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PubMed1992

[Suppressive effect of sevoflurane on somato-sympathetic reflexes in cats].

Effects of sevoflurane on the reflex activity of the sympathetic nervous system in cats were investigated by observing alteration of the amplitudes of somato-sympathetic medullary reflex potentials. These reflex potentials consist of two components, A- and C-reflex potentials, which are induced from the lumbar sympathetic trunk by electric stimulation of the ipsilateral femoral nerve. It is known that A- or C-reflex potential is induced by stimulating peripheral A-fiber group or C fiber group, respectively. Sevoflurane 1, 2 and 3% in oxygen for 30 minutes for each concentration by incremental fashion, were inhalated. Neither A nor C reflex potentials were suppressed by 1 and 2% sevoflurane but 3% sevoflurane caused a significant suppression of both reflex potentials in brain intact cats. Concentration-dependent suppression of C-reflex potentials and a tendency of concentration-dependent suppression of A-reflex potentials were observed in decerebrate cats. Mean arterial blood pressure showed a concentration-dependent decrease in both brain intact and decerebrate groups. These results indicate that sevoflurane with concentrations higher than 1 MAC (2.5% for cats) significantly suppresses somato-sympathetic reflex activities. The results suggest, however, that this agent with concentrations lower than 1 MAC suppresses the descending inhibitory system from supra-medullary centers so that the integrated sympathetic outflow from the medulla oblongata are not suppressed significantly. The results also suggest that direct depressive effect on the cardiovascular system by sevoflurane rather than through suppressive effect on sympathetic reflexes may play a major role in hypotension during inhalation of concentrations below 1 MAC.

Action Potentials↗
PubMed1992

Flexor reflex for assessment of common interneurone activity in spasticity.

The purpose of this investigation was to evaluate the alterations of flexor reflex parameters in spasticity and the possibilities to take advantage of them as a method for assessment of common interneurone activity. Clinical and electromyographical examinations were performed on 120 patients with spastic hemiparesis after stroke. The flexor reflex was obtained after supramaximal electrostimulation of the tibial nerve behind the ankle. The stimulus consisted of 50 msec train of 1 msec duration pulses given at 100 Hz. The reflex activity was recorded from the tibialis anterior muscle. As all patients were with hemiparesis the healthy side was used as a control. The patients were subdivided into four groups, each treated with different myorelaxants (Baclofen, Sirdalud, Myolastan and electroacupuncture). After about 25 days treatment the clinical and electromyographic examinations were repeated. The flexor reflex was recorded with two clearly distinguishable responses on the healthy, as well as on the spastic side. On the spastic side a reflex with prolonged latencies and durations, as well as with decreased amplitudes and thresholds of both reflex responses was found. On the spastic side the first reflex response had higher threshold than the second one, while on the healthy side it was vice versa. Moderate correlations were found between most of the reflex parameters. No correlations were found between the reflex parameters and the degree of spasticity. Only after Baclofen treatment all reflex parameters tended to normalized. After treatment with Myolastan, Sirdalud and electroacupuncture only the second response's duration shortened. In conclusion the flexor reflex is a sensitive method for assessment of altered common interneurone activity in spasticity.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed2005

Reliability of the FCR H-reflex.

This study examined the intraclass reliability of the latency and amplitude of the Hoffmann reflex (H-reflex) in the flexor carpi radialis (FCR). The stability and consistency of the latency and peak-to-peak amplitude of the H-reflex were assessed across four test sessions. The FCR H-reflex was evoked in 39 volunteers (20 males and 19 females) on four separate days. The maximum amplitude of the motor response (Mmax) was determined each day and 10 responses were recorded at that stimulus intensity. The H-reflex was then evoked at an intensity corresponding to 5% of Mmax (H5%) and 10 recordings were obtained. The latency of the H-reflex and the peak-to-peak amplitude of both Mmax and H5% were calculated for each trial. Determination of reliability involves the consideration of both the stability and consistency of the measures. The reliability of the measures in this investigation was assessed using an analysis of variance and corresponding Lindquist intraclass correlation coefficient (ICC) model. In contrast to previous investigations, the H-reflex was evoked without facilitation in 95% (37/39) of the subjects tested. Statistical evaluation revealed that the latency and amplitude of the H-reflex, as well as the amplitude of Mmax, were both stable and consistent across the four test days. The ICC for Mmax was 0.97. The ICC for H5% was 0.92, and for latency of the H-reflex was 0.89. It was shown that the H-reflex can be easily evoked in the FCR and that the latency and amplitude of these recordings are highly reliable. The demonstration that the H-reflex can be easily and consistently evoked in the FCR has important clinical implications. It provides a tool for clinicians to assess the C7 level of the spinal cord and median nerve function.

