This review is limited to a consideration of the direct and indirect actions of drugs on muscle spindle function. A detailed description of the various sensory endings, their characteristic responses to stimuli, and the function of these receptors in reflexes is outside the scope of this review. These topics have been discussed in a recent symposium (8) and other reviews (34,47,64,76,95).The mammalian muscle spindles are of particular interest since they contain the afferent ending for one of the basic reflexes, the stretch reflex. In addition to a complicated afferent system of one or more stretch sensitive endings, they possess specialized intrafusal muscle fibers which function as regulators of the sensitivity of the afferent receptor endings. The assess ment of drug effects upon these intrafusal fibers has, by necessity, been limited to indirect methods. Stimulation of the small, high threshold myeli nated fusimotor4 nerves innervating the intrafusal muscle fibers results in an increase in the frequency of discharge of spindle afferent nerves as well as an increase in the sensitivity to stretch of the sensory ending with, however, no alteration in gross muscle tension.It has not been proven that intrafusal neuromuscular (n-m) transmission is cholinergic but all data obtained to date are consistent with this assump tion. The endplates contain cholinesterase (30,31,32,75,89), transmission is blocked by extrafusal anticholinergic blocking agents (table I), and anti cholinesterases facilitate transmission (90) and antagonize tubocurarine block (54,55,80).Agents acting directly on spindles.-Tubocurarine, its dimethyl ether, and gallamine have been reported to block intrafusal n-m transmission ( Table 1). The intrafusal fibers appear to be less sensitive than the extrafusal; however, the difference in sensitivity is not great and it is difficult to block all extrafusal fibers and leave intrafusal n-m transmission unaffected (54, 55). Succinylcholine (SCh) rather selectively blocks extrafusal n-m trans-1 The survey of the literature pertaining to this review was concluded May 1962. S Abbreviations used in this chapter include: ACh (acetylcholine); nom (nerve muscle, neuro-muscular); SCh (succinylcholine).