The modulation of the Hoffmann (H) reflex amplitude during agonist and antagonist muscle contractions provides relevant information on the neural control of leg muscles but remains largely unknown in older adults. This study investigated the H-reflex gain in the soleus muscle at rest and during plantar flexor (PF) and dorsiflexor (DF) muscle contractions performed at 10%, 20% and 30% of the maximal electromyographic activity (EMGMVC) in 12 young (23-35yrs) and 12 old adults (61-76yrs). The reflex gain was measured as the slope of the relation between H-reflex amplitude and background EMG activity. The stimulation intensity was set to evoke at rest an H reflex in the ascending phase of its recruitment curve preceded by an M wave (5 and 10% of its maximal amplitude; Mmax). During PF contractions, the H-reflex amplitude increased with the increase in contraction intensity in both groups with a greater reflex gain (p=0.024) in young [1.2 (0.5)% Mmax/% EMGMVC] than old adults [0.7 (0.4)% Mmax/% EMGMVC]. During DF contractions, the H-reflex amplitude decreased in both groups, with a more negative reflex gain (p=0.009) in young [-6.8 (2.8)% Mmax/% EMGMVC] than old adults [-2.7 (4.0)% Mmax/% EMGMVC]. Furthermore, the decrease in H-reflex amplitude was linearly associated with the increase in tibialis anterior EMG in both groups. The present study showed a smaller reflex gain in old adults in soleus during submaximal PF and DF contractions, suggesting a decreased ability to adjust the excitatory afferent inputs during PF contractions, and to modulate reciprocal inhibition during DF contractions.
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http://dx.doi.org/10.1139/apnm-2024-0369 | DOI Listing |
Indian J Otolaryngol Head Neck Surg
January 2025
Department of Audiology, School of Paramedical and Rehabilitation Sciences, Mashhad University of Medical Sciences, Mashhad, Iran.
The preferred peak head velocities for video head impulse test (vHIT) are over 150 degrees/second (°/s) but in some patients, reaching these velocities isn't possible. This study aims to evaluate the variations of the vHIT at lower peak head velocities in healthy adult populations. Subjects were 100 healthy adults (20 to 80 years old) with no history of dizziness, vertigo, imbalance, or otologic, neurologic, orthoscopic, or ocular disorders.
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March 2025
Department of Psychiatry, Texas Tech University Health Sciences Center.
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March 2025
Department of General Practice, Jinshan Hospital, Fudan University, No. 1508 Longhang Road, Jinshan District, Shanghai, 201508, People's Republic of China.
Background: Gastroesophageal reflux disease (GERD) and Sleep Apnea Syndrome (SAS) are two prevalent medical conditions that significantly affect health and quality of life. GERD involves stomach content reflux into the esophagus, while SAS causes recurrent upper airway obstruction during sleep. Despite recent studies hinting at a link, the precise relationship and causality between GERD and SAS remain unclear.
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March 2025
Central Clinical School, University of Sydney, Sydney, NSW, Australia.
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March 2025
Mechanical Engineering Department, Carnegie Mellon University.
In a recent human study, we found that adaptive changes in step length asymmetry (SLA) are correlated with similar changes in the H-reflex gains of the leg muscles during split-belt treadmill locomotion. While this observation indicated a closer link between gait asymmetry and spinal reflex adaptation, it did not reveal their causal relationship. To better understand this relationship, here we use a neuromuscular model of human walking whose control relies primarily on spinal reflexes.
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