PMID- 25600844 OWN - NLM STAT- MEDLINE DCOM- 20151214 LR - 20150923 IS - 1097-4598 (Electronic) IS - 0148-639X (Linking) VI - 52 IP - 4 DP - 2015 Oct TI - Influence of spinal cord lesion level and severity on H-reflex excitability and recovery curve. PG - 616-22 LID - 10.1002/mus.24579 [doi] AB - INTRODUCTION: Changes in spinal reflexes can result from alterations in the spinal cord and descending pathways. We studied whether H-reflex excitability and its recovery depend on the level and/or severity of spinal cord injury (SCI). METHODS: The soleus Hmax and Mmax responses and the H-reflex recovery curve (HRC) at interstimulus intervals (ISIs) ranging from 50 to 1,000 ms were recorded in 38 SCI individuals and 18 healthy subjects. RESULTS: Amplitude of Mmax correlated with level and severity of lesion (smaller amplitude correlated with more severe SCI or with more caudal lesion). Hmax/Mmax correlated only with age in the SCI group. HRC was increased significantly in complete SCI at ISIs < 500 ms and in incomplete SCI at ISIs > 200 ms with respect to healthy subjects. CONCLUSIONS: The changes in spinal reflexes as measured by the H-reflex and its recovery curve after SCI depend on the severity, but not on the level of the lesion. CI - (c) 2015 Wiley Periodicals, Inc. FAU - Kumru, Hatice AU - Kumru H AD - Institut Guttmann, Institut Universitari de Neurorehabilitacio adscrit a la UAB, 08916 Badalona and Fundacio Institut d'Investigacio en Ciencies de la Salut Germans Trias i Pujol, Badalona, Barcelona, Spain. AD - Universitat Autonoma de Barcelona, Bellaterra (Cerdanyola del Valles), Spain. AD - Fundacio Institut d'Investigacio en Ciencies de la Salut Germans Trias i Pujol, Badalona, Barcelona, Spain. FAU - Albu, Sergiu AU - Albu S AD - Texas A&M University, College Station, Texas 77843-4235, USA. FAU - Valls-Sole, Josep AU - Valls-Sole J AD - EMG unit, Neurology, Hospital Clinic-Barcelona, Spain. FAU - Murillo, Narda AU - Murillo N AD - Institut Guttmann, Institut Universitari de Neurorehabilitacio adscrit a la UAB, 08916 Badalona and Fundacio Institut d'Investigacio en Ciencies de la Salut Germans Trias i Pujol, Badalona, Barcelona, Spain. AD - Universitat Autonoma de Barcelona, Bellaterra (Cerdanyola del Valles), Spain. AD - Fundacio Institut d'Investigacio en Ciencies de la Salut Germans Trias i Pujol, Badalona, Barcelona, Spain. FAU - Tormos, Josep Maria AU - Tormos JM AD - Institut Guttmann, Institut Universitari de Neurorehabilitacio adscrit a la UAB, 08916 Badalona and Fundacio Institut d'Investigacio en Ciencies de la Salut Germans Trias i Pujol, Badalona, Barcelona, Spain. AD - Universitat Autonoma de Barcelona, Bellaterra (Cerdanyola del Valles), Spain. AD - Fundacio Institut d'Investigacio en Ciencies de la Salut Germans Trias i Pujol, Badalona, Barcelona, Spain. FAU - Vidal, Joan AU - Vidal J AD - Institut Guttmann, Institut Universitari de Neurorehabilitacio adscrit a la UAB, 08916 Badalona and Fundacio Institut d'Investigacio en Ciencies de la Salut Germans Trias i Pujol, Badalona, Barcelona, Spain. AD - Universitat Autonoma de Barcelona, Bellaterra (Cerdanyola del Valles), Spain. AD - Fundacio Institut d'Investigacio en Ciencies de la Salut Germans Trias i Pujol, Badalona, Barcelona, Spain. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150630 PL - United States TA - Muscle Nerve JT - Muscle & nerve JID - 7803146 SB - IM MH - Adult MH - Analysis of Variance MH - Biophysics MH - Electric Stimulation MH - Electromyography MH - Female MH - H-Reflex/*physiology MH - Humans MH - Male MH - Middle Aged MH - Muscle, Skeletal/*physiopathology MH - Spinal Cord Injuries/*pathology/*physiopathology MH - Time Factors MH - Young Adult OTO - NOTNLM OT - H-reflex OT - severity of SCI OT - spinal cord injury OT - spinal level EDAT- 2015/01/21 06:00 MHDA- 2015/12/15 06:00 CRDT- 2015/01/21 06:00 PHST- 2014/07/14 00:00 [received] PHST- 2015/01/02 00:00 [revised] PHST- 2015/01/12 00:00 [accepted] PHST- 2015/01/21 06:00 [entrez] PHST- 2015/01/21 06:00 [pubmed] PHST- 2015/12/15 06:00 [medline] AID - 10.1002/mus.24579 [doi] PST - ppublish SO - Muscle Nerve. 2015 Oct;52(4):616-22. doi: 10.1002/mus.24579. Epub 2015 Jun 30.