Limb Segment Load Inhibits the Recovery of Soleus H-Reflex After Segmental Vibration in Humans

We investigated the effects of vertical vibration and compressive load on soleus H-reflex amplitude and postactivation depression. We hypothesized that, in the presence of a compressive load, limb vibration induces a longer suppression of soleus H-reflex. Eleven healthy adults received vibratory stimulation at a fixed frequency (30 Hz) over two loading conditions (0% and 50% of individual's body weight). H-reflex amplitude was depressed ～88% in both conditions during vibration. Cyclic application of compression after cessation of the vibration caused a persistent reduction in H-reflex excitability and postactivation depression for > 2.5 min. A combination of limb segment vibration and compression may offer a nonpharmacologic method to modulate spinal reflex excitability in people after CNS injury.     

Test–retest reliability of the soleus H-reflex excitability measured during human walking

The purpose of the study was to investigate with what accuracy the soleus H-reflex modulation and excitability could be measured during human walking on two occasions separated by days. The maximal M-wave (Mmax) was measured at rest in the standing position. During treadmill walking every stimulus elicited an M-wave of 25 ± 10% of Mmax in the soleus muscle and a supra-maximal stimulus elicited a maximal M-wave 60 ms after the first stimulus. Both Mmax during rest and during walking were later used for normalization. When normalized to resting Mmax, the peak reflex amplitude during walking was 5% lower on Day 2 than on Day 1 (p = .32). However, when the peak H-reflex was normalized to Mmax in every sweep, Day 2 showed a significant 15% lower amplitude (p = .037). The same pattern was found for the mean H-reflex. Spearman’s Rho was .92 when normalized to resting Mmax but .88 when normalized to Mmax in every sweep. The Pearson product was used to identify one participant at a time on Day 1 among all seven participants on Day 2. For both normalization procedures 5 of 7 participants were identified by this test. Since 5 of 7 participants were recognized between days, it must be recommended to use 10-15 participants for training or intervention studies as far as the H-reflex pattern of modulation during movement is concerned.     

Modulation of tendon tap reflex activation of soleus motor neurons with reduced stability tandem stance

Reduced stability while standing typically decreases the soleus muscle Hoffmann (H-) reflex amplitude, purportedly to prevent the Ia afferent signal from excessively activating spinal motor neurons during the unstable stance. H-reflex measures, however, by excluding the spindle do not reflect the actual effect of the Ia pathway (i.e. the combined effects of spindle sensitivity and Ia presynaptic inhibition) on motor neuron activation, as tendon tap reflex measures can. But the effect of stance stability on soleus muscle tendon tap reflex amplitude is largely unknown. This study examined 30 young adults (mean(s), 21(2) years) as they stood in a wide stable stance position and an unstable tandem stance with a reduced base of support. Standing body sway, the amplitude of the soleus muscle tendon tap reflex, background EMG and tap force were measured in both stances. A repeated measured design t-test was calculated for each variable. Most subjects (69%) decreased tendon tap reflex amplitude when in the tandem stance position (mean decrease 11.6%), compared to the wide stance (wide stance 0.248(0.124) mV, tandem stance 0.219(0.119) mV, p < 0.05, Cohen’s d = 0.24 small) with no significant differences in background soleus and tibialis anterior EMG, and tap force across the stances. There was no relationship between the modulation of the tendon tap reflex amplitude across the stances and standing body sway in the tandem stance. Results support the idea that for most subjects examined, during a less stable stance the Ia excitation of motor neurons is decreased, likely by presynaptic inhibition, thereby avoiding potential instability in the reflex loop or saturating the reflex pathway and possibly interfering with descending control of the involved spinal motor neurons.     

H-reflexes during a motor skill acquisition task

H-reflex amplitudes were studied during the acquisition of a motor skill involving coordinated isometric plantarflexion at the ankle joints as subjects learned to trace a triangular pattern on an oscilloscope screen by controlling plantarflexion torque applied against load cells. Torque feedback was presented on a subject oscilloscope with the right foot controlling a vertical cursor and the left foot a horizontal cursor. Eleven subjects reached criterion performance. H-reflexes were recorded from the right soleus and timed to the initiation of soleus muscle activity to plantarflex the foot. Average time to complete one trial decreased from 9 sec. in the prelearning block to 4 sec. postlearning. No single learning strategy was evident as subjects varied widely in their levels of H-reflex amplitude, but during postlearning, H-reflex amplitude became consistent within subjects as tracing performance became faster and accurate.     

