J Spinal Cord Med, 2010 · DOI: · Published: October 1, 2010
This study investigates how spinal cord injury (SCI) affects the way reflexes in the soleus muscle (calf muscle) change with body position and walking speed. The H-reflex, a measure of spinal cord excitability, was examined in individuals with incomplete SCI and compared to non-injured individuals. The study found that individuals with SCI had impaired reflex modulation, meaning their reflexes did not adjust to changes in position or walking speed as effectively as those without SCI.
H-reflex testing can be used to track changes as a result of therapeutic interventions.
Improvement in position-dependent and walking speed–dependent reflex modulation after SCI may indicate functional recovery.
Changes in H-reflex amplitude related to walking speed may provide critical insights regarding optimal walking speed used for retraining walking in patients after SCI.