Interaction between the Postactivation Depression of H Reflex and Long-Lasting Inhibition,Evoked by Stimulation of a Nerve to the Antagonist Muscles,in Humans

In a study on healthy humans, we examined interaction of the inhibitory influences on the H reflex recorded from the m. soleus (the respective EMG discharge, evoked by stimulation of the n. tibialis comm.). Postactivation depression of the reflex was evoked by a preceding conditioning stimulation of the same nerve, while conditioning stimulation of a nerve to the antagonist muscles (n. peroneus comm.) evoked long-lasting inhibition of the reflex, which included two consecutive waves of depression, D ₁ and D ₂. When the intensity of conditioning stimulations slightly exceeded the threshold for the development of inhibitory effects, interaction between postactivation depression and both the D ₁ and D ₂ waves demonstrated mutual facilitation of these effects. When the intensity of conditioning stimuli was increased, facilitation was changed by occlusion. We conclude that afferent impulsation, evoked by homo- and heteronymous conditioning stimulations of the peripheral nerves, converges on common interneuronal populations providing long-lasting suppression of the H reflex, which develops due to depolarization of primary afferent Ia terminals.     

Facilitation and Inhibition of the <Emphasis Type="Italic">Soleus</Emphasis> H Reflex Related to Movements of the Upper Limb in Humans

In studies on healthy volunteers, we recorded an EMG discharge from the m. soleus corresponding to the H reflex evoked by transcutaneous stimulation of the n. tibialis comm. Changes in the magnitude of this reflex related to realization of brief voluntary movements of the ipsilateral upper limb were examined. The subjects were in a prone position. Fast flexion-extension of the forearm resulted first in 100- to 200-msec-long facilitation of the H reflex begun 30–40 msec before the appearance of EMG activity in the m. biceps brachii; this feature is indicative of the central nature of this effect related to the action of motor programs initiating the forearm movement. Facilitation of the H reflex was followed by its inhibition lasting several seconds. Within an interval corresponding to the maximum suppression of the H response, we tested the effect of additional conditioning stimulation of the n. peroneus comm. Occlusion of the inhibitory effects indicates that the same inhibitory neurons mediate the influences from both the peroneal input and the pathways transmitting inhibitory influences from the neuronal systems controlling upper limb muscles. Contractions of the ipsilateral m. biceps brachii evoked by direct electrical stimulation of the latter also resulted in inhibition of the soleus H reflex, which was rather similar in its time course to the above-mentioned inhibitory effects. There was no inhibition of the reflex after stimulations of the cutaneous receptors and n. medianus. These findings allow us to suppose that long-lasting inhibition of the H reflex induced by voluntary movements of the upper limb results from afferent influences from the receptors of contracting muscles. Such effects can be realized via the propriospinal pathways or long reflex arcs.     

Effects of Contralateral Afferent Stimulation on H Reflex in Humans

We studied changes of the H reflex recorded from the m. soleus, which were evoked by conditioning transcutaneous stimulation of the n. tibialis and n. peroneous comm. of the contralateral leg. In both cases, rather similar two-phase changes in the amplitude of the tested H reflex were observed. After a latent period (50 to 60 msec), the reflex was facilitated for about 300 msec, with the maximum at an about 100-msec-long interval. Then, facilitation was replaced by inhibition; the time course of the latter at test intervals longer than 500 msec could be satisfactorily approximated by a logarithmic curve. The mean durations of inhibition calculated with the use of a least-square technique were 4.0 and 2.7 sec in the cases of stimulation of n. tibialis and n. peroneous comm., respectively. Facilitation of the reflex was initiated with the intensity of conditioning stimulation corresponding to the threshold for excitation of cutaneous receptors. Facilitation could also be evoked by electrical stimulation of the skin in the contralateral popliteal dimple outside the projections of the above-mentioned nerves. Inhibition of the H reflex was evoked only with greater intensities of transcutaneous stimulation of the contralateral nerves corresponding to activation of low-threshold afferents of the above-mentioned nerves. The examined inhibition of the H reflex is probably of a presynaptic nature because it was not eliminated by tonic activation of the motoneurons of the tested muscle evoked by voluntary sole flexion. Long-lasting contralateral presynaptic inhibition can play a noticeable role in redistribution of the tone of skeletal muscles in the course of the motor activity. Neirofiziologiya/Neurophysiology, Vol. 37, No. 4, pp. 372–378, July–August, 2005.     

