cardenas,et al.  Management of focal dystonia of the extensor hallucis longus muscle with botulinum toxin injection: a case report. , 1998, Archives of physical medicine and rehabilitation.

[8]  C. Grassi,et al.  Sympathetically-induced development of tension in jaw muscles: the possible contraction of intrafusal muscle fibres , 1985, Pflügers Archiv.

[9]  M. Slosberg Spinal learning: central modulation of pain processing and long-term alteration of interneuronal excitability as a result of nociceptive peripheral input. , 1990, Journal of manipulative and physiological therapeutics.

[10]  A. Mannion,et al.  Influence of age and duration of symptoms on fibre type distribution and size of the back muscles in chronic low back pain patients , 2000, European Spine Journal.

[11]  J. Burke,et al.  Comparison of tibial nerve H-reflex excitability after cervical and lumbar spine manipulation. , 2002, Journal of manipulative and physiological therapeutics.

[12]  V. C. Abrahams The physiology of neck muscles; their role in head movement and maintenance of posture. , 1977, Canadian Journal of Physiology and Pharmacology.

[13]  F. Richmond,et al.  Marked non-uniformity of fiber-type composition in the primate suboccipital muscle obliquus capitis inferior , 1999, Experimental Brain Research.

[14]  T D Bird,et al.  Neuropathic pain in Charcot-Marie-Tooth disease. , 1998, Archives of physical medicine and rehabilitation.

[15]  U. Proske,et al.  Effects of muscle history on the stretch reflex in cat and man. , 1990, The Journal of physiology.

[16]  A R Hargens,et al.  Forearm muscle oxygenation decreases with low levels of voluntary contraction , 1997, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[17]  Localized oxygen use of healthy and low back pain individuals during controlled trunk movements. , 2001, Journal of spinal disorders.

[18]  G. Pugliese,et al.  Facet syndrome. , 1989, Archives of physical medicine and rehabilitation.

[19]  H. Johansson,et al.  Sympathetic modulation of muscle spindle afferent sensitivity to stretch in rabbit jaw closing muscles , 2002, The Journal of physiology.

[20]  A. Starr,et al.  Do cerebral potentials to magnetic stimulation of paraspinal muscles reflect changes in palpable muscle spasm, low back pain, and activity scores? , 2000, Journal of manipulative and physiological therapeutics.

[21]  A. Prochazka,et al.  The after‐effects of stretch and fusimotor stimulation on the responses of primary endings of cat muscle spindles. , 1984, The Journal of physiology.

[22]  A. Fischer Tissue compliance meter for objective, quantitative documentation of soft tissue consistency and pathology. , 1987, Archives of physical medicine and rehabilitation.

[23]  K. Hagbarth,et al.  Postural after‐contractions in man attributed to muscle spindle thixotropy , 1998, The Journal of physiology.

[24]  J. Houk,et al.  Function of the spindle dynamic response in stiffness regulation—a predictive mechanism provided by non-linear feedback , 1981 .

[25]  F. Richmond,et al.  Physiological properties of muscle spindles in dorsal neck muscles of the cat. , 1979, Journal of neurophysiology.

[26]  I. A. Boyd The isolated mammalian muscle spindle , 1980, Trends in Neurosciences.

[27]  Vaughan G. Macefield,et al.  The Fusimotor System , 1995 .

[28]  A Eriksson,et al.  Fiber type composition of the human male trapezius muscle: enzyme-histochemical characteristics. , 1990, The American journal of anatomy.

[29]  G. A. Knutson The role of the gamma-motor system in increasing muscle tone and muscle pain syndromes: a review of the Johansson/Sojka hypothesis. , 2000, Journal of manipulative and physiological therapeutics.

[30]  M. Brooke,et al.  Muscle fiber types: how many and what kind? , 1970, Archives of neurology.

[31]  J. Allum,et al.  Compensation for intrinsic muscle stiffness by short-latency reflexes in human triceps surae muscles. , 1984, Journal of neurophysiology.

[32]  Normal paraspinal tissue compliance: the reliability of a new clinical and experimental instrument. , 1990, Journal of manipulative and physiological therapeutics.

[33]  Robert S. Hutton,et al.  Acute and Chronic Adaptations of Muscle Proprioceptors in Response to Increased Use , 1992, Sports medicine.

[34]  K. Wang,et al.  Regulation of skeletal muscle stiffness and elasticity by titin isoforms: a test of the segmental extension model of resting tension. , 1991, Proceedings of the National Academy of Sciences of the United States of America.

[35]  A. Fischer,et al.  Electromyographic Evidence of Paraspinal Muscle Spasm During Sleep in Patients With Low Back Pain , 1985 .