Changes in spinal excitability during dual task performance

ABSTRACT The authors investigated how the nervous system responds to dual task performance. Because dual tasking is associated with greater postural challenges, it was hypothesized that spinal excitability would be reduced when simultaneously performing 2 tasks. For this experiment, participants maintained a lying or standing posture with or without performing a concurrent cognitive task (i.e., reacting to an auditory tone). Spinal excitability was assessed by eliciting the soleus Hoffmann reflex (H-reflex). Results indicated that the H-reflex was 6.4 ± 2.3% smaller (p = .011) when dual compared to single tasking. The reduced H-reflex amplitude, indicating a depressed spinal excitability, when dual tasking is suggested to reflect a neural strategy that individuals adopt to maintain postural stability when cognitive resources are divided between 2 concurrent tasks.     

Practice evoking the flexor carpi radialis h-reflex: a guideline for proficiency

The purpose of this research was to identify the number of sessions required for a new investigator to become proficient at evoking an H-reflex in the flexor carpi radialis (FCR), in comparison to an experienced investigator. 31 students from Brock University in the greater Niagara region (16 women M age = 32.2, SD = 8.9 yr.; 15 men M age = 27.8, SD = 7.8 yr.) with no known neurological disorders volunteered and completed two test sessions performed by either an experienced or a novice investigator. In randomized order, both investigators stimulated each subject's median nerve 10 times, once every 15 sec. Each session included the measurement of the subject's flexor carpi radialis maximal M-wave amplitude and H-reflex amplitude and latency with surface electromyographic electrodes. The intraclass correlation coefficients (ICC) indicated an adequate correlation between investigators for both M-wave maximal amplitude and H-reflex at 5% of the M-wave maximal amplitude (.84 and .70, respectively). However, there was a low correlation (.38) between the latency values obtained by the two investigators. The peak-to-peak amplitudes of the H-reflex and M-wave do not appear to be influenced by experience of the tester. The latency of the response, however, appears to have an associated learning curve, improving in consistency with increasing practice of tester.     

The effects of circumferential air-splint pressure on flexor carpi radialis H-reflex in subjects without neurological deficits

The purposes of this study were to investigate the effects of circumferential pressure on flexor carpi radialis (FCR) H-reflex in subjects without neuromuscular deficits and to evaluate the skin's contribution to this effect. FCR H-reflex was assessed in 43 subjects by measuring the peak-to-peak amplitude change before, during, and after circumferential pressure was applied to the forearm. Twelve H-reflexes (H/M ratio: M = 25%, SD = 14) were recorded before pressure application to obtain a baseline value (H(baseline)) to which all data were compared. A pneumatic 15 to 20-cm air splint inflated to 51-60 mmHg provided the pressure around the forearm. H-reflex recordings were taken at 1, 3, and 5 min. during (H(pressure)) and after pressure application. A second smaller study (placebo), in which the air splint was inflated to 0 mmHg, was conducted in 5 subjects to ensure that changes in reflex amplitudes were not a result of cutaneous effects. Two types of responses were observed in the FCR H-reflex following pressure application. One group of subjects significantly increased in H-reflex amplitude while another group decreased in H-reflex amplitude when compared to H(baseline). Regression analysis found that H(max) explained 37.2% of the variance when controlling for H(baseline). Subjects with larger H(max) showed an increase in H(pressure) while subjects with lower H(max) showed decreases in H(pressure) The placebo study revealed no differences in H-reflex amplitude from baseline values, implying that skin stimulation from the air splint has no role in the effects observed. The dichotomous result indicates that pressure influences the upper extremity differently than it does the lower extremity in certain individuals. Clinicians, using circumferential pressure as a therapeutic modality to lower muscle activity of the upper extremity, need to be cognizant that pressure may have contrasting effects on their patients.     

Effects of transcranial magnetic stimulation to the reciprocal Ia inhibitory interneurones in the human wrist

In humans, which neural volleys strongly activate the reciprocal Ia inhibitory interneurones have not been clarified via the corticospinal tract or from the muscle spindles. We examined the inhibition from the corticospinal tract and antagonist group Ia fibres to alpha motoneurone pools using the combined method of transcranial magnetic stimulation (TMS) and the standard H-reflex technique. The test stimulus for the forearm H-reflex and the conditioning stimulus to antagonist muscle afferents were applied to the median and radial nerves, respectively. The transcranial magnetic stimulation was applied noninvasively over the left motor cortex. The radial nerve conditioning strongly suppressed the H-reflex rather than the transcranial magnetic stimulation. Transcranial magnetic stimulation-induced inhibition was disinhibited by the conditioning stimulus applied to the median nerve. To estimate the subliminal inhibition produced by the transcranial magnetic stimulation, we used the following method: the radial nerve conditioning was altered among several different intensities, while transcranial magnetic stimulation intensity was fixed at that for which transcranial magnetic stimulation-induced inhibition was observable. A minor subliminal inhibition was observed. These results suggest that the corticospinal excitatory inputs to reciprocal Ia inhibitory interneurones in the human wrist are very weak relative to those of the originating group I muscle afferents.     