Modulation of spinal inhibitory reflexes depends on the frequency of transcutaneous electrical nerve stimulation in spastic stroke survivors

Neurophysiological studies in healthy subjects suggest that increased spinal inhibitory reflexes from the tibialis anterior (TA) muscle to the soleus (SOL) muscle might contribute to decreased spasticity. While 50?Hz is an effective frequency for transcutaneous electrical nerve stimulation (TENS) in healthy subjects, in stroke survivors, the effects of TENS on spinal reflex circuits and its appropriate frequency are not well known. We examined the effects of different frequencies of TENS on spinal inhibitory reflexes from the TA to SOL muscle in stroke survivors. Twenty chronic stroke survivors with ankle plantar flexor spasticity received 50-, 100-, or 200-Hz TENS over the deep peroneal nerve (DPN) of the affected lower limb for 30?min. Before and immediately after TENS, reciprocal Ia inhibition (RI) and presynaptic inhibition of the SOL alpha motor neuron (D1 inhibition) were assessed by adjusting the unconditioned H-reflex amplitude. Furthermore, during TENS, the time courses of spinal excitability and spinal inhibitory reflexes were assessed via the H-reflex, RI, and D1 inhibition. None of the TENS protocols affected mean RI, whereas D1 inhibition improved significantly following 200-Hz TENS. In a time-series comparison during TENS, repeated stimulation did not produce significant changes in the H-reflex, RI, or D1 inhibition regardless of frequency. These results suggest that the frequency-dependent effect of TENS on spinal reflexes only becomes apparent when RI and D1 inhibition are measured by adjusting the amplitude of the unconditioned H-reflex. However, 200-Hz TENS led to plasticity of synaptic transmission from the antagonist to spastic muscles in stroke survivors.     

Evaluation of lumbar enlargement motor neuron excitability: Comparison between H-reflex and transcutaneous spinal cord stimulation

Multisegmental muscle responses (MMR) are reflexes in the leg muscles evoked by transcutaneous electrical spinal cord stimulation over the Th11–Th12 vertebrae. We have used MMR to evaluate the excitability of lumbosacral motor neurons in individuals having paraplegia of low limbs. Ten individuals were tested using H-reflexes and MMR bilaterally before (n ₀ = 20) and during 4-weeks course of rehabilitation (n=76). The H-reflex and MMR of m. gastrocnemius lateralis were obtained in: 15 and 13 cases out of 20, respectively. Both reflexes were recorded in 11 and were absent in 3 cases, matched up to 70% of recordings. In dynamic, the both methods were 100% reproducible and the responses’ amplitude varied in similar directions in 67% of records. The data confirm the validity and reproducibility of the MMR for evaluation of the motor neurons excitability in lumbosacral cord. The H-reflex magnitude shows moderate correlation with MMR in m. gastrocnemius lateralis (r = 0.59, p < 0.001), and weak correlation with MMR in mm. rectus femoris, biceps femoris, and tibialis anterior (r < 0.40, p < 0.001). These findings do not allow extrapolate the results from the H-reflex measurement on the state of lumbosacral cord on the whole. At the same time, measurements of the MMR allow estimate simultaneously the excitability of motor pools innervating several muscle groups. This gives the possibility to assess the functional state of the motor neurons in the lumbosacral cord for clinical and experimental studies, including the spinal cord damage.     

The effect of DOPA on the reciprocal inhibition of the innervation centers of antagonistic muscles in newborn rat pups]

In experiments on 5--7- and 16-day rat puppies with acute lesion of the spinal cord, by means of monosynaptic tests, studies have been made of the effect of DOPA on reciprocal inhibition of antagonist muscles. Test stimuli were applied to n. tibialis, conditioned ones--to n. peroneus. It was shown that the pattern of the effects depends on the action of the drug on the magnitude of the initial monosynaptic reflex used as a test. It the latter was initially inhibited, the conditioned stimulation resulted within the first 1-8 msec not in the development of postsynaptic inhibition, but in evident facilitation, which was longer in 5--7-day animals. The level of presynaptic inhibition was somewhat lower than the initial one, but exhibited longer duration. In case of facilitation of a control test after DOPA injection, configuration of reciprocal inhibition curves did not significantly differ from that obtained before administration of the drug.     