Analysis of Variance↗
PubMed1991

Fusimotor reflex profiles of individual triceps surae primary muscle spindle afferents assessed with multi-afferent recording technique.

The experiments were performed on 21 cats anaesthetized with alpha-chloralose. The aim of the study was to investigate sets of simultaneously recorded spindle afferents (2-4 in each set) from the triceps surae muscle (GS) with respect to the pattern of fusimotor reflex effects evoked by different types of ipsi- and contralateral reflex stimulation. The afferents' responses to sinusoidal stretching of the GS muscle were determined and the fusimotor reflex effects were assessed by comparing the afferent responses (i.e. the mean rate of firing and the depth of modulation) elicited during reflex stimulation with those evoked in absence of any reflex stimulus. Natural of electrical activations of ipsi- and contralateral muscle, skin and joint receptor afferents were used as reflex stimuli. The spindle afferents were influenced by several modalities and from wide areas, with a majority responding to both ipsi- and contralateral stimuli. A particular reflex stimulus often caused different effects on different afferents, and the various reflex stimuli seldom gave similar effects on a particular afferent. Multivariate analysis revealed that the variation in response profiles among simultaneously recorded afferents were as great as between afferents recorded on different occasions. This suggests that the individualized response prifiles, observed in earlier investigations, represent a very diversified reflex control of the spindle primary afferents, and are not a reflection of changes in the setting of the spinal interneuronal network, occurring during the time interval between the recordings of different units. Also, there was no relation between the conduction velocity of the afferents and the reflex profiles of the afferents, but non-linear relations were found between effects elicited by different types of stimuli. Indications were also found that it may be possible to separate the population of GS muscle spindles into subgroups, according to the fusimotor effects exhibited by activation of various categories of ipsi- and contralateral receptor afferents. It is concluded that one possible way of making the very complex reflex system controlling the muscle spindles intelligible may be a combination of multiple simultaneous recordings of spindle afferents and multivariate analysis.

Afferent Pathways↗
PubMed1990

Selective depression of the segmental polysynaptic reflex by phencyclidine and its analogs in the rat in vitro: interaction with N-methyl-D-aspartate receptors.

The differential sensitivity of monosynaptic and polysynaptic reflexes to phencyclidine (PCP) and its analogs was examined in a Mg+(+)-free physiological solution using an in vitro spinal cord preparation of neonatal rats. Whereas the monosynaptic reflex was relatively resistant to N-methyl-D-aspartate antagonists [Mg++, 2-amino-5-phosphonovalerate (APV) and 2-amino-7-phosphonoheptanoate (AP7)], the polysynaptic reflex was markedly reduced in a concentration-dependent manner. The magnitude of the monosynaptic reflex only decreased 20 to 30% at concentrations of Mg++ (1.3 mM), APV (10 microM) and AP (10 microM), which completely depressed the polysynaptic reflex. PCP and its analogs also selectively depressed the polysynaptic reflex in a concentration-dependent manner and had relative potencies consistent with those for the PCP receptor [i.e., 1-(1-m-amino-phenylcyclohexyl)piperidine = MK-801 [(+)-5-methyl-10,11-dihydro-5H-dibenzo[a,d]-cyclohepten-5,10-imine maleate] greater than 1-[1-(2-thienyl)cyclohexyl]piperidine greater than or equal to PCP much greater than (+)-N-allylnormetazocine much greater than 1-(1-m-nitrophenylcyclohexyl)piperidine. The latter compounds depressed the monosynaptic reflex to the same extent as Mg++, APV and AP7 at concentrations which completely depressed the polysynaptic reflex. Furthermore, the depression of the reflexes by PCP was unaffected by haloperidol and methiothepin precluding the involvement of sigma and serotonin receptors in PCP-induced depression of the polysynaptic reflex. Our results suggest that PCP and its analogs selectively depressed the polysynaptic reflex through PCP receptors associated with the N-methyl-D-aspartate receptor complex.

2-Amino-5-phosphonovalerate↗
PubMed1990

[Effects of narcotic analgesics on somatosympathetic reflex discharges in anesthetized cats: buprenorphine and naloxone].

