Acoustic reflex contraction of the stapedius muscle stiffens the middle-ear, thus decreasing middle-ear admittance; this can be measured thanks to tympanometry. The acoustic stapedius reflex can also be recorded by means of extratympanic manometry (ETM). As the stapedius muscle is innervated by the facial nerve, a measurement of the reflex can be used to locate the injury on the nerve. If the injury is distal to the stapedius muscle, the reflex is still functional. A measurement of the reflex can also be used to suggest a retrocochlear lesion (e.g., vestibular schwannoma, acoustic neuroma). The acoustic reflex normally occurs only at relatively high
Muscle architecture muscles have broad attachments compared to other muscle types and can shorten to about 40%-60% of their resting length. Strap muscles, such as the laryngeal muscles, have been thought to control the fundamental frequency used in speech production, as well as singing. Another example of this muscle is the longest muscle in the human body, the sartorius. Fusiform muscles are wider and cylindrically shaped in the center and taper off at the ends. This overall shape of fusiform muscles is often referred to as a spindle. The line of action in this muscle type runs in a straight line between