Long-lasting inhibition of the soleus muscle H reflex related to realization of voluntary arm movements in humans

In healthy humans, we recorded the H reflex induced by transcutaneous stimulation of the tibial nerve (recording from the soleus muscle). In subjects in the lying position, we studied changes in the H reflex values after preceding voluntary arm movements realized with a maximum velocity after presentation of an acoustic signal. On the 200th to 300th msec after forearm flexion, long-lasting inhibition of the H reflex developed following a period of initial facilitation and reached the maximum, on average, 700 msec from the moment of the movement. Flexion of the contralateral upper limb in the elbow joint induced deeper inhibition than analogous movement of the ipsilateral arm. Long-lasting clear inhibition of the H reflex developed after arm flexion in the elbow joint but was slightly expressed after finger clenching. After inhibition reached the maximum, its time course was satisfactorily approximated by a logarithmic function of the time interval between the beginning of the conditioning voluntary movement and presentation of the test stimulus. Durations of inhibition calculated using a regression equation were equal to 6.6 sec and 8.5 sec after ipsilateral and contralateral elbow-joint flexions, respectively. Inhibition was not eliminated under conditions of tonic excitation of motoneurons of the tested muscle upon voluntary foot flexion. Long-lasting inhibition of the H reflex was also observed after electrical stimulation-induced flexions of the upper limb. The obtained data indicate that movements of the upper limb cause reflex long-lasting presynaptic inhibition of the soleus-muscle H reflex that can play a noticeable role in redistribution of the muscle tone during motor activity. Neirofiziologiya/Neurophysiology, Vol. 40, No. 3, pp. 221–227, May–June, 2008.     

Inter-individual variation in reciprocal Ia inhibition is dependent on the descending volleys delivered from corticospinal neurons to Ia interneurons

IntroductionWe investigated the extent to which the corticospinal inputs delivered to Ia inhibitory interneurons influence the strength of disynaptic reciprocal Ia inhibition.MethodsSeventeen healthy subjects participated in this study. The degree of reciprocal Ia inhibition was determined via short-latency (condition-test interval: 1–3 ms) suppression of Sol H-reflex by conditioning stimulation of common peroneal nerve. The effect of corticospinal descending inputs on Ia inhibitory interneurons was assessed by evaluating the conditioning effect of transcranial magnetic stimulation (TMS) on the Sol H-reflex. Then, we determined the relationship between the degree of reciprocal Ia inhibition and the conditioning effect of TMS on the Sol H-reflex.ResultWe found that the degree of reciprocal Ia inhibition and the extent of change in the amplitude of the TMS-conditioned H-reflex, which was measured from short latency facilitation to inhibition, displayed a strong correlation (r = 0.76, p < 0.01) in the resting conditions.ConclusionThe extent of reciprocal Ia inhibition is affected by the corticospinal descending inputs delivered to Ia inhibitory interneurons, which might explain the inter-individual variations in reciprocal Ia inhibition.     

Fatigue-induced modulation of the H reflex of soleus muscle in humans

We studied the effect of fatigue of the mm. gastrocnemius-soleus on the H reflex elicited by transcutaneous stimulation of n. tibialis and recorded from the m. soleus; healthy 18-to 34-year-old volunteers were tested. Fatigue was evoked by long-lasting (6 to 9 min) voluntary tonic static sole flexion of the foot (ankle extension) with a force equal to 75% of the maximum voluntary contraction (MVC). The amplitude of H reflex significantly (P < 0.001) decreased to about 60% of the initial value immediately after the period of fatiguing effort. Within 2 to 3 min, it relatively rapidly recovered and reached about 90% of the control, and this was followed by a period of slow recovery to about 96–97% of the initial value 30 min after conditioning fatigue. We suppose that the initial period of suppression of the H reflex results to a considerable extent in an increase in the intensity of presynaptic inhibition of transmission from Ia afferents due to tonic activation of high-threshold (groups III and IV) afferent fibers induced by intensive fatigue-related metabolic changes in the muscles. More long-lasting (tens of minutes) changes are related to slow reverse development of direct effects of fatigue-induced biochemical shifts in the muscle. Neirofiziologiya/Neurophysiology, Vol. 38, Nos. 5/6, pp. 426–431, September–December, 2006.     

