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Differential Nerve Block Studies in Normal Subjects and in Spasticity and Rigidity

WILLIAM M. LANDAU, M.D.; RICHARD A. WEAVER, M.D.; THOMAS F. HORNBEIN, M.D.

Arch Neurol. 1960;3(1):10-23.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Early clinical and physiological speculations about a special motor system for mammalian muscle tone appeared to be disproved by the correlation of electrical (motor unit) activity with muscle contraction, and conversely, of electrical silence with the resting state.^1,2 However, evidence accumulated in the last decade indicates that such a system does, indeed, exist, although not in the sense of a mechanism that produces tonic muscular contraction directly.

The efferent innervation of muscle spindle tension receptors by a special group of ventral spinal root fibers was first suggested by the finding that stimulation of the small (gamma) ventral root fibers (comprising about 25% of the total in the cat) produced no further muscle shortening beyond that produced by stimulation of the large (alpha) motor fibers.³ Leksell⁴ first directly confirmed this function of the gamma efferent (fusimotor) fibers.

The sensitivity of muscle spindle stretch receptors is modulated by the . . . [Full Text PDF of this Article]

Author Affiliations
St.Louis

From the Division of Neurology, Beaumont-May Institute of Neurology, and the Division of Anesthesiology, Washington University School of Medicine.

Footnotes
Received for publication April 8, 1960.

Supported in part by U.S. Public Health Service Grant B-882.

NINDB Special Traineeship Fellow (Dr. Weaver). NINDB Post-Graduate Research Fellow (Dr. Hornbein).

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