04/26/2026
Chronic pain produces an inflammatory response within the region, igniting an inhibitory response to the muscles involved (Mukund & Subramaniam, 2019). The inhibitory response weakens the muscles’ capability to perform and create stability in the area while transforming type I muscle characteristics to those found in type IIb fibers (Mukund & Subramaniam, 2019; Pinto et al., 2020). The inhibitory effect from the inflammation will negatively impact the motor recruitment of the muscles, leading to a lack of stability of the joint while irritation from joint loading increases due to the nociceptor response that occurs when inflammation is present (Merkle et al., 2020; Russo et al., 2017).
Postural/joint control and stabilization stem from the overall response, and continued feedback of the muscle spindle and tonic activation of the type I muscle fibers (Gahmkhar & Kahlee, 2019; Sakai et al., 2022). The muscle availability and capability to respond and maintain a response to load or resistance through a constant communication occurring within the neuromuscular system due to afferent signaling from proprioceptors and efferent signaling from the central nervous system is known as tonus (Ganguly et al., 2021). Panjabi (1992) and Norris (1995) have both expressed the importance of muscle tone in the role of spinal stability, and decreasing or preventing chronic pain.
When pain and inflammation are present anywhere in the body, the inhibitory response on the muscles of the region may lead to compensation of different motor pathways when attempting to load or apply resistance to the region (Merkle et al., 2020). If this is occurring when attempting to treat the muscles of the region while performing resistance exercise, the targeted muscles may be non-respondent (Norris, 1995). A non-respondent muscle is a muscle that fails to respond to a light amount of resistance or force applied to the muscle testing position (Norris, 1995). Norris (1995) explains the importance of ensuring muscle response through testing the muscle’s response before applying isotonic resistance exercise. The muscle tone should be tested and strengthened prior to applying load to the muscle region in exercise as it is necessary for ensuring the preparedness of a muscle or muscles in the ex*****on of any movement or resisting of forces being applied for the purpose of creating adaptation in such muscles through exercise (Ganguly et al., 2021).
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