On mechanisms of depression in pathways of presynaptic inhibition

We investigated inhibition of the N₁-component of the spinal cord dorsal potential (CDP) evoked by experimental stimulation of the n. peroneus in spinal cats. Stimulation was carried out following two conditioning stimuli administered at different time intervals to the same or different cutaneous nerves. The interval between the last conditioning stimulus and the experimental one remained constant (20 msec). It is demonstrated that there is no dependence between weakening of inhibitory action of the second conditioning stimulus and inhibition of the dorsal horn interneurons excited by it that generate the N₁-component of the CDP. It is hypothesized that mechanisms which act on the principle of negative feedback are present in the vincinity of the synaptic junctions of cutaneous afferent fibers with neurons of the substantia gelationsa, and that these mechanisms restrict the development of presynaptic inhibition during inflow of a series of afferent impulses into the cord.Dnepropetrovsk State University. Translated from Neirofiziologia, Vol. 1, No. 3, pp. 253–261, November–December, 1969.     

Reorganization of spinal segment-to-muscle projections after cross-union of the nerves to hindlimb antagonistic muscles in rats

The nervesn. tibialis comm. andperoneus comm. were transected and cross-united in rats. One and a half, three, or six months later, the parameters of single and tetanic isometric contractions of the musclesm.m. tibialis anterior andtriceps surae evoked by L4 and L5 ventral root stimulations were measured in acute experiments on spinalized animals. In addition, the changes in functional asymmetry of muscle innervation by L4 and L5 motoneurons were studied. The characteristics of them. tibialis comm. andm. triceps surae contractions recovered considerably in three and six months after the nerve cross-union, respectively. In the latter case, the contraction force and preinjury innervational relations recovered to a higher degree than in the former one. Reorganization of segment-to-muscle projections following injury of the peripheral nerves is thought to be one of the neurophysiological mechamisms responsible for compensation of motor disorders. The pattern of this reorganization correlates with initial proportions of motoneuronal axons in different segments sending nerves to the studied muscles, and depends on the level of activity in corresponding motoneurons in natural motor behavior and the intensity of descending influences upon these motoneurons.Neirofiziologiya/Neurophysiology, Vol. 26, No. 3, pp. 163–170, May–June, 1994.     

Functional organization of mechanisms of presynaptic inhibition induced by stimulation of cutaneous afferents

Changes in the N₁-component and P-phase of the dorsal surface potential (DSP) of the spinal cord evoked by test stimulation of the posterior tibial nerve after conditioning stimulation of the sural nerve were investigated in anesthetized cats. The test responses were inhibited if stimulation was applied at short intervals. They then recovered to some extent, but after 1.8–2.2 msec, a further prolonged period of inhibition began. The initial inhibition was connected with occlusion of synaptic action, and the subsequent prolonged inhibition with the development of presynaptic inhibition. The latent periods of prolonged inhibition of the N₁-component and P-phase of the DSP (2 msec) were almost exactly identical, and the curves showing the diminution of the initial occlusion of these components were very similar. The results demonstrate that presynaptic inhibition of the interneurons generating the N₁-component of the DSP and of cells of the substantia gelatinosa which participate in depolarization of the presynaptic terminals of the cutaneous afferents is due to the action of depolarizing systems with similar temporal characteristics.Dnepropetrovsk State University. Translated from Neirofiziologiya, Vol. 4, No. 5, pp. 510–515, September–October, 1972.     