Effects of buprenorphine and naloxone on the sympathetic reflex evoked in the inferior cardiac nerve following electrical stimulation to the ipsilateral superficial peroneal nerve were investigated in 29 cats under satisfactory anesthesia with urethane and alpha chloralose. Two components of the somato-sympathetic reflexes with two different latencies were recorded. The early component was due to an activation of myelinated A afferent (referred to as A reflex), while the late component was due to an activation of unmyelinated fibers (referred to as C reflex). Intravenous injection of buprenorphine (0.006 mg.kg-1) depressed neither A or C reflex. A somewhat larger dose of buprenorphine (0.06 mg.kg-1) markedly depressed C reflex. A larger dose of buprenorphine (0.3 mg.kg-1) antagonized the depressive effects of buprenorphine (0.06 mg.kg-1) on C reflex. Naloxone (0.2 mg.kg-1 i. v.) antagonized the depressive effects of buprenorphine (0.06 mg.kg-1) on C reflex in 7 cats in which C reflex had been depressed less than 50% of control with buprenorphine 0.06 mg.kg-1. In other 5 cats naloxone (0.2 mg.kg-1) did not antagonize the depressive effects of buprenorphine (0.06 mg.kg-1) on C reflex which had been depressed more than 50% of control with buprenorphine 0.06 mg.kg-1. The present results suggest that buprenorphine has an effect which is called "non competitive autoinhibition", and the somato-sympathetic C reflex can be a useful indicator of analgesics in satisfactorily anesthetized cats.

Anesthesia↗
PubMed1981

Exercise effects upon reflex time components in weight lifters and distance runners.

In an effort to identify neuromuscular parameters which differentiate between power-type and endurance-type athletes, an investigation was conducted to determine the effects of an isometric exercise task upon patellar and Achilles fractionated reflex time components in a group of weight lifters and long-distance runners. A reflex hammer was used to deliver a tendon tap stimulus to the patellar tendon (sitting position) and the Achilles tendon (prone position). Under resting conditions, no differences in Achilles reflex components existed between the two subject groups. However, patellar reflex latency was significantly shorter in the weight lifters than in the distance runners. Following knee extensor exercise consisting of three bouts of a 50% MVC holding-time task, the power group manifested a marked lengthening in total reflex time and reflex motor time. In the endurance group, reflex time lengthened after the first bout, but became shorter after the last two bouts. A similar Achilles reflex pattern was seen in both groups after plantar flexor exercise--an initial elongation of the peripheral components of reflex time, followed by a trend towards shorter reflex components in the later bouts. It was suggested that several factors may be competing to produce the bi-directional results observed in reflex time components following isometric exercise.

Achilles Tendon↗
PubMed1998

The aging effects on the EMG and mechanical responses of the human wrist flexor stretch reflexes.

The purpose of this study is to investigate the effects of aging on the human stretch reflexes. The EMG and torque responses of the stretch reflex of the wrist flexors were evoked by ramp-and-hold mechanical perturbations. The stretch reflexes were recorded at seven test conditions with different stretch velocity and muscle preload. The test results from young and older healthy adult subjects were compared. In average, the absolute amplitude of the short-latency (20-40 ms) EMG (recorded from flexor carpi radialis) reflex response was significantly lower in the older group. If the data were normalized and expressed in percentage of the maximal voluntary EMG activity, however, this group difference was not significant. There was no change in the reflex gain of the short-latency reflex with aging. For the long-latency (50-90 ms) EMG reflex response, both the normalized amplitude and the reflex gain were significantly enhanced with aging, probably through supraspinal mechanisms. There was no significant difference in the threshold velocity for the evoked EMG reflexive activities between age groups. There were also no changes in the reflexive wrist flexion torque with aging. These results suggested that the number of motor units recruited during the stretch reflex activity declined with aging although the percentage of motor units recruited was not affected by aging. It is concluded that the central regulating mechanisms of the spinal motoneuron excitability are not compromised by aging. The automatic gain compensation phenomenon is also preserved with aging.

Adult↗
PubMed1976

The lack of deep reflexes in myotonic dystrophy.

