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Posted: April 21, 2009

Sportsmedicine: Understanding the Stretch Reflex (or Myotatic Reflex)

The nervous system of mammals is very complex. For most major actions in the body the brain must decide what movement or action must be taken, the nerve impulses must be transmitted out of the brain, down the spinal cord and out to the intended receiver. Then when the action is carried out the impulse must return back the reverse pathway to tell the brain it was completed and start the next process. This is the path for any brain-controlled, conscious, impulses. Although it takes a lot of words to explain, it is really a very rapid process.

There are many processes in the body that do not require direct thought to complete. The heart functions, breathing, metabolic processes, disease fighting and many other autonomic processes happen automatically in the body. The body uses signals to increase, decrease, or maintain many of these actions. If the carbon dioxide levels in the body begin to rise, the autonomic nervous system, through acid/base thermostats, calls for an increase in respiratory rate.

Another automatic response by the nervous system is the reflex. The body reacts in a predetermined way based on specific stimulus. This may be a practiced response or a pre-programmed one. The stretch reflex is one of those responses.

What is the Stretch Reflex?
The stretch reflex; which is also often called the myotatic reflex, knee-jerk reflex, or deep tendon reflex, is a pre-programmed response by the body to a stretch stimulus in the muscle. When a muscle spindle is stretched an impulse is immediately sent to the spinal cord and a response to contract the muscle is received. Since the impulse only has to go to the spinal cord and back, not all the way to the brain, it is a very quick impulse. It generally occurs in 1-2 milliseconds.

This is designed as a protective measure for the muscles, to prevent tearing. The muscle spindle is stretched and the impulse is also immediately received to contract the muscle, protecting it from being pulled forcefully or beyond a normal range.

The synergistic muscles, those that produce the same movement, are also innervated when the stretch reflex is activated. This further strengthens the contraction and prevents injury. At the same time, the stretch reflex has an inhibitory aspect to the antagonist muscles. When the stretch reflex is activated the impulse is sent from the stretched muscle spindle and the motor neuron is split so that the signal to contract can be sent to the stretched muscle, while a signal to relax can be sent to the antagonist muscles. Without this inhibitory action, as soon as the stretched muscle began to contract the antagonist muscle would be stretched causing a stretch reflex in that one. Both muscles would end up contracting simultaneously.

The stretch reflex is very important in posture. It helps maintain proper posturing because a slight lean to either side causes a stretch in the spinal, hip and leg muscles to the other side, which is quickly countered by the stretch reflex. This is a constant process of adjusting and maintaining. The body is constantly under push and pull forces from the outside, one of which is the force of gravity.

Another example of the stretch reflex is the knee-jerk test performed by physicians. When the patellar tendon is tapped with a small hammer, or other device, it causes a slight stretch in the tendon, and consequently the quadriceps muscles. The result is a quick, although mild, contraction of the quadriceps muscles, resulting in a small kicking motion.

Anatomy involved
The muscles are attached to tendons, which hold them to the bone. Muscles have tendons at each attachment. At the attachment of the muscle to the tendon is a muscle spindle that is very sensitive to stretch. The motor neurons that activate the muscles are attached here as well. These are considered lower motor neurons. When they are stimulated they can cause the muscle to contract. This frees up the upper motor neurons and other portions of the central nervous system for more important functions.

The motor neurons travel from the spinal cord to the muscle and back again in a continuous loop. Conscious movement comes from impulses in the brain travelling down the spinal cord, over this loop, and then back to the brain for processing. The stretch reflex skips the brain portion of the trip and follows the simple loop from muscle to spinal cord and back, making it a very rapid sequence.

The diagram above shows how nerve impulses triggered by the stretch reflex travel between the spinal column and the muscles.

The gamma efferent cells in the loop work to keep the muscles ready for the stretch reflex, even when inhibited or contracted. This is important because if the muscle is working against a load and shortening during contraction and an additional load is added, the muscle recognizes the stretch immediately and can compensate with a stronger contraction. This also protects the inhibited antagonist muscles from being injured from excessive stretching.

What causes it?
The stretch reflex is caused by a stretch in the muscle spindle. When the stretch impulse is received a rapid sequence of events follows. The motor neuron is activated and the stretched muscles, and its supporting muscles, are contracted while its antagonist muscles are inhibited.

The stretch reflex can be activated by external forces (such as a load placed on the muscle) or internal forces (the motor neurons being stimulated from within.) An example of the former is a person holding an empty tray in their outstretched arm and then having a plate of food set on it. The stretch reflex would kick in to keep the tray at the same height and balanced. An example of the latter would be the shivering of a cold muscle. The motor neurons are stimulated from an internal "stretch" to warm the muscles.

Any abrupt, forceful stretch on the muscle causes the stretch reflex to fire, in a healthy person. Delays in or absence of the stretch reflex are signs of possible neurological or neuromuscular compromise.

What to Avoid When Stretching?
Many people have never learnt how to stretch properly. Maybe you have done this yourself: You watch other people stretching in the gym and try to imitate what you see. But who is to say that the person you are watching is doing it right? Here are some of the most common mistakes made while stretching:

  • Bouncing. Many people have the mistaken impression that they should bounce to get a good stretch. Bouncing will not help you and could do more damage as you try to push too far beyond the stretch reflex. Every move you make should be smooth and gentle. Lean into the stretch gradually, push to the point of mild tension and hold for a few seconds. Each time you will be able to go a little further, but do not force it.
  • Not Holding the Stretch Long Enough. If you do not hold the stretch long enough, you may fall into the habit of bouncing or rushing through your stretch workout. Hold your stretch position for at least 15 to 20 seconds before moving back to your original position.
  • Stretching Too Hard. Stretching takes patience and finesse. Each move needs to be fluid and gentle. Do not throw your body into a stretch or try to rush through your stretching routine. Take your time and relax.
  • Forgetting Form and Function. Think about your sport or activity. Which muscles will you be using? A stretching routine for a marathon run will be very different from a routine for an hour of lifting weights. Pay attention to the muscles you will need to use in your program and make sure your form for each stretch is attained properly. Consider the range of motion you will be putting that particular muscle through. The whole point of stretching is getting your muscles accustomed to moving through a specific range of motion, so if the muscle is not used to going that far, you may end up with an injury.

So, to avoid the stretch reflex and potential damage to your muscles and joints, avoid pain. Never push yourself beyond what is comfortable. Only stretch to the point where you can feel tension in your muscles. This way, you will avoid injury and get the maximum benefits from your stretching.

Stretching is one of the most under-utilized techniques for improving athletic performance and getting rid of those annoying sports injuries. Don't make the mistake of thinking that something as simple as stretching won't be effective.

Article Posted on the Stretching Institute by Brad Walker.
Brad is a leading stretching and sports injury consultant with nearly 20 years experience in the health and fitness industry. For more free articles on stretching, flexibility and sports injury, subscribe to The Stretching & Sports Injury Newsletter by visiting

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