The effect of voluntary modulation of the sensory-motor rhythm during different mental tasks on H reflex

Objectives: The aim of this study was to explore the possibility of the short-term modulation of the soleus H reflex through self-induced modulation of the sensory-motor rhythm (SMR) as measured by electroencephalography (EEG) at Cz. Methods: Sixteen healthy participants took part in one session of neuromodulation. Motor imagery and mental math were strategies for decreasing SMR, while neurofeedback was used to increase SMR. H reflex of the soleus muscle was elicited by stimulating tibial nerve when SMR reached a pre-defined threshold and was averaged over 5 trials. Results: Neurofeedback and mental math both resulted in the statistically significant increase of H reflex (p = 1.04·10− 6 and p = 5.47·10− 5 respectively) while motor imagery produced the inconsistent direction of H reflex modulation (p = 0.57). The average relative increase of H reflex amplitude was for neurofeedback 19.0 ± 5.4%, mental math 11.1 ± 3.6% and motor imagery 2.6 ± 1.0%. A significant negative correlation existed between SMR amplitude and H reflex for all tasks at Cz and C4. Conclusions: It is possible to achieve a short-term modulation of H reflex through short-term modulation of SMR. Various mental tasks dominantly facilitate H reflex irrespective of direction of SMR modulation. Significance: Improving understanding of the influence of sensory-motor cortex on the monosynaptic reflex through the self-induced modulation of cortical activity

Soleus H-reflex Excitability Changes in Response to Sinusoidal Hip Stretches in the Injured Human Spinal Cord

Imposed static hip stretches substantially modulate the soleus H-reflex in people with an intact or injured spinal cord while stretch of the hip flexors affect the walking pattern in lower vertebrates and humans. The aim of this study was to assess the effects of dynamic hip stretches on the soleus H-reflex in supine spinal cord injured (SCI) subjects. Sinusoidal movements were imposed on the right hip joint at 0.2 Hz by a Biodex system. H-reflexes from the soleus muscle were recorded as the leg moved in flexion or extension. Stimuli were sent only once in every hip movement cycle that each lasted 5 s. Torque responses were recorded at the hip, knee, and ankle joints. A hip phase-dependent soleus H-reflex modulation was present in all subjects. The reflex was facilitated during hip extension and suppressed during hip flexion. There were no significant differences in pre- or post-stimulus soleus background activity between the two conditions. Oscillatory responses were present as the hip was maximally flexed. Sinusoidal hip stretches modulated the soleus H-reflex in a manner similar to that previously observed following static hip stretches. The amount of reflex facilitation depended on the angle of hip extension. Further research is needed on the afferent control of spinal reflex pathways in health and disease in order to better understand the neural control of movement in humans. This will aid in the development of rehabilitation strategies to restore motor function in these patients

The ROSAT-ESO Flux-Limited X-Ray (REFLEX) Galaxy Cluster Survey III: The Power Spectrum

We present a measure of the power spectrum on scales from 15 to 800 Mpc/h using the ROSAT-ESO Flux-Limited X-Ray(REFLEX) galaxy cluster catalogue. The REFLEX survey provides a sample of the 452 X-ray brightest southern clusters of galaxies with the nominal flux limit S=3.0 10^{-12}erg/s/cm2 for the ROSAT energy band (0.1-2.4)keV. Several tests are performed showing no significant incompletenesses of the REFLEX clusters with X-ray luminosities brighter than 10^{43}erg/s up to scales of about 800 Mpc/h. They also indicate that cosmic variance might be more important than previous studies suggest. We regard this as a warning not to draw general cosmological conclusions from cluster samples with a size smaller than REFLEX. Power spectra, P(k), of comoving cluster number densities are estimated for flux- and volume-limited subsamples. The most important result is the detection of a broad maximum within the comoving wavenumber range 0.022<k<0.030 h/Mpc. The data suggest an increase of the power spectral amplitude with X-ray luminosity. Compared to optically selected cluster samples the REFLEX P(k)is flatter for wavenumbers k<0.05 h/Mpc thus shifting the maximum of P(k) to larger scales. The smooth maximum is not consistent with the narrow peak detected at k=0.05 h/Mpc using the Abell/ACO richness $\ge 0$ data. In the range 0.02<k<0.4 h/Mpc general agreement is found between the slope of the REFLEX P(k) and those obtained with optically selected galaxies. A semi-analytic description of the biased nonlinear power spectrum in redshift space gives the best agreement for low-density Cold Dark Matter models with or without a cosmological constant.Comment: 22 pages, 20 figures, (A&A accepted), also available at http://www.xray.mpe.mpg.de/theorie/REFLEX