Effects of postural anxiety on the soleus H-reflex

Previous research has proposed that spinal reflex modulation may mediate anxiety-related changes in postural control. This study investigated how soleus H-reflex amplitude was influenced by standing at heights that induced different levels of anxiety. H-reflexes were elicited in 15 participants standing at the center and edge of a platform raised from a low to a high height (with and without vision). Increased skin conductance confirmed the anxiety effect of elevated surface heights. When standing at the edge of the platform with vision, H-reflex amplitude was attenuated in the high compared to low height condition. Changes in background muscle activity could not explain observed H-reflex changes, suggesting the potential involvement of pre-synaptic inhibition or fusimotor drive on anxiety-related changes in reflex modulation. This study reveals that healthy participants reduce spinal reflex excitability in the presence of increased postural anxiety and a postural threat imposed by standing at the edge of a raised platform. These findings have implications for understanding control of standing balance in individuals with postural instability and/or fear of falling, such as the elderly or stroke.     

The Effect of Motor Preparation on Changes in H Reflex Amplitude During the Response Latency of a Warned Reaction Time Task

Monosynaptic Hoffman reflexes (H reflexes) were recorded from the soleus muscle during the response latency of a warned reaction time (RT) task that required plantarflexion of the foot. The task was done under four conditions of predictability of the response signal (RS), created by the factorial combination of foreperiod duration (1 and 4 s) and variability (fixed and variable). RT varied systematically with RS predictability and was facilitated in conditions that favored prediction of the RS. The response latency was divided into two successive phases by the onset of reflex augmentation: a premotor phase of constant reflex amplitude and a succeeding motor phase marked by progressively increasing reflex amplitude. Reflex augmentation during the motor phase was coupled more closely to the imminent movement than to the preceding signal to respond. The duration of the premotor phase was unaffected by RS predictability, but the duration of the motor phase (like RT) was shorter when the RS was more predictable. The maximum H reflex amplitude reached during the motor phase was greater when the RS was more predictable. The tonic level of H reflex amplitude during the premotor phase was greater in conditions that made prediction of the RS difficult. A second experiment showed that this difference was present throughout the foreperiod.

These results suggest that conditions that favor prediction of the RS enhance motor preparation. Changes in motor preparation (which affect RT) affect the processes underlying reflex augmentation in the motor phase. Enhanced preparation may allow more efficient organization of the descending commands to move, causing higher levels of spinal excitability to be reached in a briefer time. The higher tonic reflex amplitudes in the premotor phase and throughout the preceding foreperiod, in conditions that make prediction of the RS difficult, appear to reflect heightened general arousal.     

The cerebellum in maintenance of a motor skill: a hierarchy of brain and spinal cord plasticity underlies H-reflex conditioning

Operant conditioning of the H-reflex, the electrical analog of the spinal stretch reflex, is a simple model of skill acquisition and involves plasticity in the spinal cord. Previous work showed that the cerebellum is essential for down-conditioning the H-reflex. This study asks whether the cerebellum is also essential for maintaining down-conditioning. After rats decreased the soleus H-reflex over 50 d in response to the down-conditioning protocol, the cerebellar output nuclei dentate and interpositus (DIN) were ablated, and down-conditioning continued for 50-100 more days. In naive (i.e., unconditioned) rats, DIN ablation itself has no significant long-term effect on H-reflex size. During down-conditioning prior to DIN ablation, eight Sprague-Dawley rats decreased the H-reflex to 57% (+/-4 SEM) of control. It rose after ablation, stabilizing within 2 d at about 75% and remaining there until approximately 40 d after ablation. It then rose to approximately 130%, where it remained through the end of study 100 d after ablation. Thus, DIN ablation in down-conditioned rats caused an immediate increase and a delayed increase in the H-reflex. The final result was an H-reflex significantly larger than that prior to down-conditioning. Combined with previous work, these remarkable results suggest that the spinal cord plasticity directly responsible for down-conditioning, which survives only 5-10 d on its own, is maintained by supraspinal plasticity that survives approximately 40 d after loss of cerebellar output. Thus, H-reflex conditioning seems to depend on a hierarchy of brain and spinal cord plasticity to which the cerebellum makes an essential contribution.     