Time-dependent effects of neuromuscular electrical stimulation on changes in spinal excitability are dependent on stimulation frequency: A preliminary study in healthy adults

Neuromuscular electrical stimulation (NMES) can be used as treatment for spasticity. The present study examined differences in time-dependent effects of NMES depending on stimulation frequency. Forty healthy subjects were separated into four groups (no-stim, NMES of 50, 100, and 200?Hz). The un-conditioned H-reflex amplitude and the H-reflex conditioning-test paradigm were used to measure the effectiveness on monosynaptic Ia excitation of motoneurons in the soleus (SOL) muscle, disynaptic reciprocal Ia inhibition from tibialis anterior (TA) to SOL, and presynaptic inhibition of SOL Ia afferents. Each trial consisted of a 30-min period of NMES applied to the deep peroneal nerve followed by a 30-min period with no stimulation to measure prolonged effects. Measurements were performed periodically. Stimulation applied at all frequencies produced a significant reduction in monosynaptic Ia excitation of motoneurons in the SOL muscle, however, only stimulation with 50?Hz showed prolonged reduction after NMES. NMES frequency did not affect the amount of disynaptic reciprocal Ia inhibition and presynaptic inhibition of Ia afferents. The results show a frequency-dependent effect of NMES on the monosynaptic Ia excitation of motoneurons. This result has implications for selecting the optimal NMES frequency for treatment in patients with spasticity.     

Inhibition of jaw opening reflexes by stimulation of the central gray matter and raphe nuclei in cats

The effect of stimulation of the mesencephalic central gray matter and raphe nuclei on jaw opening reflexes evoked by excitation of high-threshold (dental pulp) and low-threshold (A-alpha) fibers of the infraorbital nerve afferents was studied in cats anesthetized with chloralose and pentobarbital. The jaw opening reflex evoked by stimulation of the dental pulp was shown to be effectively suppressed by conditioning stimulation of the central gray matter and raphe nuclei. The reflex evoked by stimulation of low-threshold infraorbital nerve afferents also was depressed (but less deeply and for a shorter period than the reflex evoked by stimulation of the dental pulp) during stimulation of the raphe nuclei and caudal zone of the central gray matter, but was unchanged after stimulation of the points located in the rostral zone of the central gray matter. Application of single stimuli or bursts of five stimuli with a frequency of 100 Hz had no effect on the reflexes studied. Short-term stimulation with a burst of 10–20 stimuli with a following frequency of 200–400 Hz led to inhibition of the reflexes, which lasted 450–1000 msec. Long-term stimulation of the central gray matter and raphe nuclei for 30 sec with a frequency of 50 Hz caused inhibition of jaw opening reflexes evoked by stimulation of both high- and low-threshold afferents for 60 min. Impulses from the central gray matter and raphe nuclei thus have a mainly inhibitory action on the jaw opening reflex evoked by stimulation of high-threshold afferents, but they act less effectively on the reflex evoked by stimulation of low-thres-hold afferents. The duration of inhibition depends essentially on the parameters of stimulation.A. A. Bogomolets Institute of Physiology, Academy of Sciences of the Ukrainian SSR, Kiev. Translated from Neirofiziologiya, Vol. 16, No. 3, pp. 374–387, May–June, 1984.     

Post-tetanic potentiation of reciprocal Ia inhibition in human lower limb.

The purpose of this study was to investigate how reciprocal Ia inhibition is changed during muscle fatigue of lower limb muscle, induced with a voluntary contraction or height frequency electrical stimulation. Reciprocal Ia inhibition from ankle flexors to extensors has been investigated in 12 healthy subjects. Hoffmann reflex (H-reflex) in the soleus muscle was used to monitor changes in the amount of reciprocal Ia inhibition from common peroneal nerve as demonstrated during voluntary dorsi or planterflexion and 50 Hz electrical stimulation induced dorsi or planterflexion. The test soleus H-reflex was kept at 20-25% of maximum directly evoked motor response (M response) and the strength of the conditioning common peroneal nerve stimulation was kept at 1.0 x motor threshold. At rest, weak la inhibition was demonstrated in 12 subjects, maximal inhibition from the common peroneal nerve was 28.8%. During voluntary dorsiflexion and 50 Hz electrical stimulation induced dorsiflexion, there absolute amounts of inhibition increased as compared to at rest, and decreased or disappeared during voluntary planterflexion and 50 Hz electrical stimulation induced planterflexion as compared to at rest. During voluntary or electrical stimulation induced agonist muscle fatigue, the inhibition of the soleus H-reflex from the common peroneal nerve was greater during voluntary dorsiflexion (maximal, 11.1%) and 50 Hz (maximal, 6.7%) electrical stimulation induced dorsiflexion than at rest. The inhibition was decreased or disappeared during voluntary planterflexion 50 Hz electrical stimulation induced planterflexion. It was concluded that the results were considered to support the hypothesis that alpha-motoneurones and la inhibitory intemeurones link to antagonist motoneurones in reciprocal inhibition. The diminished reciprocal Ia inhibition of voluntary contraction during muscle fatigue as compared to electrical stimulation, is discussed in relation to its possible contribution to ankle stability.     

