Khosrawi Saeid, Fallah Salman
Department of Physical Medicine and Rehabilitation, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
J Res Med Sci. 2013 Mar;18(3):188-92.
The H-reflex is a useful electrophysiological procedure for evaluating the status of the peripheral nervous system, especially at the proximal segment of the peripheral nerve. The purpose of this study is to investigate the relation between triceps surae H-reflex and M- response latencies and thigh length in normal population, in order to determine if there is any regression equation between them.
After screening 75 volunteers by considering inclusion and exclusion criteria, 72 of them were selected to enroll into our study (34 men and 38 women with the mean age of 36.04 ± 7.7 years). In all of the subjects H-reflex and M-response latencies were recorded by standard electrophysiological techniques and thigh length was measured. Finally, our data was analyzed for its relations with respect to ages in both sexes by appropriate statistical and mathematical methods.
Mean ± SD for H-reflex latency was 27.94 ± 1.6 ms. We found a significant correlation between H-reflex latency and M-latency (r = 0.28), no significant correlation was found between H-reflex latency and thigh length (r = -0.051). Finally based on our findings we introduce a new formula in this paper.
We found a significant correlation among of M-response latency and other variables (H-reflex latency and thigh length). Despite this it was eliminated from our formula. The relationship between H-reflex latency and age was significant. Further studies are required to delineate the clinical usage and interpretation of the formula, which we found in this study.
Hoffmann反射(H反射)是评估周围神经系统状态的一种有用的电生理检查方法,尤其适用于评估周围神经近端节段的状态。本研究的目的是探讨正常人群中腓肠肌H反射与M反应潜伏期及大腿长度之间的关系,以确定它们之间是否存在回归方程。
通过纳入和排除标准筛选75名志愿者后,选择其中72名纳入本研究(34名男性和38名女性,平均年龄36.04±7.7岁)。对所有受试者采用标准电生理技术记录H反射和M反应潜伏期,并测量大腿长度。最后,采用适当的统计和数学方法分析我们的数据与两性年龄的关系。
H反射潜伏期的平均值±标准差为27.94±1.6毫秒。我们发现H反射潜伏期与M潜伏期之间存在显著相关性(r = 0.28),H反射潜伏期与大腿长度之间未发现显著相关性(r = -0.051)。最后,基于我们的研究结果,本文引入了一个新的公式。
我们发现M反应潜伏期与其他变量(H反射潜伏期和大腿长度)之间存在显著相关性。尽管如此,它还是从我们的公式中被剔除了。H反射潜伏期与年龄之间的关系是显著的。需要进一步研究来阐明我们在本研究中发现的公式的临床应用和解释。