Early and late SEPs—The later the potential the greater the relevance to personality

Short (N₂₁−P₂₇) and long (N₁₃₀−P₂₀₀) latency somatosensory evoked potentials (SEPs) and personality [Eysenck Personality Questionnaire (EPQ) and a short-form Sensation Seeking scale (SS)] were investigated in 26 young healthy adults. Various modes of analysis were carried out on the SEPs, including peak-to-peak, root mean square, absolute area and perimeter measures, over various time windows. The amount of SEP variance accounted for by personality correlations depended on the mode of analysis. High Psychoticism and high Sensation Seeking (and to some extent high Extraversion) correlated negatively with measures of SEP amplitude, the relationship being stronger for later SEP components.     

A review of the H-reflex and M-wave in the human triceps surae

The soleus is the most commonly used muscle for H-reflex studies in humans, while limited comparable data have been produced from the gastrocnemii muscles. This article reviews the fundamental differences between the structure and function of the human soleus and gastrocnemii muscles, including recent data published about their complex innervation zones. Protocols for eliciting, recording, and assessing the H-reflex and M-wave magnitude in the human triceps surae are also discussed.     

Changes in spinal reflex excitability in a countermanded timed response task

Subjects (N = 8) performed a timed response task in which they attempted to synchronize an impulsive foot-press response with the last in a series of four regularly spaced tones. In Experiment 1, the response was countermanded on one third of the trials (stop trials) by a stop signal that appeared at a predetermined delay after the third tone. No stop signal appeared on the remaining trials (go trials). All subjects showed a systematic transition from withholding the response on stop trials in which the stop signal appeared shortly after the third tone to executing the response on trials in which a single stop signal delay had been chosen so that a response would be made on about 50% of the stop trials. We elicited Hoffmann (H) reflexes from the soleus muscle on all trials to determine whether the reflexes were augmented on occasions on which a response was prepared but withheld. Mean H-reflex amplitudes on go trials and on stop trials on which the response was executed were similar and showed a marked augmentation beginning about 250 ms before response onset; mean H-reflex amplitudes on stop trials on which the response was withheld showed less pronounced augmentation. Inspection of individual H-reflex amplitudes revealed that on stop trials on which the response was withheld the reflexes could be augmented to the same extent as on trials on which the response was executed. This dissociation of H-reflex augmentation and response execution shows that H-reflex augmentation reflects a controlled response process. Ballistic response processes therefore must be limited to a brief duration.     

Facilitation of motor evoked potentials and H-reflexes of flexor carpi radialis muscle induced by voluntary teeth clenching

In order to examine the effects of remote facilitation on cortical and spinal sites, we recorded motor evoked potentials (MEPs) and H-reflexes from the flexor carpi radialis muscle of 13 healthy subjects. The H-reflex was used to assess excitability changes at the spinal level, while the MEP following transcranial magnetic stimulation was used to study excitability changes at the cortical level. We induced remote facilitation by means of voluntary teeth clenching (VTC), the so-called Jendrassik maneuver, because this procedure is known to be effective and reliable. Although the facilitation induced by VTC was observed in both evoked potentials (i.e., H-reflex and MEP), which is consistent with previous reports, MEP onset latencies were shortened by VTC in proportion to an increased MEP amplitude, whereas the latencies of the H-reflex were not. Furthermore, statistically significant relationships between MEP latencies and amplitudes were observed in all subjects, whereas no such relationships were observed for the H-reflex. On the basis of these results, two neural pathways are presumed: one involving a release of pre-synaptic inhibition at the spinal level and the other involving an unmasking of lateral excitatory projections at the cortical level.     

Electromyographic activity,H-reflex modulation and corticospinal input to forearm motoneurones during active and passive rhythmic movements

Four subjects produced coordinated movements, consisting of flexion and extension of the wrist in ipsilateral (right wrist only), contralateral (left wrist only), inphase (both wrists in flexion or both in extension) and antiphase (one wrist in flexion, the other in extension) conditions. Electromyographic (EMG) activity was recorded from right wrist flexor and extensor muscles. In one session, transcranial magnetic stimuli (TMS) of the left motor cortex, around threshold intensity, evoked short-latency responses in the right wrist extensors and flexors. In another session, the median nerve at the cubital fossa was stimulated to elicit an H-reflex in the right flexor carpi radialis (rFCR). A movement cycle was divided into 8 segments. In total, 10 identical stimuli were delivered during each segment in each condition, at two movement frequencies. The magnitude of the EMG reponses to TMS was modulated markedly during movements made in the ipsilateral condition, and in both bimanual conditions. EMG activity was greater, and motor-evoked potentials (MEPs) were larger in the antiphase condition than in the inphase condition. When the amplitudes of the MEPs were normalised with respect to background EMG, no significant differences between the bimanual conditions were obtained. For H-reflexes, significant differences between the two bimanual conditions were observed, suggesting differences in levels of excitability of the Ia afferent pathway. These differences were attributed to segmental input associated with changes in muscle length arising from limb movement, and upon descending input to the spinal cord, possibly mediated by Renshaw cell inhibition. During rhythmic passive movement of the right limb, H-reflexes were inhibited and MEPs potentiated in a cyclic fashion. Passive movement of the contralateral left limb resulted in inhibition of both responses.PsycINFO classification: 2330; 2530; 2540     

