Hip angle induced modulation of H reflex amplitude, latency and duration in spinal cord injured humans.

OBJECTIVES

To investigate the modulation of the soleus H reflex in spinal cord injured (SCI) subjects resulting from imposed changes in hip angle and to establish whether changes in H reflex amplitude co-vary with changes in reflex latency and duration.

METHODS

H reflexes were recorded using conventional methods in 7 SCI subjects in the supine position. The right leg was secured by a leg brace and positioned at various angles of hip flexion (30 degrees, 40 degrees ) and at 10 degrees of hip extension.

RESULTS

We found that imposing 10 degrees of hip extension resulted in a significant facilitation in the size of the soleus H reflex in all of the SCI subjects tested (200% of control reflex; recorded at 10 degrees of hip flexion). In contrast, positioning the hip at 30 degrees and at 40 degrees of flexion resulted in a significant reduction of the H reflex in 6 of 7 SCI subjects tested. In the remaining subject, an increase in the H reflex amplitude was observed. Modulation of H reflex amplitude coincided with shifts in both H reflex latency and duration. The reflex latency was prolonged when the reflex amplitude was reduced following hip flexion, while hip extension shortened the reflex latency. In contrast, the H reflex duration was prolonged with hip extended and shortened with hip flexed.

CONCLUSIONS

When changes in static hip joint position are imposed in SCI subjects, changes in afferent feedback from hip proprioceptors are capable of promoting a switch between excitatory and inhibitory pathways. Associated changes in H reflex latency and duration are consistent with the hypothesis that oligosynaptic inputs contribute to the hip angle-induced H reflex modulation. Possible mechanisms for these effects are discussed.