[36]  J. Denslow,et al.  REFLEX ACTIVITY IN THE SPINAL EXTENSORS , 1941 .

[37]  M Nordin,et al.  Thixotropic behaviour of human finger flexor muscles with accompanying changes in spindle and reflex responses to stretch. , 1985, The Journal of physiology.

[38]  J. Roll,et al.  Eye, head and skeletal muscle spindle feedback in the elaboration of body references. , 1989, Progress in brain research.

[39]  D. Gagnon,et al.  The comparison of trunk muscles EMG activation between subjects with and without chronic low back pain during flexion-extension and lateral bending tasks. , 2000, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[40]  P. Bolton The somatosensory system of the neck and its effects on the central nervous system. , 1998, Journal of manipulative and physiological therapeutics.

[41]  A. Alexiev Some differences of the electromyographic erector spinae activity between normal subjects and low back pain patients during the generation of isometric trunk torque. , 1994, Electromyography and clinical neurophysiology.

[42]  W. Herzog,et al.  A new technique of tissue stiffness (compliance) assessment: its reliability, accuracy and comparison with an existing method. , 1996, Journal of manipulative and physiological therapeutics.

[43]  R. A. Davidoff,et al.  Skeletal muscle tone and the misunderstood stretch reflex , 1992, Neurology.

[44]  Sensory and motor specialization in some muscles of the neck , 1981, Trends in Neurosciences.

[45]  F. Richmond,et al.  Muscle spindle complexes in muscles around upper cervical vertebrae in the cat. , 1982, Journal of neurophysiology.

[46]  D. Nansel,et al.  The comparative assessment of paraspinal tissue compliance in asymptomatic female and male subjects in both prone and standing positions. , 1991, Journal of manipulative and physiological therapeutics.

[47]  K H Mauritz,et al.  Chronic transformation of muscle in spasticity: a peripheral contribution to increased tone. , 1985, Journal of neurology, neurosurgery, and psychiatry.

[48]  M. Hulliger,et al.  The mammalian muscle spindle and its central control. , 1984, Reviews of physiology, biochemistry and pharmacology.

[49]  A. Starr,et al.  Paraspinal muscle evoked cerebral potentials in patients with unilateral low back pain. , 1993, Spine.

[50]  G. Kawchuk,et al.  Ultrasonic indentation: a procedure for the noninvasive quantification of force-displacement properties of the lumbar spine. , 2001, Journal of manipulative and physiological therapeutics.

[51]  Gregory J Lehman,et al.  Clinical considerations in the use of surface electromyography: three experimental studies. , 2002, Journal of manipulative and physiological therapeutics.

[52]  C. Kent Surface Electromyography in the Assessment of Changes in Paraspinal Muscle Activity Associated with Vertebral Subluxation: A Review , 1997 .

[53]  R. L. Van Buskirk Nociceptive reflexes and the somatic dysfunction: a model. , 1990, The Journal of the American Osteopathic Association.

[54]  M O Roland,et al.  A critical review of the evidence for a pain-spasm-pain cycle in spinal disorders. , 1986, Clinical biomechanics.

[55]  Stability of paraspinal tissue compliance in normal subjects. , 1992, Journal of manipulative and physiological therapeutics.

[56]  G. Cecchi Do cross-bridges contribute to the tension during stretch of passive muscle? , 2000, Journal of muscle research and cell motility.

[57]  F. Emonet-Dénand,et al.  The skeletofusimotor or β-innervation of mammalian muscle spindles , 1981, Trends in Neurosciences.

[58]  A. Krogh A TEXTBOOK OF HUMAN PHYSIOLOGY , 1932 .

[59]  T. Sinkjær,et al.  Experimental muscle pain increases the human stretch reflex , 1998, Pain.

[60]  L. Lafrance Manual Medicine Diagnostics , 1986 .

[61]  I. Korr The neural basis of the osteopathic lesion. , 1947, The Journal of the American Osteopathic Association.

[62]  J C Rothwell,et al.  Tonic vibration reflex and muscle afferent block in writer's cramp , 1995, Annals of Neurology.

[63]  P. Hodges The role of the motor system in spinal pain: implications for rehabilitation of the athlete following lower back pain. , 2000, Journal of science and medicine in sport.

[64]  S. Mense,et al.  Understanding and measurement of muscle tone as related to clinical muscle pain , 1998, Pain.

[65]  J. Kincaid Muscle pain, fatigue, and fasiculations. , 1997, Neurologic clinics.

