PMID- 24115026 OWN - NLM STAT- MEDLINE DCOM- 20140928 LR - 20131112 IS - 1521-186X (Electronic) IS - 0197-8462 (Linking) VI - 34 IP - 8 DP - 2013 Dec TI - Neurophysiological characterization of transpinal evoked potentials in human leg muscles. PG - 630-40 LID - 10.1002/bem.21808 [doi] AB - The objectives of this study were to characterize the neurophysiological properties of the compound muscle action potentials (CMAPs) evoked by transcutaneous electric stimulation of the spine (tsESS), and the effects of tsESS on the soleus H-reflex in seated and standing healthy human subjects. In seated semi-prone subjects with the trunk semi-flexed, two re-usable self-adhering electrodes (cathode), connected to act as one electrode, were placed bilaterally on the iliac crests. A re-usable pregelled electrode (anode) was placed on the thoracolumbar region at thoracic 10-lumbar 1 and held under constant pressure throughout the experiment. CMAPs were recorded bilaterally from ankle muscles with subjects seated semi-prone at 1.0, 0.3, 0.2, 0.125, and 0.1 Hz following tsESS. The soleus H-reflex, evoked by posterior tibial nerve stimulation via conventional methods, was measured following tsESS at inter-stimulus intervals (ISIs) that ranged from -100 to 100 ms with the subjects seated semi-prone and during standing. The tsESS-induced CMAPs were not decreased at low stimulation frequencies, and the soleus H-reflex excitability was profoundly decreased by tsESS at ISIs that ranged from -5 to 20 ms with the subjects seated semi-prone and during standing. CMAPs induced by tsESS may be utilized to assess spinal-to-muscle conduction time while bypassing spinal motoneuron excitability and tsESS can be used as a modality to decrease spinal reflex hyper-excitability in neurological disorders. CI - (c) 2013 Wiley Periodicals, Inc. FAU - Knikou, Maria AU - Knikou M AD - Graduate Center, City University of New York, New York, New York. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130920 PL - United States TA - Bioelectromagnetics JT - Bioelectromagnetics JID - 8008281 SB - IM MH - Adult MH - *Electric Stimulation MH - *Evoked Potentials MH - Female MH - Humans MH - *Leg MH - *Lumbar Vertebrae MH - Male MH - Muscles/*physiology MH - Posture/physiology MH - *Thoracic Vertebrae MH - Young Adult OTO - NOTNLM OT - electric stimulation OT - low-frequency depression OT - multisegmental responses OT - soleus H-reflex OT - spine OT - thoracolumbar region EDAT- 2013/10/12 06:00 MHDA- 2014/10/01 06:00 CRDT- 2013/10/12 06:00 PHST- 2013/04/26 00:00 [received] PHST- 2013/06/27 00:00 [accepted] PHST- 2013/10/12 06:00 [entrez] PHST- 2013/10/12 06:00 [pubmed] PHST- 2014/10/01 06:00 [medline] AID - 10.1002/bem.21808 [doi] PST - ppublish SO - Bioelectromagnetics. 2013 Dec;34(8):630-40. doi: 10.1002/bem.21808. Epub 2013 Sep 20.