Golgi Tendon Reflex
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The Golgi tendon reflex (also called inverse stretch reflex, autogenic inhibition, tendon reflex) is an inhibitory effect on the
muscle Skeletal muscles (commonly referred to as muscles) are organs of the vertebrate muscular system and typically are attached by tendons to bones of a skeleton. The muscle cells of skeletal muscles are much longer than in the other types of muscl ...
resulting from the muscle tension stimulating
Golgi tendon organs The Golgi tendon organ (GTO) (also called Golgi organ, tendon organ, neurotendinous organ or neurotendinous spindle) is a proprioceptor – a type of sensory receptor that senses changes in muscle tension. It lies at the interface between a musc ...
(GTO) of the muscle, and hence it is self-induced. The
reflex arc A reflex arc is a neural pathway that controls a reflex. In vertebrates, most sensory neurons do not pass directly into the brain, but synapse in the spinal cord. This allows for faster reflex actions to occur by activating spinal motor neurons w ...
is a
negative feedback Negative feedback (or balancing feedback) occurs when some function (Mathematics), function of the output of a system, process, or mechanism is feedback, fed back in a manner that tends to reduce the fluctuations in the output, whether caused by ...
mechanism preventing too much tension on the muscle and
tendon A tendon or sinew is a tough, high-tensile-strength band of dense fibrous connective tissue that connects muscle to bone. It is able to transmit the mechanical forces of muscle contraction to the skeletal system without sacrificing its ability ...
. When the tension is extreme, the inhibition can be so great it overcomes the excitatory effects on the muscle's alpha motoneurons causing the muscle to suddenly relax. This reflex is also called the inverse myotatic reflex, because it is the inverse of the
stretch reflex The stretch reflex (myotatic reflex), or more accurately "muscle stretch reflex", is a muscle contraction in response to stretching within the muscle. The reflex functions to maintain the muscle at a constant length. The term deep tendon reflex is ...
. GTOs' inhibitory effects come from their reflex arcs: the Ib sensory fibers that are sent through the
dorsal root The dorsal root of spinal nerve (or posterior root of spinal nerve or sensory root) is one of two "roots" which emerge from the spinal cord. It emerges directly from the spinal cord, and travels to the dorsal root ganglion. Nerve fibres with the ve ...
into the
spinal cord The spinal cord is a long, thin, tubular structure made up of nervous tissue, which extends from the medulla oblongata in the brainstem to the lumbar region of the vertebral column (backbone). The backbone encloses the central canal of the spi ...
to synapse on Ib inhibitory
interneurons Interneurons (also called internuncial neurons, relay neurons, association neurons, connector neurons, intermediate neurons or local circuit neurons) are neurons that connect two brain regions, i.e. not direct motor neurons or sensory neurons. I ...
that in turn terminate directly on the motor neurons that innervate the same muscle. The fibers also make direct excitatory synapses onto motoneurons that innervate the antagonist muscle. Note that the disynaptic reflex pathway does not always have inhibitory effects: under certain conditions, GTO stimulation can result in motoneuron excitation. Besides protecting against too much tension on the muscle and tendon, the tendon reflex may help spread muscle load throughout the muscle fibers, thereby preventing damage to isolated fibers. Whereas the
stretch reflex The stretch reflex (myotatic reflex), or more accurately "muscle stretch reflex", is a muscle contraction in response to stretching within the muscle. The reflex functions to maintain the muscle at a constant length. The term deep tendon reflex is ...
regulates muscle length, the tendon reflex helps regulate muscle force. It helps maintain steady levels of tension and stable joints to counteract effects that reduce muscle force (such as fatigue). Because the Ib inhibitory interneurons receive convergent multisensory inputs and descending pathways, they may allow fine control of muscle forces, and may be better at protective functions. Also, because the Ib fibers connect widely with the motoneurons innervating muscles working on different joints, the Golgi tendon reflex forms part of reflex networks that control movements of the whole limb.


