Loop start is a more common of the access signaling techniques. When a handset is picked up (the telephone goes off-hook), this action closes the circuit that draws current from the telephone company CO and indicates a change in status, which signals the CO to provide dial tone. An incoming call is signaled from the CO to the handset by sending a signal in a standard on/off pattern, which causes the telephone to ring.
Loop-start has two disadvantages, however, that usually are not a problem on residential telephones but that become significant with the higher call volume experienced on business telephones. Loop-start signaling has no means of preventing two sides from seizing the same line simultaneously, a condition known as glare. Also, loop start signaling does not provide switch-side disconnect supervision for FXO calls. The telephony switch (the connection in the PSTN, another PBX, or key system) expects the router's FXO interface, which looks like a telephone to the switch, to hang up the calls it receives through its FXO port. However, this function is not built into the router for received calls; it only operates for calls originating from the FXO port.
Another access signaling method used by FXO and FXS interfaces to indicate on-hook or off-hook status to the CO is ground start signaling. It works by using ground and current detectors that allow the network to indicate off-hook or seizure of an incoming call independent of the ringing signal and allow for positive recognition of connects and disconnects. For this reason, ground start signaling is typically used on trunk lines between PBXs and in businesses where call volume on loop start lines can result in glare.
You can check how to configure them here
http://www.cisco.com/c/en/us/support/docs/voice-unified-communications/unified-communications-manager-callmanager/42101-cm-cfg.html
HTH
Manish