Clinical and electrophysiological observations have been carried out on 12 patients with myotonic dystrophy. Neurological examination showed that the tendon reflexes were absent or weak in almost all cases, whereas the cutaneous reflexes were normal. Examination of both deep and superficial sensibility gave normal results. Electromyography confirmed widespread "myopathic" activity and myotonic discharges were recorded on insertion of the needle electrode and at rest. Motor and sensory conduction velocity in the ulnar nerve and motor conduction in the peroneal nerve proved to be normal. Repetitive supramaximal nerve stimulation showed in 10 cases a decrease in potential amplitude, more evident at higher frequencies of stimulation. In the 2 other cases, by contrast, an increase in amplitude was observed, and this was suggestive of a partial presynaptic block. The jaw reflex was absent in 5 cases and reduced in amplitude in the 7 other cases. The results of blink reflex investigations were normal, with the exception of 2 cases where no early response was elicited. Spinal monosynaptic reflexes were absent in 7 cases after both electrical (H reflex) and mechanical stimulation (T reflex), whereas the response to direct stimulation of nerve motor fibres (the M response) was always present, even though reduced in amplitude. Such data lead one to reject the hypothesis that the absence of deep reflexes is due to pathological change in the muscle spindles. It seems more likely that the selective atrophy of Type 1 muscle fibres, known to be involved in deep reflex responses, is responsible for the early disappearance of the tendon reflexes.

Action Potentials↗
PubMed1997

Mental simulation of an action modulates the excitability of spinal reflex pathways in man.

The question of whether mental simulation of an action has an effect on the spinal reflex circuits was examined in normal humans. Subjects were instructed either to exert or to mentally simulate a strong or a weak pressure on a pedal with the left or the right foot. Changes in the H- and T-reflexes activated by electrical and mechanical stimuli were measured on both legs during motor performance as well as during mental simulation of the same task. Asynchronous EMG activity of the soleus muscles was simultaneously recorded. Reflex excitability increased during performance of the pressure. It was larger when the H-reflex was triggered in the muscle involved in the task as compared to the contralateral side. Because actual performance modified the tension of the tendon and the location of the stimulus, ipsilateral changes of T-reflex amplitude could not be evaluated. Mental simulation of foot pressure in this condition resulted in a large increase of spinal reflex excitability, which was only slightly weaker than the reflex facilitation associated with the actual performance. Changes in T-reflex amplitude, but not in H-reflex amplitude, depended upon the lateralization and force of the simulated pressure, being larger in the leg involved in the simulation than in the contralateral leg, and larger for a strong than for a weak simulated movement. EMG activity was found to be weakly increased during mental imagery. This increase was significantly, although slightly, modulated by the lateralization and intensity of the imagined movement. However, no correlation was found across subjects between reflex amplitude and the amplitude of EMG activity.

Adult↗
PubMed1996

Changes in spinal reflexes preceding a voluntary movement in young and old adults.

BACKGROUND: Age-related differences in spinal excitability during response preparation were assessed by eliciting either a 50% H-reflex or an Achilles tendon reflex preceding the onset of a right plantar flexion contraction in 20 young adults (23.1 +/- 1.64 yrs) and 20 old adults (68.5 +/- 5.53 yrs). METHODS: On each simple reaction time trial, the test reflex was elicited at a specific test interval during either the foreperiod or the response period. The foreperiod test intervals were 500, 600, 700, 800, 900, and 1000 msec after the presentation of the warning stimulus. The response period test intervals were 50, 100, 150, 200, 250, and 300 msec after the presentation of the response stimulus. Control reflexes were randomly elicited between the simple reaction time trials. RESULTS: Changes in reflex excitability were not observed during the foreperiod in either age group. During the response period, the percentage of H-reflex facilitation as compared to control H-reflexes was similar for the young (68%) and the old (61%) adults, but the magnitude of Achilles tendon reflex facilitation with respect to control reflex responses was greater in the young adults (74%) than in the old adults (38%). The time course of H- and tendon reflex facilitation was delayed in the old group during the response period. CONCLUSIONS: The results indicate that processes underlying the preparation and generation of a motor response are similar in young and old adults. However, these processes occur at a slower rate in old adults.

Achilles Tendon↗
PubMed1980

Jendrassik maneuver vs controlled contractions conditioning the excitability of soleus monosynaptic reflexes.

