Abstract
Muscle ‘splinting’ (acute hypertonicity) is the clinical entity commonly featured as a result of somatic or visceral trauma. One of the implicit objectives of manipulative therapy is to stretch hypertonic muscles. The mechanical parameters of the manipulative thrust are reviewed in relation to the physiology of the muscle afferents which are activated by changes in length, tension and momentum. During muscular contraction, autogenic inhibition is initiated in parallel (with the motor excitation), via the interneurons that are activated by the Golgi tendon organs. It appears that when an excessive force is applied to or exerted by a muscle at varying lengths (extensions), the Golgi tendon organ inhibition regulates not only the frequency of discharge, but also the range of firing of the motoneurons. This relaxation (the inhibition of gamma, as well as alpha motoneurons) is one of the desired end results of manual therapy in most conditions. The role of other muscle afferents (groups Ia and II) and the “gamma loop” are also discussed in relation to the muscle ‘splinting’ phenomenon.
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Selected References
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