2
2
2
This muscle tone has historically been explained as a postural low-level tonic
of motor neurons. As explained Walsh, this
was begun by Waller and was
based on a reported inapplicable
Brondegeest in 1860. Waller, and
later the Sherrington explained
muscle tone with the muscle stretch reflex. Such
an explanation definition, an
action potential to be generated in (X-motor neurons.
Activation of (X-motor neurons would acti
vate motor which would be perceptible
EMG. All efforts to document resting muscJe tone via EMG have failed.3234 This is not to that some form of contracture is in the muscle. Physiologists tend to define
contracture as an of the muscular contractile apparatus in the absence of EMG activity initiated by anterior horn cells.
With this there are
formed but they have not resulted from an action from the
myoneural junction.
The second level of muscle tone
is what Simons and Mense refer to as electro
spasm. This particular of contraction
is an involuntary contraction that is sociated with measurement EMG that muscle31 Voluntary muscular contraction is the third and last level of muscle tone and
requires no
Before we move on to a more nation of recent findings regarding viscoelastic
tone, it useful to discuss in a little more
ideas related to clinical muscle spasm. As we
have already a pain-spasm-pain cycle is
an insupportable hypothesis in the sense of an
spasm. As anyone who has worked
on another human or even mammal will attest,
in compressibility of discernible by palpathe
and
findings related to trigheadache (T-TH)
muscular tissue are
tion. In this
In T-TH it is easy
taut bands of muscle. These while often associated with trigger points, do not demonstrate observable EMG activity. The
points, have been
and 83
shown to demonstrate localized electrical activity in the confined area of the point]6 It appears that these taut bands of muscle are the result of the same contracture
mechanisms described by physiologists.
Other forms of muscle contraction of lar interest to clinicians fall into two The first form we know as involuntary where there is unnecessary muscular contraction that
limits movcment. The second form could best be described as inefficient use. Most clinicians are aware that because of
and other causes, patients wiII move in manners that are inefficient. These ineffican have serious con
sequences. for a marathon
runner who gets a bl isler over the head of the fifth metatarsal at
mile 3 of the race. Such a
minor ury has been known to have conse
quences of a femoral head stress fracture by the end of the marathon. The same such inefficient use can occur with
trigger Lack of relaxation
between contractions of the upper trapezius has
been demonstrated Elert et and Ivanichev points
demonstrated that muscles with
failed to relax movements as during
An
muscle tone, which are associated with electri
cal in the is certainly
for the clinician. Also, an insight into the influ
ences of various on (X-motor neuron
and y-motor neuron activity is useful for underhowever, this volume relates more specifically the manipulation of ciaI tissues. Consequently, the next section on
IS very and will help the reader to understand some of the very rapid results seen with myofascial
Viscoelastic Muscle Tone
The viscoelastic muscle tone, or tone,
is made up of an elastic component and a viscoelastic
component. The purely elastic compo
nent, by requires a force to
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