To analyze the factors that influence the conditioning of monosynaptic reflexes by the Jendrassik maneuver, the latter was replaced by a rapid, isolated, reproducible contraction of the wrist extensors; this procedure facilitated reflexes as effectively as the classical Jendrassik maneuver. The results were expressed quantitatively in relation to maximal motor response to allow comparisons to be made when different test reflexes were used. Identical selective contractions produced results that were reproducible in the same subject from one experiment to another. The facilitation depends on the time interval between the onset of the signal to contract and elicitation of the reflex. It develops in 3 distinct phases: the 1st, of moderate intensity, begins before electromyographic activity in the conditioning muscle; the 2nd, of much greater intensity, comes after the beginning of electromyographic activity, rapidly attains a maximum and then decreases progressively; the 3rd phase, of medium intensity, is stable until the end of the contraction. Facilitation also depends on the amplitude of the conditioned reflex and is most marked for one-half the maximum amplitude value and maximum tendon reflexes. The H-reflex is facilitated to the same extent as a tendon reflex of the same amplitude, but only during the 2nd phase. During the 3rd phase, facilitation of the H-reflex is no longer significant, but that of the tendon reflex is. Facilitation of alpha motoneurones may be assumed to explain the increases in amplitude during the 2nd phase but this mechanism alone cannot account for all the phenomena observed.

Adolescent↗
PubMedDate not supplied

Gag reflex and dysphagia.

BACKGROUND: The gag reflex is a protective response that prevents foreign objects or noxious material from entering the pharynx, larynx, or trachea; it is not elicited during a normal swallow. Although no data have been reported to support a relationship between the gag reflex and dysphagia, the gag reflex is nevertheless routinely assessed during the bedside dysphagia evaluation. The purpose of the present study was to investigate whether absence of a gag reflex is a predictor of dysphagia. METHOD: Fourteen consecutive adult subjects referred for a bedside dysphagia evaluation because they were considered to be at increased risk for aspiration, specifically due to absence of a gag reflex, were investigated. In addition, the gag reflex was assessed in 69 normal adult volunteers. RESULTS: Although all subjects were referred for bedside dysphagia evaluations specifically because they had no gag reflex, 86% (12/14) were nevertheless able to eat at least a puree diet. In addition, 86% (12/14) of subjects with no gag reflex had normal velar movement, reinforcing the physiologic differences between velar functioning during phonation and the gag reflex. The gag reflex, traditionally considered part of the bedside dysphagia evaluation, was absent in 13% (9/69) of nondysphagic subjects, raising further doubts regarding its clinical relevancy. CONCLUSION: The absence of a gag reflex does not appear to be a predictor of dysphagia.

Adolescent↗
PubMed1994

Tendon-reflex testing in chronic demyelinating polyneuropathy.

We studied the tendon reflex (T-reflex) in 26 patients with acquired chronic demyelinating polyneuropathy (CDN), including 22 with chronic inflammatory demyelinating polyneuropathy (CIDP). In 7 patients reflexes were brisk or normal on clinical testing. The height adjusted T-reflex was abnormal in 25 (96%) cases, including 6 of 7 patients with brisk or normal reflexes on clinical testing. Mean latency (P < 0.01) and duration (P < 0.05) of the ankle and patellar tendon reflexes were significantly prolonged in the CIDP patients when compared to the controls. Mean latency in the CIDP patients was 152% of normal means. In 7 CIDP patients, the T-reflex latencies were prolonged beyond 150% of normal means. Thus, the T-reflex test is abnormal in a majority of patients with CDN, even in the presence of well-preserved clinical reflexes, and the T-reflex latency is a useful indicator of the presence of a demyelinating peripheral neuropathy in some patients.

Adult↗
PubMed1999

Modulation of the biceps femoris tendon jerk reflex during human locomotion.

During gait it is generally accepted that there is a reduction in amplitude of H-reflexes as compared to standing. For short-latency stretch reflexes, however, it is less clear whether a similar reduction in reflex gain is present during locomotion. Stretches of constant amplitude are hard to produce under these circumstances and for this reason some previous studies on the biceps femoris (BF) have used "reduced gait" in which the stimulated leg is stepping on the spot while the contralateral leg is walking on a treadmill. With this method it was possible to show that BF tendon jerk reflexes are larger at end swing and therefore are likely to contribute to the EMG burst normally occurring in that part of the step cycle when the BF is rapidly stretched. In the present study two questions were addressed: first, whether the reflex is different in size during gait compared to standing and, second, whether it is modulated in size during the gait cycle not only during reduced but also during normal gait. It was found that during both types of gait there was a general reflex depression with regard to the respective control values obtained during standing at similar EMG activity levels. In previous studies on soleus and quadriceps, discrepancies between EMG activity and reflex amplitude have been ascribed to changes in presynaptic inhibition of Ia terminals mediating the afferent volley of the reflex. Based on the data presented, this may also be true for the BF. In both normal and reduced gait the reflex was similarly modulated in size, showing a maximum at the end of swing. This similarity implies that reduced gait may be useful as an acceptable alternative for normal gait in studies on phase-dependent reflex modulation during locomotion.