Protective function, autogenic inhibition, and others

The Golgi tendon reflex operates as a protective feedback mechanism to control the tension of an active muscle by causing relaxation before the tendon tension becomes high enough to cause damage. First, as a load is placed on the muscle, the
afferent neuron Afferent nerve fibers are the axons (nerve fibers) carried by a sensory nerve that relay sensory information from sensory receptors to regions of the brain. Afferent projections ''arrive'' at a particular brain region. Efferent nerve fibers a ...
from the
Golgi tendon organ The Golgi tendon organ (GTO) (also called Golgi organ, tendon organ, neurotendinous organ or neurotendinous spindle) is a proprioceptor – a type of sensory receptor that senses changes in muscle tension. It lies at the interface between a musc ...
fires into the
central nervous system The central nervous system (CNS) is the part of the nervous system consisting primarily of the brain and spinal cord. The CNS is so named because the brain integrates the received information and coordinates and influences the activity of all par ...
. Second, the motor neuron from the spinal cord is inhibited via an IPSP and muscle relaxes. Because the Ib inhibitory interneurons receive convergent descending pathways and multisensory inputsincluding
cutaneous receptors A cutaneous receptor is the type of sensory receptor found in the skin ( the dermis or epidermis). They are a part of the somatosensory system. Cutaneous receptors include mechanoreceptors (pressure or distortion), nociceptors (pain), and th ...
,
muscle spindles Muscle spindles are stretch receptors within the body of a skeletal muscle that primarily detect changes in the length of the muscle. They convey length information to the central nervous system via afferent nerve fibers. This information can be ...
, and joint receptors, they can provide better protection, such as when the joint receptors are signaling joint hyperextension or hyperflexion. Autogenic inhibition refers to a reduction in excitability of a contracting or stretched muscle, that in the past has been solely attributed to the increased inhibitory input arising from Golgi tendon organs (GTOs) within the same muscle. It was first thought GTOs only had protective function which was to prevent muscles from damages because of the assumptions that they always inhibited motoneurons and that they fired only under high tension. But it is now known that GTOs signal muscle tension continuously providing precise information about muscle force, that the reflex pathway has multisensory inputs that may allow precise control of muscle forces for fine activities, and that Ib fibers connect widely with motoneurons innervating muscles acting on different joints, which when complemented with their reflex pathways, are part of reflex networks that control movements of the whole limbs. The reduced efferent (motor) drive to the muscle by way of autogenic inhibition is a factor historically believed to assist target muscle elongation, although current literature casts doubt on this hypothesis.


Protective steps

With muscle tension, a Golgi tendon reflex operates as follows: # As tension is applied to a tendon, the Golgi tendon organ (sensor) is stimulated ( depolarized) # Nerve impulses (
action potential An action potential occurs when the membrane potential of a specific cell location rapidly rises and falls. This depolarization then causes adjacent locations to similarly depolarize. Action potentials occur in several types of animal cells, ...
s) arise and propagate along sensory fiber Ib into the spinal cord # Within the spinal cord (integrating center), sensory fiber Ib synapses with and activates (via glutamate) an inhibitory interneuron # The inhibitory interneuron releases the neurotransmitter
glycine Glycine (symbol Gly or G; ) is an amino acid that has a single hydrogen atom as its side chain. It is the simplest stable amino acid (carbamic acid is unstable), with the chemical formula NH2‐ CH2‐ COOH. Glycine is one of the proteinogeni ...
that inhibits (hyperpolarizes) the α motor neuron # As a consequence fewer nerve impulses are generated in the α motor neuron # The muscle relaxes and excess tension is relieved


Flexibilities

The output of the Ib inhibitory interneurons are flexible because they receive inputs from
golgi tendon organs The Golgi tendon organ (GTO) (also called Golgi organ, tendon organ, neurotendinous organ or neurotendinous spindle) is a proprioceptor – a type of sensory receptor that senses changes in muscle tension. It lies at the interface between a musc ...
,
muscle spindles Muscle spindles are stretch receptors within the body of a skeletal muscle that primarily detect changes in the length of the muscle. They convey length information to the central nervous system via afferent nerve fibers. This information can be ...
,
cutaneous receptors A cutaneous receptor is the type of sensory receptor found in the skin ( the dermis or epidermis). They are a part of the somatosensory system. Cutaneous receptors include mechanoreceptors (pressure or distortion), nociceptors (pain), and th ...
, joint receptors, and different descending pathways. The multiple sensory/control inputs may allow fine motor activities, such as grasping a delicate object, in which other
senses A sense is a biological system used by an organism for sensation, the process of gathering information about the world through the detection of stimuli. (For example, in the human body, the brain which is part of the central nervous system rec ...
may guide force control. In addition, stimulating GTO doesn't always inhibit motor neurons, because during activities such as walking, the Ib inhibitory interneurons are inhibited, and Ib excitatory interneurons stimulate the motoneurons.


