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Acknowledgements
The author's laboratory is supported by
research grants EY01338 and EY02159 from
the National Eye Institute, National Institutes
of Health. The laboratory is a part of a Vision
Science Research Center which is supported in
part by a CORE Vision Research Center Grant
(EY03039), also from the National Eye Institute. National Institutes of Health.
Reading List
I Av, aya, S., Miyake, Y., lmaizumi, Y., Shiose, Y..
Sherrington's concept of
proprioception
Edward V. Evarts
Proprioceptors respond naturally to active movement, but experimentally these movements
must be produced by external means. Edward Evarts explains how this methodological
limitation has affected our interpretation o f proprioceptor function.
Sherrington 14 defined proprioceptors as
deep receptors for stimuli that 'are traceable to actions o f the organism itself,
a n d . . , s i n c e . . , the stimuli to the receptors are delivered by the organism itself, the
deep receptors may be termed proprioceptors, and the deep field a field of proprioception', The latin wordproprius, meaning own, provided a prefix which called
attention to the fact that the organism's
own acts created the adequate stimuli for
these deep receptors. Having defined
t". [=lse~ier/Norlh-HollandBiomedicalPress 10~.1
45
tainly, most of what we know about prop- reflexes are not natural does not mean that be tonic and larger gastrocnemius
rioceptive systems has been gained by they are unworthy of study - far from it. motoneurons to be phasic, and the importobserving the reflex consequences of But laboratory reflexes should be viewed ance of cell size in relation to tonic and
externally produced changes of muscle as tools for investigating the neuronal phasic properties has also been shown by
phasic
length and tension, and the use of these pathways whose existence they reveal Henneman et al 1'11. The
inadequate stimuli does not really lead us rather than as phenomena demanding a motoneurons which innervate fast-fatigue
muscles are at the upper end of the
astray until we place excessive reliance on teleological explanation.
recruitment order and are relatively inacthese consequences in seeking to arrive at
cessible to excitation by segmental inputs.
formulations as to the functional signifi- When are proprioceptive reflexes
important?
cance of proprioceptive reflexes.
Within the past few decades there have Errors: internal v. external
Reflex categories
All the above-mentioned findings point
been a number of investigations aimed at
Indeed, the importance of distinguishing assessing the extent to which propriocep- to the effectiveness of proprioceptive
between reflexes elicited by natural and tive reflex systems mediate adaptive motor ,inputs in modulating tonic motoneuron
contrived stimuli is such that one might responses to large external disturbances. discharge and to the ineffectiveness of
speak facetiously of two sorts of reflexes: Unfortunately, interpretations of the these same proprioceptive inputs in activatnatural reflexes and laboratory reflexes. results of these studies have sometimes ing the phasic motoneurons innervating
The natural reflexes are the familiar ones - failed to give sufficient attention to the pair fast fatigue muscle which, in its brief
those whose functional significance is clear of facts that Sherrington ~4 recognized so periods of activity, generates the abrupt
even to the person in the street, while the clearly: (1) muscular responses resulting increases in tension necessary to react to
laboratory reflexes are the unfamiliar ones from proprioceptive inputs are mild; (2) large errors generated by external disturwhose functional significance may be intense responses to afferent inputs arising bances. Numerous recent studies in man t5
unclear even to the laboratory worker who within the environment are mediated and subhuman primates tz show that comelicits them. Examples of natural reflexes primarily by exteroceptive inputs. Given pensation for large load disturbances is not
are the cough reflex, the corneal reflex, the these two facts, one should not be surprised achieved by segmental reflex mechanisms
pupillary light reflex, the vestibulo-ocular when it is demonstrated that propriocep- operating in the closed-loop mode. But
reflex (VOR) etc. The person in the street tive reflexes are ineffective in achieving while not suited to deal with large load dismight object to calling the V O R a natural load compensation in the face of large turbances, segmental reflex mechanisms
reflex, arguing that he or she hasn't the external disturbances (remember Sher- are suited to deal with smaller disturbances
slightest idea what the V O R is. True, but rington's point that proprioceptive inputs due to internal factors within the
one could explain to such a person that have mild effects and that exteroceptors neuromuscular system itself. When small
length changes occur during tonic muscle
