4.5 Article

Assessment of the H-reflex at two contraction levels before and after fatigue

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WILEY
DOI: 10.1111/sms.12663

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Spinal reflex activity; triceps surae; NMES; neuromuscular electrical stimulation; voluntary contractions vs rest

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The aim of the present study was to compare the H-reflex evoked at rest and at 20% maximal voluntary contraction (MVC) prior to and after fatiguing the lateral gastrocnemius (LG). The maximal H-reflex and M-wave were recorded in the LG, and soleus (SOL). Electrical evoked potentials were delivered to the posterior tibial nerve when muscles were inactivated and at 20% MVC. After fatigue, the H-max/M-max ratio of the fatigued LG was increased for both contraction levels (rest and 20% MVC) and remained unaltered for non-fatigued SOL. Before fatigue, the H-max/M-max ratio of SOL was enhanced at rest compared with the H-max/M-max ratio at 20% MVC. No differences were observed for LG. Fatigue of a single muscle leads to increased spinal reflex activity of the homonymous muscle. Contrary to previous recommendations in the literature, there appears to be no benefit withregard to the H-reflex amplitude in evoking electricalpotentials during constant voluntary contractions at 20% MVC compared with inactivated muscles. The observed difference in SOL prior to fatigue was most likelydue to hyperpolarization of the muscle fiber membrane.

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