Differential effect of heteronymous feedback from femoral nerve and quadriceps muscle stimulation onto soleus H-reflex

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dc.contributor.authorCuadra, Cristian
dc.contributor.authorWolf, Steven L.
dc.contributor.authorLyle, Mark A.
dc.date.accessioned2023-10-31T19:40:36Z
dc.date.available2023-10-31T19:40:36Z
dc.date.issued2023-08
dc.descriptionExcitatory feedback from muscle spindles, and inhibitory feedback from Golgi tendon organs and recurrent inhibitory circuits are widely distributed within the spinal cord to modulate activity between human lower limb muscles. Heteronymous feedback is most commonly studied in humans by stimulating peripheral nerves, but the unique effect of non-spindle heteronymous feedback is difficult to determine due to the lower threshold of excitatory spindle axons. A few studies suggest stimulation of the muscle belly preferentially elicits non-spindle heteronymous feedback. However, there remains a lack of consensus on the differential effect of nerve and muscle stimulation onto the H-reflex, and the relation of the heteronymous effects onto H-reflex compared to that onto ongoing EMG has not been determined. In this cross-sectional study, we compared excitatory and inhibitory effects from femoral nerve and quadriceps muscle belly stimulation onto soleus H-reflex size in 15 able-bodied participants and in a subset also compared heteronymous effects onto ongoing soleus EMG at 10% and 20% max. Femoral nerve stimulation elicited greater excitation of the H-reflex compared to quadriceps stimulation. The differential effect was also observed onto ongoing soleus EMG at 20% max but not 10%. Femoral nerve and quadriceps stimulation elicited similar inhibition of the soleus H-reflexes, and these results were better associated with soleus EMG at 20%. The results support surface quadriceps muscles stimulation as a method to preferentially study heteronymous inhibition at least in healthy adults. The primary benefit of using muscle stimulation is expected to be in persons with abnormal, prolonged heteronymous excitation. These data further suggest heteronymous feedback should be evaluated with H-reflex or onto ongoing EMG of at least 20% max to identify group differences or modulation of heteronymous feedback in response to treatment or task.es
dc.identifier.citationPLoS ONE Volume 18, Issue 8 August August 2023 Article number e0290078es
dc.identifier.doi10.1371/journal.pone.0290078en
dc.identifier.issn1932-6203
dc.identifier.urihttps://repositorio.unab.cl/xmlui/handle/ria/53762
dc.language.isoenes
dc.publisherPublic Library of Sciencees
dc.rights.licenseCC BY 4.0 DEED Atribución 4.0 Internacionalen
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/deed.esen
dc.subjectAdultes
dc.subjectCross-Sectional Studieses
dc.subjectElectric Stimulationes
dc.subjectElectromyographyes
dc.subjectFeedbackes
dc.subjectFemoral Nervees
dc.subjectH-Reflexes
dc.subjectHumanses
dc.subjectMuscle, Skeletales
dc.subjectQuadriceps Musclees
dc.titleDifferential effect of heteronymous feedback from femoral nerve and quadriceps muscle stimulation onto soleus H-reflexes
dc.typeArtículoes
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