Botulinum A toxin (Botox) is used for the treatment of many muscular d
ystonias. However, the relief of the sustained and abnormal postures i
nduced by Botox administration is not fully explained. In this work th
e possibility was considered that Botox can produce a block not only a
t the alpha motor endings, but also at the gamma motor endings, conseq
uently reducing the spindle inflow to the alpha motoneurons, which hav
e a great role in maintaining the tonic myotatic reflex. Jaw muscle sp
indle discharge was recorded before and after Botox injection in the d
eep masseter muscle. The drug consistently reduced the spindle afferen
t discharge. Such an effect is suggested to be direct on gamma endings
as: i) muscle tension was not modified by Botox during the recording
time; ii) saline administration never changed the spindle discharge. T
he Botox effect on muscle spindles suggests that the relief from dysto
nias could be due not only to a partial motor paralysis, but also to a
decrease of the reflex muscular tone.