The Effects of Acute Lipopolysaccharide Induced Inflammation on Spinal Cord Excitability

Peripheral inflammation alters the excitability of dorsal horn interneurons and increases flexor reflex strength (Dubner & Ruda, 1992); however, its effect on the spinal stretch reflex is not well understood. The stretch reflex is a muscle contraction in response to muscle stretch. We hypothesize that the acute inflammation caused by an injection of lipopolysaccharide (LPS) will cause an increase in spinal cord excitability. To test this hypothesis, we measured Hoffman’s (H) reflex, the electric analog of the stretch reflex in adult mice receiving an injection of LPS (.5mg/kg) or saline (200μl). Adult male and female mice (C57Bl/6) were anesthetized; then, the sciatic nerve was exposed and stimulated at current strengths from H-wave threshold (T) to 8T (20 x 0.1 ms pulses at 0.1 Hz). Recording electrodes were placed in the foot. We measured the maximum M wave amplitude (Mmax), maximum H wave amplitude (Hmax) and latencies of both waves. We compared the ratio of the maximal H wave over the maximal M wave (Hmax/Mmax), which reports the percentage of motor neurons activated by electrical stimulation of Group Ia muscle sensory neurons. Increased spinal cord excitability would be reflected in a larger Hmax/Mmax. We found that LPS-induced inflammation does not alter the Hmax/Mmax. While we found no evidence of changes in spinal cord excitability, inflammation could be altering Group Ia muscle spindle afferent responses to stretch. Future studies will test whether stretch reflex strength is altered by inflammation

Parallel Facilitatory Reflex Pathways from the Foot and Hip to Flexors and Extensors in the Injured Human Spinal Cord

Spinal integration of sensory signals associated with hip position, muscle loading, and cutaneous sensation of the foot contributes to movement regulation. The exact interactive effects of these sensory signals under controlled dynamic conditions are unknown. The purpose of the present study was to establish the effects of combined plantar cutaneous afferent excitation and hip movement on the Hoffmann (H) and flexion reflexes in people with a spinal cord injury (SCI). The flexion and H-reflexes were elicited through stimulation of the right sural (at non-nociceptive levels) and posterior tibial nerves respectively. Reflex responses were recorded from the ipsilateral tibialis anterior (TA) (flexion reflex) and soleus (H-reflex) muscles. The plantar cutaneous afferents were stimulated at three times the perceptual threshold (200 Hz, 24-ms pulse train) at conditioning–test intervals that ranged from 3 to 90 ms. Sinusoidal movements were imposed to the right hip joint at 0.2 Hz with subjects supine. Control and conditioned reflexes were recorded as the hip moved in flexion and extension. Leg muscle activity and sagittal-plane joint torques were recorded. We found that excitation of plantar cutaneous afferents facilitated the soleus H-reflex and the long latency flexion reflex during hip extension. In contrast, the short latency flexion reflex was depressed by plantar cutaneous stimulation during hip flexion. Oscillatory joint forces were present during the transition phase of the hip movement from flexion to extension when stimuli were delivered during hip flexion. Hip-mediated input interacts with feedback from the foot sole to facilitate extensor and flexor reflex activity during the extension phase of movement. The interactive effects of these sensory signals may be a feature of impaired gait, but when they are appropriately excited, they may contribute to locomotion recovery in these patients

