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Laws of Excitation in Excitable Tissues

For medical students2 min readUpdated 2026-10-10

The laws of excitation determine the characteristics a stimulus must possess to trigger a propagating action potential in an excitable tissue. They describe how the tissue's response depends on stimulus strength, duration, rate of rise, and current direction.

"All-or-None" LawThe amplitude of the action potential does not depend on the strength of a suprathreshold stimulus.
ChronaxieThe minimum time required for a current of two rheobases to elicit an action potential.
AccommodationThe adaptation of a tissue to a slowly rising stimulus.
Pflüger's LawUpon current closure, excitation occurs under the cathode; upon opening, under the anode.

"All-or-None" Law

This law describes how the tissue response depends on the strength of the applied stimulus (using single rectangular pulses).

Strength-Duration Relationship

This relationship links the strength (amplitude) of a stimulus with its duration. The relationship is inverse: the shorter the duration, the stronger the stimulus must be to trigger excitation.

This relationship is represented by the Weiss-Lapicque (or Hoorweg-Weiss) curve. Each point on the curve represents a threshold value for a specific duration. To the left of the curve, there is no excitation (subthreshold zone); to the right, excitation occurs (suprathreshold zone).

Key excitability parameters derived from this curve include:

  1. Rheobase — the minimum current strength capable of eliciting a response with an infinitely long duration of application.
  2. Utilization time — the minimum time during which a current of one rheobase must flow to elicit excitation.
  3. Chronaxie — the time required for a current of twice the rheobase to initiate an AP. It is measured using a chronaximeter because it reflects excitability more accurately than the rheobase alone (measured in milliseconds for human skeletal muscle, down to fractions of a second for smooth muscle).

Law of Accommodation

Discovered by E. du Bois-Reymond, this law states that the rate of rise (slope) of a stimulus is critical for eliciting excitation. Tissue is capable of adapting (accommodating) to a slow increase in current strength.

If the current rises sharply, an action potential is triggered. If it rises slowly, the excitation threshold gradually increases (the critical depolarization level shifts). As a result, voltage-gated sodium channels have time to inactivate, and potassium channels activate. Depolarization fails to reach the critical threshold, producing only a local response, even if the final current magnitude is large.

Pflüger's Electrotonus and Polar Law

Describes the effect of direct current (DC) on tissue excitability based on electrode polarity.

The resting excitability of the tissue also changes directly beneath the electrodes. At the start of current flow, excitability increases under the cathode (catelectrotonus) and decreases under the anode (anelectrotonus). However, with prolonged current flow, this situation reverses: cathode depression (decreased excitability) develops under the cathode, while anode exaltation (increased excitability) develops under the anode.

Mnemonic

For Pflüger's Law: "Closure — Cathode (CC), Opening — Anode (OA)"

Frequently asked questions

What does chronaxie measure?

Chronaxie measures the minimum duration required for a stimulus of twice the rheobase to excite the tissue. It is a more precise and stable indicator of tissue excitability than the rheobase.

What is the ion-level mechanism of accommodation?

During slow depolarization, fast sodium channels close (inactivate) before the threshold is reached, while potassium channels open, counteracting further depolarization.

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