Segmental reflexes and ankle joint stiffness during co-contraction of antagonistic ankle muscles in man

Abstract

The size of soleus H-reflexes and short-latency stretch reflexes was measured at different levels of plantar flexion or co-contraction (simultaneous activation of dorsi- and plantar flexors) in seven healthy subjects. In four of seven subjects the short-latency stretc reflex was smaller during weak co-contraction than during isolated plantar flexion at matched background electromyogram (EMG) levels in the soleus muscle. In three of these four subjects the stretch reflex was larger during strong co-contraction than during plantar flexion, whereas it had the same size during the two tasks in the last subject. In the remaining subjects the stretch reflex either had the same size or was larger at all levels of co-contraction than at similar levels of plantar flexion. In contrast, the H-reflex was found to decrease with co-contraction at all contraction levels in all subjects. The decrease in the reflexes during weak co-contraction might be caused by presynaptic inhibition of Ia afferents. It is unclear why only the H-reflex decreased during strong co-contraction. The stiffness of the ankle joint was measured from the torque increment following the stretch of the plantar flexors divided by the stretch amplitude. In all subjects the total stiffness of the ankle joint was larger during strong co-contraction than during plantar flexion of similar strength. The stiffness was smaller during weak co-contraction than during weak plantar flexion in three out of seven subjects. The medial gastrocnemius muscle was more active at a given level of soleus activity during the co-contraction task than during the isolated plantar flexion task. It is suggested that the increase in the stiffness during co-contraction as compared to isolated plantar flexion was mainly due to the mechanical contribution of the activity in the tibialis anterior and medial gastrocnemius muscles. The decrease in stiffness during weak co-contraction was, in contrast, most likely mainly caused by modulation of reflex stiffness.