Correlation between ultrastructural and functional changes in sarcoplasmic reticulum during chronic stimulation of fast muscle

Summary Chronic indirect stimulation of fast twitch rabbit muscle (tibialis anterior and extensor digitorum longus) with a frequency of 10 Hz induced a progressive transformation of the sarcoplasmic reticulum (SR). Ultrastructural changes as studied by electron microscopy of freeze-fractured vesicles consisted in a decrease of intramembranous particles of the concave (A) face and an increase of particles in the convex (B) face. The asymmetry of the membrane proved to be lowered. Changes in the particle density of theA face were mainly confined to the 7–9 nm particles. Electrophoretic analyses revealed a decrease in the 115,000-M _r Ca²⁺ transport ATPase. The reduced density of the 7–9 nm particles correlated well with decreased activities in Ca²⁺-dependent ATPase as well as with decreases in initial and maximum Ca²⁺ uptake.     

Associative stimulation of the supraorbital nerve fails to induce timing-specific plasticity in the human blink reflex

Background

Associative high-frequency electrical stimulation (HFS) of the supraorbital nerve in five healthy individuals induced long-term potentiation (LTP)-like or depression (LTD)-like changes in the human blink reflex circuit according to the rules of spike timing-dependent plasticity (Mao and Evinger, 2001). HFS given at the onset of the R2 component of the blink reflex (HFS_LTP) produced a lasting facilitation of the R2, whereas HFS given shortly before R2 (HFS_LTD) caused a lasting suppression of the R2. In patients with benign essential blepharospasm (BEB), a focal dystonia affecting the orbicularis oculi muscles, HFS_LTP induced excessive LTP-like associative plasticity relative to healthy controls, which was normalized after botulinum toxin (BTX) injections (Quartarone et al, 2006).

Methodology/Principal Findings

We used HFS conditioning of the supraorbital nerve to study homeostatic metaplasticity of the blink reflex circuit in healthy subjects and dystonic patients. On separate days, we tested the conditioning effects on the R2 response and paired-pulse R2 inhibition after (i) HFS_LTP, (ii) HFS_LTP followed by HFS_LTP, and (iii) HFS_LTP followed by HFS_LTD. Controls also received (iv) HFS_LTD alone and (v) a non-intervention protocol. In BEB patients, HFS_LTP followed by HFS_LTD was given before and after BTX treatment. We were not able to replicate the bidirectional timing-dependent effects of HFS_LTP and HFS_LTD alone. All HFS protocols produced a non-specific reduction of the R2 response and a relative decrease in paired-pulse inhibition. These R2 changes also occurred in controls when no HFS was applied. There was also no trace of a homeostatic response pattern in BEB patients before or after BTX treatment.

Conclusion/Significance

Our data challenge the efficacy of associative HFS to produce bidirectional plasticity in the human blink reflex circuit. The non-specific decrease of the R2 response might indicate habituation of the blink reflex following repeated electrical supraorbital stimulation. The increase of inhibition after paired pulse stimulation might reflect homeostatic behaviour to prevent further down regulation of the R2 response to preserve the protection of this adverse-effects reflex.     

