Muscle tone & Physiology of muscle tone | muscle tone examination
Muscle tone
is defined as an increase in the resistance of a muscle tone during passive
range of motion.
OR
Muscle resistance
to passive stretch during resting state.
- Tone is
responsible to maintain the posture
- Muscle
consist of muscle spindle and each spindle contain specialized muscle fibers
they are
intrafusal fibers and extrafusal fibers
The
intrafusal fibers are (a) Nuclear bag fibers
(b)
Nuclear chain fibers
In nuclear
bag fibres their nuclei are clustered together in a bag like enlargement near
the center of the fibres.
- In nuclear
chain they donot have any enlargement and their nuclear chain has been arranged
in chain fashion
- Thus both
nuclear fibers have the contracting ability
- And the nuclear bag have greater diameter
than the nuclear chain. So a typical muscle spindle might have 8 nuclear chain
and 2 bags
- In this
nuclear chain is attached to the nuclear bags, which in turns attached to the
endomysium of the extafusal muscle which is the large contractile fibers.
- Thus
intrafusal muscle consist two types of fibers which has both motor and sensory
innervations and one or two gamma motor neuron
- So firing of gamma motor neuron will
stimulate the intrafusal muscle fibers to contract
- Which activate the reflex action
- And an impulse from
intrafusal muscle fibers passes through afferent fibers (1o sensory
nerve fibers) and reaches the anterior gray horn of spinal cord
- Which stimulate alpha
motor neuron
- Sending impulse to
extrafusal fibers through efferent fibers and this will result in the
contraction of muscle fibers
Effect:
Due to
lesion in the UMN & LMN cause abnormal muscle tone:
(a)
Hypertonia :
Increase in the muscle tone on passive movement.eg: spasticity , rigidity (lead
pipe and cog wheel)
(b)Hypotonia
: Decrease in the muscle
tone on passive movement. eg: flaccidity, floppy
(c)
Myotonia : It is a
congenital disease characterized by continuous contraction of muscle and slow
relaxation even after the cessation of the voluntary action
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