[66]  B. Maton,et al.  The influence of tonic neck reflexes on voluntary fatiguing elbow movements in humans , 2004, European Journal of Applied Physiology and Occupational Physiology.

[67]  Edward B. Trachtman Principles of Manual Medicine , 1989 .

[68]  J. Denslow,et al.  THE CENTRAL EXCITATORY STATE ASSOCIATED WITH POSTURAL ABNORMALITIES , 1942 .

[69]  R. Grünewald,et al.  Idiopathic focal dystonia: a disorder of muscle spindle afferent processing? , 1997, Brain : a journal of neurology.

[70]  J. Travell,et al.  PAIN AND DISABILITY OF THE SHOULDER AND ARM: TREATMENT BY INTRAMUSCULAR INFILTRATION WITH PROCAINE HYDROCHLORIDE , 1942 .

[71]  D. Burke,et al.  Hyperexcitability of motor and sensory neurons in neuromyotonia , 1979, Annals of neurology.

[72]  R. J. Leigh,et al.  Control of Head Movement , 1988, Neurology.

[73]  J. M. Fernández,et al.  Unfolding of titin domains explains the viscoelastic behavior of skeletal myofibrils. , 2001, Biophysical journal.

[74]  S M McGill,et al.  Lumbar erector spinae oxygenation during prolonged contractions: implications for prolonged work , 2000, Ergonomics.

[75]  R. England,et al.  Electromyographic studies. I. Consideration in the evaluation of osteopathic therapy. , 1972, The Journal of the American Osteopathic Association.

[76]  D. Hubbard,et al.  Myofascial trigger points show spontaneous needle EMG activity. , 1993, Spine.

[77]  M. Grabiner,et al.  Decoupling of Bilateral Paraspinal Excitation in Subjects with Low Back Pain , 1992, Spine.

[78]  M. Dutia,et al.  Physiological properties of tandem muscle spindles in neck and hind-limb muscles. , 1989, Progress in brain research.

[79]  R. Hutton,et al.  Stretch sensitivity of Golgi tendon organs in fatigued gastrocnemius muscle. , 1986, Medicine and science in sports and exercise.

[80]  F. Richmond,et al.  Two types of muscle spindles in cat neck muscles: a histochemical study of intrafusal fiber composition. , 1981, Journal of neurophysiology.

[81]  J. Smith,et al.  Postcontraction sensory discharge from muscle and its source. , 1973, Journal of neurophysiology.

[82]  S. Konno,et al.  [Clinical anatomy of lumbar spine]. , 2005, Clinical calcium.

[83]  J. R. Slack,et al.  Sacroiliac joint manipulation decreases the H-reflex. , 1995, Electromyography and clinical neurophysiology.

[84]  C. Heckman,et al.  Tendon vibration-induced inhibition of human and cat triceps surae group I reflexes: Evidence of selective Ib afferent fiber activation , 1986, Experimental Neurology.

[85]  Serge H. Roy,et al.  Lumbar Muscle Fatigue and Chronic Lower Back Pain , 1989, Spine.

[86]  K. Hagbarth,et al.  Invited review: Microneurography and applications to issues of motor control: Fifth annual stuart reiner memorial lecture , 1993, Muscle & nerve.

[87]  S. Mense,et al.  Discharge behaviour of feline gamma-motoneurones following induction of an artificial myositis , 1991, Pain.

[88]  A. Kaigle,et al.  Interaction Between the Porcine Lumbar Intervertebral Disc, Zygapophysial Joints, and Paraspinal Muscles , 1997, Spine.

[89]  M Stokes,et al.  The contribution of reflex inhibition to arthrogenous muscle weakness. , 1984, Clinical science.

[90]  E L Curry,et al.  Effects of the asymmetric tonic neck reflex and high-frequency muscle vibration on isometric wrist extension strength in normal adults. , 1981, Physical therapy.

[91]  T. van Eijden,et al.  Regional differences in fibre type composition in the human temporalis muscle , 1999, Journal of anatomy.

[92]  K. S. Murthy,et al.  Vertebrate fusimotor neurones and their influences on motor behavior , 1978, Progress in Neurobiology.

[93]  M Hulliger,et al.  The dependence of the response of cat spindle Ia afferents to sinusoidal stretch on the velocity of concomitant movement. , 1991, The Journal of physiology.

[94]  D. V. Nelson,et al.  Disinhibition in the Gamma Motoneuron Circuitry: A Neglected Mechanism for Understanding Myofascial Pain Syndromes? , 1998, Applied psychophysiology and biofeedback.

[95]  M Schieppati,et al.  Group II spindle afferent fibers in humans: their possible role in the reflex control of stance. , 1999, Progress in brain research.