H-reflex excitability is inhibited in soleus,but not gastrocnemius,at the short-latency response of a horizontal jump-landing task

Impaired spinal-level neuromuscular control is suggested to contribute to instability and injury during dynamic landing tasks. Despite this suggestion, spinal-level neuromuscular control is yet to be examined during a horizontal jump-landing task. The aim of the current study was to assess changes in H-reflexes and its reliability at the short-latency response of landings from short and long distances. Eight healthy individuals (five male, three female; age, 22 ± 1.2 yrs; height, 178 ± 8.1 cm; weight, 72 ± 15.7 kg) participated in the study. H-reflexes were evoked at the SLR in the soleus and medial gastrocnemius muscles, during two landing conditions: 25% and 50% of maximal broad jump distance. H-reflexes were expressed relative to the background electromyography (EMG) and maximal M-wave responses (M-max). Soleus H-reflexes were inhibited when landing from shorter distance (25%, 13.9 ± 7.6%; 50%, 8.3 ± 6.5%; p < 0.01). No change in H-reflex excitability was observed in medial gastrocnemius. Background EMG was unaltered across landing conditions. Inhibition of soleus H-reflex excitability from 25% to 50% landing condition indicates a reduced contribution of Ia-afferent feedback to the alpha-motor neuron during landings from greater distances, which may contribute to stiffness regulation at the ankle joint. Unaltered H-reflex excitability of medial gastrocnemius is most likely attributed to its functional role during the landing task.     

The effect of motor preparation on changes in h reflex amplitude during the response latency of a warned reaction time task

Monosynaptic Hoffman reflexes (H reflexes) were recorded from the soleus muscle during the response latency of a warned reaction time (RT) task that required plantarflexion of the foot. The task was done under four conditions of predictability of the response signal (RS), created by the factorial combination of foreperiod duration (1 and 4 s) and variability (fixed and variable). RT varied systematically with RS predictability and was facilitated in conditions that favored prediction of the RS. The response latency was divided into two successive phases by the onset of reflex augmentation: a premotor phase of constant reflex amplitude and a succeeding motor phase marked by progressively increasing reflex amplitude. Reflex augmentation during the motor phase was coupled more closely to the imminent movement than to the preceding signal to respond. The duration of the premotor phase was unaffected by RS predictability, but the duration of the motor phase (like RT) was shorter when the RS was more predictable. The maximum H reflex amplitude reached during the motor phase was greater when the RS was more predictable. The tonic level of H reflex amplitude during the premotor phase was greater in conditions that made prediction of the RS difficult. A second experiment showed that this difference was present throughout the foreperiod. These results suggest that conditions that favor prediction of the RS enhance motor preparation. changes in motor preparation (which affect RT) affect the processes underlying reflex amplitudes in the premotor phase and throughout the preceding foreperiod, in conditions that make prediction of the RS difficult, appear to reflect heightened general arousal.     

Temporal aspects of passive movement-related corticomotor inhibition

We have previously shown that during rhythmic passive movement of the index finger, the amplitude of the motor evoke potential (MEP) of the first dorsal interosseous muscle (FDI) as the index finger moved through mid-range adduction, is significantly reduced compared to rest [Edwards, D. J., Thickbroom, G. W., Byrnes, M. L., Ghosh, S., & Mastaglia, F. L. (2002). Reduced corticomotor excitability with passive movement: A study using Transcranial Magnetic Stimulation. Human Movement Science 21, 533-540]. In the present study we have investigated the time-course of this phenomenon. We found that MEP amplitude was significantly reduced at the mid-range position in the first cycle of movement (50+/-6% of resting baseline values), and did not vary across subsequent cycles (10 cycles in 50 s), but that MEP amplitude returned to baseline values within 1s of cessation of movement. The results suggest that the pattern of afferent discharge set up by the kinematics of the movement acting at spinal or supraspinal levels underlies the inhibition observed, rather than an effect of central origin or a cumulative effect of ongoing cyclic movement.