A comparison of methods to assess the excitability of lower motoneurones

Can J Neurol Sci. 1992 Feb;19(1):64-8.

Abstract

The purpose of this investigation was to compare three methods of assessing the excitability of lower motoneurones--TA-reflex, H-reflex and F-wave--in 120 patients with spastic hemiparesis following a stroke. The H-reflex was recorded from the soleus muscle after submaximal electrostimulation of the tibial nerve. The T-Achilles (TA) reflex was recorded from the soleus muscle after percussion of the Achilles tendon. The F-wave was recorded in the distal limb muscles after supramaximal electrostimulation of the median, ulnar, fibular and tibial nerves. The patient's healthy side was used as a control. The TA-reflex, H-reflex and F-wave showed increased amplitudes on the spastic side. All amplitude ratios: TA/M, H/M, Fmax/M and Fmean/M were increased. The H-reflex thresholds were decreased. The F-wave duration, persistence and number of phases were also increased on the spastic side. Despite clinically decreased muscle tone, there were no changes in TA or H-reflex parameters after treatment. On the other hand, F-wave parameters tended to normalize after treatment in all groups. In conclusion, the F-wave is a more sensitive method than the TA and H-reflexes in assessing the excitability of the lower motoneurone.

Publication types

  • Comparative Study

MeSH terms

  • Achilles Tendon / physiology
  • Adult
  • Aged
  • Cerebrovascular Disorders / complications
  • Cerebrovascular Disorders / physiopathology
  • Electric Stimulation
  • Electromyography
  • Female
  • H-Reflex / physiology
  • Hemiplegia / etiology
  • Hemiplegia / physiopathology*
  • Humans
  • Male
  • Middle Aged
  • Motor Neurons / physiology*
  • Muscles / physiology
  • Neurologic Examination / methods
  • Reflex, Stretch / physiology