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Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1971 Dec;34(6):712–717. doi: 10.1136/jnnp.34.6.712

Impaired potentiation of H-reflexes in patients with upper motoneurone lesions

R E P Sica 1,2,1, A J McComas 1,2,2, A R M Upton 1,2,2
PMCID: PMC1083506  PMID: 5158787

Abstract

The potentiation of H-reflexes during effort has been studied in 16 patients with mild hemiparesis. Impaired potentiation was present in all but one patient, and was still evident in some who had recovered fully from weakness. A tentative explanation has been proposed for these findings; it is suggested that there is loss of a background facilitatory pathway to motoneurones.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ANGEL R. W., HOFMANN W. W. THE H REFLEX IN NORMAL, SPASTIC, AND RIGID SUBJECTS. Arch Neurol. 1963 Jun;9:591–596. doi: 10.1001/archneur.1963.00460060021002. [DOI] [PubMed] [Google Scholar]
  2. BULLER A. J. The ankle-jerk in early hemiplegia. Lancet. 1957 Dec 21;273(7008):1262–1263. doi: 10.1016/s0140-6736(57)91543-x. [DOI] [PubMed] [Google Scholar]
  3. Carpenter D., Engberg I., Lundberg A. Primary afferent depolarization evoked from the brain stem and the cerebellum. Arch Ital Biol. 1966 Mar;104(1):73–85. [PubMed] [Google Scholar]
  4. LANDAU W. M., CLARE M. H. FUSIMOTOR FUNCTION. VI. H REFLEX, TENDON JERK, AND REINFORCEMENT IN HEMIPLEGIA. Arch Neurol. 1964 Feb;10:128–134. doi: 10.1001/archneur.1964.00460140014003. [DOI] [PubMed] [Google Scholar]
  5. Matthews W. B. Ratio of maximum H reflex to maximum M response as a measure of spasticity. J Neurol Neurosurg Psychiatry. 1966 Jun;29(3):201–204. doi: 10.1136/jnnp.29.3.201. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. McComas A. J., Sica R. E., Upton A. R. Excitability of human motoneurones during effort. J Physiol. 1970 Sep;210(2):145P–146P. [PubMed] [Google Scholar]
  7. RUSHWORTH G. Spasticity and rigidity: an experimental study and review. J Neurol Neurosurg Psychiatry. 1960 May;23:99–118. doi: 10.1136/jnnp.23.2.99. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Upton A. R., McComas A. J., Sica R. E. Potentiation of "late" responses evoked in muscles during effort. J Neurol Neurosurg Psychiatry. 1971 Dec;34(6):699–711. doi: 10.1136/jnnp.34.6.699. [DOI] [PMC free article] [PubMed] [Google Scholar]

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