H-reflexes are less depressed following muscle stretch in spastic spinal cord injured patients than in healthy subjects

Exp Brain Res. 1993;97(1):173-6. doi: 10.1007/BF00228827.

Abstract

The size of the soleus H-reflex was measured after a slow (17 deg/s) passive stretch of ankle plantarflexors and compared to its control size without muscle stretch in ten neurologically healthy subjects and in six spastic spinal-cord-injured patients. Two seconds after the end of the stretch, the size of the H-reflex was reduced to about 30% of its pre-stretch size in the healthy subjects. The depression remained for 10-15 s. In the spastic, spinal-cord-injured patients, stretch caused significantly less reduction in the size of the H-reflex. The H-reflex also regained its pre-stretch size much faster than in healthy subjects. We suggest that the smaller depression of the H-reflex observed in spastic patients may be involved in the pathophysiology of spasticity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Ankle Joint / physiology
  • Electromyography
  • H-Reflex / physiology*
  • Humans
  • Middle Aged
  • Muscle Spasticity / etiology
  • Muscle Spasticity / physiopathology*
  • Muscles / innervation
  • Muscles / physiopathology*
  • Neurons, Afferent / physiology
  • Spinal Cord Injuries / complications
  • Spinal Cord Injuries / physiopathology*