Cutaneous Afferent Signal as a Modulator of the Heteronymous Influence of Primary Muscle Afferents

The influence of cutaneous afferents of the medial plantar and sural nerves on the reflex excitability of thesoleusmuscle motoneurons and on reciprocal and nonreciprocal interactions between the gastrocnemius medialis, tibialis anterior, and soleusmuscles was studied in healthy volunteers by testing H-reflexes. Cutaneous afferents influenced reflex excitability of the soleusmotoneurons. Stimulation of cutaneous afferents changed the effects produced earlier by isolated stimulation of synergist and antagonist afferents. This confirms convergence of cutaneomuscular afferents on common interneurons. The authors postulate the existence of parallel cutaneous channels (including those with an alternative influence), whose hierarchy is determined by the situation and, probably, by some other individual features.     

Effects of Local and Remote Muscle Pain on Stretch ReflexActivities in the Elbow Joint Flexors and Extensors of Unanesthetized Cats

In experiments on unanesthetized cats, we compared the effects of experimentally induced pain in the m. biceps brachii or in the neck muscles on EMG activity of the flexors and extensors of the elbow joint (mm. biceps et triceps brachii, respectively) evoked by a passive extension-flexion of the above joint. Muscle pain was induced by injections of 0.5 ml of a hypertonic (7%) NaCl solution into the above-mentioned muscles. In the case of pain in the biceps, i.e., in the muscle directly involved in realization of the reflex, we observed an increase in the amplitude and significant shortening of the latency of EMG responses of this muscle. The amplitude of a short-latency (supposedly monosynaptic) component of the biceps reflex (М1 response) increased by 65%, while an increment of the latter (supposedly polysynaptic) М2 component was 117%. When pain was induced in anatomically remote neck muscles, the stretch reflex in the biceps was considerably suppressed. The maximum amplitudes of the М1 and М2 components decreased by 25 and 30%, respectively, but the latencies of these components decreased significantly, similarly to what was observed in the case of induction of experimental pain in the biceps. Under both conditions of experimental pain, changes in the parameters of EMG responses of the forearm extensor (m. triceps brachii) demonstrated similarity with those of the biceps responses. The maximum effect of pain induction was observed within the first 5 min after injections of the hypertonic solution; full recovery of the stretch reflex parameters was observed on the 20th to 30th min. We conclude that the effects of pain induction on the reflex under study are not generalized. They depend on the site of such induction with respect to the muscle where the stretch reflex is elicited. Unidirectional effects of both types of pain on the antagonist muscles allow us to suppose that modulation of the reflex reactions upon pain induction is mediated by influences from the supraspinal CNS structures. Induction of pain in the biceps increased the amplitude of EMG manifestations of the stretch reflex, while such induction in the neck muscles decreased such responses; nonetheless, in both cases the latency of the reflexes decreased. This fact allows us to believe that the sensitivity of muscle spindles increased under both conditions of the pain influence.     

Invariable H-reflex and sustained facilitation of stretch reflex with heightened sympathetic outflow

Stretch reflex shows sustained (3-min) increase with heightened sympathetic outflow [Hjortskov N, Skotte J, Hye-Knudsen C, Fallentin N. Sympathetic outflow enhances the stretch reflex response in the relaxed soleus muscle in humans. J Appl Physiol 2005;98:1366–70], but it is unknown if it accompanies a sustained increase in H-reflex. The purpose of the study was to test if there is a sustained facilitation in the H-reflex in the human soleus muscle during a variety of sustained tasks that are known to elevate sympathetic outflow. Mean arterial blood pressure, heart rate, and H- and stretch reflexes in the relaxed soleus muscle were obtained in healthy young adults who performed mental arithmetic, static handgrip exercise, post-handgrip ischemia, and cold stimulation. Each task lasted 3 min with a 3-min rest in between tasks. Data were analyzed for the initial 30 s and entire 3 min of each task. There was a heightened cardiovascular response in all tasks for both durations of analysis. An increase in H-reflex amplitude was not observed for either the initial or entire duration of the analysis. The tasks increased stretch reflex amplitude for both durations of analysis. Invariable H-reflex and sustained facilitation of stretch reflex with heightened sympathetic outflow would imply sympathetic modulation of muscle spindle sensitivity.