SUMMARY The muscle silent period was measured in 11 patients with moderate to severe rigidity associated with Parkinson's disease. The determinations were made under conditions of maximum disability for each patient, since all medications had been withdrawn before testing. The duration of the EMG silence, produced by small and large electrical twitch contractions of the adductor pollicis muscle, fell within a range of values previously determined for normal individuals. Major alleviation of the rigidity and bradykinesia with chronic oral L-dopa therapy was not accompanied by any change in the silent period. It was concluded that in untreated Parkinsonism, and also after its treatment with L-dopa, the functioning of the muscle spindles and local inhibitory reflexes remains normal.Previous investigators (Angel, Hofmann, and Eppler, 1966), utilizing the unloading reflex, demonstrated that the electromyographic (EMG) silent periods in four patients with Parkinsonian rigidity were similar to those obtained in normal individuals. The present investigation, using 11 patients, demonstrated normal silent periods under conditions which provide additional insight into the reflex behaviour in Parkinsonism. The silent period was obtained by an electrically induced contraction of a single muscle (adductor pollicis). During maximal stimulation the early portion of EMG silence was a manifestation of inhibitory actions, while events related to muscle spindle function were identifiable in the termination of the silence (Granit, Kellerth, and Szumski, 1966; Higgins and Lieberman, 1968a, b).
METHODThe technique of obtaining the silent period of the adductor pollicis muscle has been described previously (Merton, 1951; Higgins and Lieberman, 1968a, b). Two modifications were made to simplify the recording procedure.The first modification was that two skin surface electrodes with silver-silver chloride junctions (Beckman Bio-potential electrodes; diameter 2 mm) were used for EMG recording instead of needle electrodes. The active Identical silent periods were observed in the surface and needle electrode recordings obtained from a normal individual. The second modification was that stimulation of the ulnar nerve at the wrist and recording of EMG and tension responses were accomplished with a HewlettPackard Electromyograph (Model 1510A) equipped with a storage cathode ray tube and Polaroid camera.The ulnar nerve was stimulated at several intensities in order to compare the degree of inhibition associated with maximal and minimal isometric contractions. The stimuli occurred at equal or unequal intervals between I and 5 sec. Isometric tension was recorded with a Grass strain gauge (Model FT-10), as previously described. The amplified DC output of this gauge was applied directly to the vertical amplifier of the second recording channel of the electromyograph, by-passing the AC preamplifier.As in previous investigations of this type, close attention was given to the maintenance of steady tension and EMG levels before each electrical stimul...