Adult↗
PubMed1992

Relief of hemiparetic spasticity by TENS is associated with improvement in reflex and voluntary motor functions.

Our previous studies showed that a single 45 min application of transcutaneous electrical nerve stimulation (TENS) prolonged soleus H and stretch reflex latencies in hemiparetic subjects. In addition, 9 daily 30 min TENS applications enhanced vibratory inhibition of the H reflex and tended to decrease hyperactive stretch reflexes. These findings suggested that longer-term TENS may be effective in reducing hemiparetic spasticity. Our present objectives were 2-fold: to determine whether longer-term repetitive TENS stimulation would lead to a reduction in clinical spasticity in hemiparetic subjects, and whether such a reduction could be associated with a decrease in stretch reflex excitability and an improvement in voluntary motor function. We compared the effects of 15 daily 60 min TENS treatments over a 3 week period, with those of placebo stimulation applied to the common peroneal nerve of the affected leg in similar groups of spastic hemiparetic subjects. Our test battery consisted of 5 measurements which assessed (1) clinical spasticity scores, (2) maximal H reflex to M response ratios, (3) vibratory inhibition of H reflex, (4) stretch reflexes, and (5) maximal voluntary isometric plantarflexion and dorsiflexion, in standing. In contrast to placebo stimulation which produced no significant effects, repeated applications of TENS over time decreased clinical spasticity (P less than 0.05), and increased vibratory inhibition of the soleus H reflex (P = 0.02) after 2 weeks. These changes occurred with a substantial improvement in voluntary dorsiflexing force up to 820%, but not plantarflexing force. They were followed by a reduction in the magnitude of stretch reflexes (P = 0.05) in the spastic ankle plantarflexor, concomitant with a decrease in the EMG co-contraction ratios after a further week of stimulation. Our results thus indicated that repeated applications of TENS can reduce clinical spasticity and improve control of reflex and motor functions in hemiparetic subjects. Furthermore, the underlying mechanisms may be due partly to an enhancement in presynaptic inhibition of the spastic plantarflexor, and partly to a possible "disinhibition" of descending voluntary commands to the paretic dorsiflexor motoneurons.

Aged↗
PubMed2001

Electrophysiological assessments of primitive reflexes in stroke patients.

OBJECTIVE: To evaluate the primitive reflexes by electrophysiological assessments and their correlation with the cognitive and physical functioning of stroke patients. METHODS: Electrophysiological studies of primitive reflexes including jaw jerk, snout reflex, glabellar reflex, and corneomandibular reflexes were performed in 38 stroke patients and 26 normal controls. Cognitive function of patients was assessed by Modified Mini-Mental State (3MS) Examination and logical memory test. The Chinese Functional Independence Scale (CFIS) was used to evaluate the physical functioning and social domains of stroke patients. RESULTS: The presence rate of primitive reflexes was higher in stroke patients than in normal controls. Wave amplitude of snout and corneomandibular reflexes obtained from stroke patients was greater than those from controls. No definite difference in reflex conduction latencies was observed between the two groups. A regression relationship was noted between the wave amplitude of snout reflexes and the 3MS and CFIS scores of stroke patients. CONCLUSION: Primitive reflexes can be measured by electrophysiological assessments. The results may serve as an objective and useful parameter in evaluation of cognition and physical functioning of stroke patients.

Aged↗
PubMed1999

Reduced short and long latency reflexes during voluntary tracking movement of the human wrist joint.

In six healthy human subjects we compared changes in the strength of Hoffmann (H), short latency (30-55 ms) and long latency (55-100 ms) stretch reflexes of flexor carpi radialis (FCR) muscle during movement and isometric contractions. In one set of experiments, stretches were imposed to the wrist during voluntarily tracked sinusoidal movement and during matched isometric contractions to compare short and long latency stretch reflex responses. In the second set, H-reflexes were compared during similar matched conditions. All reflexes decreased significantly (P < 0.05) during the voluntary tracking movement. The H-reflex was reduced during the wrist flexion, on average, by 33% of its value obtained during the isometric condition. Compared with their values during isometric conditions, the short latency stretch reflex and long latency stretch reflex during movement were reduced by 52 and 40%, respectively. From the pattern changes of the stretch reflexes and the H-reflex, a movement-induced presynaptic inhibition combined with pronounced muscle spindle unloading is proposed to play an important role in decreasing the strength of the stretch reflexes during the tracking task as compared with a matched isometric contraction.

Adult↗