Pre- and Post-alpha Motoneuronal Control of the Soleus H-reflex during Sinusoidal Hip Movements in Human Spinal Cord Injury

The aim of this study was to establish the contribution of hip-mediated sensory feedback to spinal interneuronal circuits during dynamic conditions in people with incomplete spinal cord injury (SCI). Specifically, we investigated the effects of synergistic and antagonistic group I afferents on the soleus H-reflex during imposed sinusoidal hip movements. The soleus H-reflex was conditioned by stimulating the common peroneal nerve (CPN) at short (2, 3, and 4 ms) and long (80, 100, and 120 ms) conditioning test (C-T) intervals to assess the reciprocal and pre-synaptic inhibition of the soleus H-reflex, respectively. The soleus H-reflex was also conditioned by medial gastrocnemius (MG) nerve stimulation at C-T intervals ranging from 4 to 7 ms to assess changes in autogenic Ib inhibition during hip movement. Sinusoidal hip movements were imposed to the right hip joint at 0.2 Hz by the Biodex system while subjects were supine. The effects of sinusoidal hip movement on five leg muscles along with hip, knee, and ankle joint torques were also established during sensorimotor conditioning of the reflex. Phase-dependent modulation of antagonistic and synergistic muscle afferents was present during hip movement, with the reciprocal, pre-synaptic, and Ib inhibition to be significantly reduced during hip extension and reinforced during hip flexion. Reflexive muscle and joint torque responses – induced by the hip movement – were entrained to specific phases of hip movement. This study provides evidence that hip-mediated input acts as a controlling signal of pre- and post-alpha motoneuronal control of the soleus H-reflex. The expression of these spinal interneuronal circuits during imposed sinusoidal hip movements is discussed with respect to motor recovery in humans after SCI

A Pilot Study to Measure Upper Extremity H-reflexes Following Neuromuscular Electrical Stimulation Therapy after Stroke

Upper extremity (UE) hemiparesis persists after stroke, limiting hand function. Neuromuscular electrical stimulation (NMES) is an effective intervention to improve UE recovery, although the underlying mechanisms are not fully understood. Our objective was to establish a reliable protocol to measure UE agonist–antagonist forearm monosynaptic reflexes in a pilot study to determine if NMES improves wrist function after stroke. We established the between-day reliability of the H-reflex in the extensor carpi radialis longus (ECRL) and flexor carpi radialis (FCR) musculature for individuals with prior stroke (n = 18). The same-day generation of ECRL/FCR H-reflex recruitment curves was well tolerated, regardless of age or UE spasticity. The between-day reliability of the ECRL H-reflex was enhanced above FCR, similar to healthy subjects [20], with the Hmax the most reliable parameter quantified in both muscles. H-reflex and functional measures following NMES show the potential for NMES-induced increases in ECRL Hmax, but confirmation requires a larger clinical study. Our initial results support the safe, easy, and efficacious use of in-home NMES, and establish a potential method to measure UE monosynaptic reflexes after stroke

Impaired H-Reflex Adaptations Following Slope Walking in Individuals With Post-stroke Hemiparesis

Background and Purpose: Short term adaptations in the Ia afferent-motoneuron pathway, as measured using the H-reflex, in response to altered ground reaction forces (GRFs) applied at the feet during slope walking have been observed in the non-impaired nervous system. The ability of the stroke-impaired nervous system to adapt to altered GRFs have not been examined. The purpose of this study was to examine the acute effects of altered propulsive and braking forces applied at the feet, which naturally occurs when walking on different slopes, on adaptations of the H-reflex pathway in individuals with chronic post-stroke hemiparesis

Space adaptation syndrome experiments (8-IML-1)

A set of seven experiments will study adaptation of the human nervous system to weightlessness. Particular emphasis will be placed on the vestibular and proprioceptive systems. The experiments are as follows: the sled/H-reflex; rotation/vestibulo-ocular reflex; the visual stimulator experiment; proprioception (relaxed) experiment; proprioception (active) experiment; proprioception (illusion) experiment; and tactile acuity