VORs occur whenever he or she moves rather than proprioceptors underlie
about and that VORs provide for stability responses to external disturbances!). discharge as a subject seeks to maintain
of vision by generating eye movements Indeed, closed-loop feedback systems postural stability, these small length
changes will modulate the discharge frewhich exactly counterbalance head move- come into play primarily when errors are
ments. A laboratory reflex which may be small. Under conditions in which errors are quencies of tonically active motoneurons,
contrasted with the VOR is caloric nystag- large, open loop systems come into play but such modulation will be insufficient to
mus resulting from irrigation of the exter- and generate large movements which will achieve compensation for large external
nal auditory canal with warm or cold water. reduce error to a value such that closed- load changes, since high threshold
Caloric nystagmus is mediated by the same loop systems can function effectively. motoneurons with phasic properties must
pathways that mediate the VOR but is Thus, for both segmental and the transcor- be brought into play to re-establish a new
itself of no functional significance (of what tical reflexes, a priori considerations would steady state and proprioceptive inputs are
possible use is it to have nystagmus when lead one to believe that the systems should unable to excite these high threshold
someone puts cold or warm water in one's be effective for small errors and ineffective motoneurons. For this intense excitation
ear?). Of course, an individual who lacks a for large errors. According to this notion, the motoneurons must await signals genercaloric reflex will also lack a V O R and will small errors would be able to elicit effective ated by 'reprogramming' at spinal and/or
be impaired accordingly. But this does not proprioceptive reflex responses by control- supraspinal levels. But while inadequate to
mean that one should seek toattribute funcling that proportion of the motoneuronal
deal with large external disturbances, the
tional significance to the caloric reflex pool (or the cortico-motoneuronal pool) increase (with lengthening) and decrease
per se.
which is tonically active. The special capac- (with shortening) in tonic motoneuron disThis absurd discussion of laboratory and ity of segmental inputs to control discharge charge produced by proprioceptive reflex
natural reflexes has been engaged in of tonic motoneurons and the differences inputs points to the capacity of these inputs
because there are certain reflexes which in the properties of tonic as compared to
to modulate discharge either up or down.
are actually laboratory reflexes but whose phasic
motoneurons
have
been
And though compensation for large exterfunctional significance is sometimes discus- documented in a number of studies since nal disturbances cannot be achieved by this
sed as if they were natural reflexes. My own Granit et al. 8 found that axons of tonic feedback, modulation of tonic motoneuron
work on cerebral motor cortex outputs motoneurons - as revealed by post-tetanic discharge in relation to small internal disoccurring in response to externally pro- potentiations - were emitting smaller turbances can be carried out by these reflex
duced limb displacements must surely be spikes than phasic ones. An additional
mechanisms. Small internal disturbances
classified as dealing with laboratory study 9 showed that in both gastrocnemius (arising in muscle and/or nervous system)
reflexes, and the same may be said for a and soleus muscles, spike size from indi- create errors of movement even in the
variety of spinal cord reflexes (e.g. the ten- vidual fibers differentiated between tonic absence of any external load changes, and
don jerks and Babinski reflexes elicited by and phasic motor units. Burke s,4 found that
the high dynamic sensitivity of muscle
the neurologist). The fact that these smaller soleus motoneurons were likely to
stretch receptors~ for small length changes
46
Reading list
1 Bizzi,E., Dev,P., Morasso,P. and Polit, A. (1978)
J. Neurophysiol. 41,542-556
2 Bizzi. E.. Polit, A. and Morasso, P. (1976)J.
Neurophysiol. 39, 435-444
3 Burke, R. E. (1968)J. Physiol. London 196,
605-630
4 Burke, R. E. (1968)J. Physiol. London 196,
631-654
5 Burke, R.E.(1973)inNewDevelopmentsinElectromyography and Clinical Neurophysiology,
(Desmedt, J. E.. ed.) vol. 3. pp. 69-94, Karger,
Basel
The indicators used in the optical techniques fall into three main categories. These
are the calcium sensitive luminescent proteins (photoproteins) which emit light
upon binding to calcium. (The two used
most commonly are aequorin and obelin =,
named after the jellyfish Aequorea and
Obelia, from which they are isolated); calcium sensitive dyes such as murexide, tetramethylmurexide TM, arsenazo IIP, antipyrylazo III=1and chlorophosphonazo liP,
which show large changes in their absorption spectra due to Ca =+ binding; and the
fluorescent
Ca=+-chelators
such
as
chlorotetracycline 6 or calcein 8 in which