Contrast to stretch reflex

The
stretch reflex The stretch reflex (myotatic reflex), or more accurately "muscle stretch reflex", is a muscle contraction in response to stretching within the muscle. The reflex functions to maintain the muscle at a constant length. The term deep tendon reflex is ...
operates as a feedback mechanism to control muscle length by causing muscle contraction. In contrast, the tendon reflex operates as a
negative feedback Negative feedback (or balancing feedback) occurs when some function (Mathematics), function of the output of a system, process, or mechanism is feedback, fed back in a manner that tends to reduce the fluctuations in the output, whether caused by ...
mechanism to control muscle tension. Although the tendon reflex is less sensitive than the stretch reflex, it can override the stretch reflex when tension is great, for example, causing a person to drop a very heavy weight. Like the stretch reflex, the tendon reflex is
ipsilateral Standard anatomical terms of location are used to unambiguously describe the anatomy of animals, including humans. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position prov ...
. The sensory receptors for this reflex are called tendon
Golgi receptor The Golgi tendon organ (GTO) (also called Golgi organ, tendon organ, neurotendinous organ or neurotendinous spindle) is a proprioceptor – a type of sensory receptor that senses changes in muscle tension. It lies at the interface between a musc ...
s, which lie within a tendon near its junction with a muscle. In contrast to
muscle spindle Muscle spindles are stretch receptors within the body of a skeletal muscle that primarily detect changes in the length of the muscle. They convey length information to the central nervous system via afferent nerve fibers. This information can be ...
s, which are sensitive to changes in muscle length, tendon organs detect and respond to changes in muscle tension that are caused by muscular contraction, but not passive stretch.


Pathology

Upper motor neuron lesions An upper motor neuron lesion (also known as pyramidal insufficiency) Is an injury or abnormality that occurs in the neural pathway above the anterior horn cell of the spinal cord or motor nuclei of the cranial nerves. Conversely, a lower motor n ...
which damage the descending pathways down to the spinal cord may cause increase in muscle tone, partly because alpha motoneurons respond more to muscle spindle afferent inputs. This causes increased resistance to passive movement (that the patient doesn't initiate), called spasticity, which is associated with another neurological sign, the
clasp-knife response Clasp-knife response refers to a Golgi tendon reflex with a rapid decrease in resistance when attempting to flex a joint, usually during a neurological examination. It is one of the characteristic responses of an upper motor neuron lesion. It gets ...
, in which the spastic muscle initially resists passive movement strongly, and then suddenly yieldslike the motion of a
pocketknife A pocketknife is a knife with one or more blades that fold into the handle. They are also known as jackknives (jack-knife), folding knives, or may be referred to as a penknife, though a penknife may also be a specific kind of pocketknife. A ty ...
. The increased initial resistance comes from the stretch reflex hyperactivity, and the sudden collapse may involve the Golgi tendon reflex. The response is also known as the lengthening reaction because of the spastic muscle's reaction to lengthening.


See also

*
H-reflex The H-reflex (or Hoffmann's reflex) is a reflectory reaction of muscles after electrical stimulation of sensory fibers (Ia afferents stemming from muscle spindles) in their innervating nerves (for example, those located behind the knee). The H-re ...
* Motor control *
Reflex action In biology, a reflex, or reflex action, is an involuntary, unplanned sequence or action and nearly instantaneous response to a stimulus. Reflexes are found with varying levels of complexity in organisms with a nervous system. A reflex occurs ...


References


Other references

* * * * * * {{reflex Reflexes