Skeletal muscle tone and the misunderstood stretch reflex.

This review presents a revision of long-accepted tenets regarding the genesis of muscle tone in humans. Most discussions liken muscle tone in humans to the reflex tone described by Sherrington in decerebrate animals. That tradition presumes that muscle tone is fully determined by the monosynaptic stretch reflex, that tonic fusimotor activity is necessary for its production in normal humans, and that tonic muscle tone in antigravity leg muscles is responsible for the maintenance of posture. Data reviewed here show that nonreflex, mechanical mechanisms are involved in the maintenance of resting muscle tone; that spinal cord reflex responses are not stereotyped responses, but depend upon the ongoing activity in interneurons upon which inputs from a variety of peripheral sensory receptors and descending fiber systems converge; that long-latency transcortical responses are elicited when a muscle is stretched, and these responses effectively deal with large displacements; and that inertial components and viscoelastic muscle forces can counterbalance small amounts of body sway during quiet standing. In sum, the response to muscle stretch is not fixed and inflexible, but can be adjusted according to the demands of the moment.