Alrowayeh Hesham N
Kuwait University, Faculty of Allied Health Sciences - Physical Therapy Department, Health Science Centre, Jabriyah, Kuwait.
Clin Neurophysiol Pract. 2024 Jun 12;9:205-210. doi: 10.1016/j.cnp.2024.06.001. eCollection 2024.
H-reflex recordings of the relaxed flexor carpi ulnaris (FCU) muscle are not frequently performed in clinical or laboratory settings. There are no normative values or reliability standards. This is most likely because of technical difficulties associated with this technique. This study performed surface recordings of the H-reflex of relaxed FCU muscles to establish the normative values and the reliability of these recordings. The maximum amplitude and latency of the FCU H-reflex were recorded bilaterally in 53 healthy young adults. Normative values and interclass correlation coefficients (ICCs) were calculated. The amplitude of the relaxed FCU H-reflex were recorded in nearly all participants (96 %). The FCU H-reflex average maximum amplitude was 1.35 mV. The average latency was 18.8 ms. H-reflex amplitude and latency were not statistically different among gender or limb sides. Amplitude and latency were recoded reliably both within and between sessions with ICCs ranging from 0.96 to 0.99. Recordings of the relaxed FCU H-reflex were readily available and could be assessed reliably within and between sessions. This method might be used more frequently in clinical and laboratory settings to examine C7 and C8 spinal segments and upper limb muscle normal function or neuromuscular pathology.
在临床或实验室环境中,对放松状态下的尺侧腕屈肌(FCU)进行H反射记录并不常见。目前尚无规范值或可靠性标准。这很可能是由于该技术存在技术困难。本研究对放松状态下的FCU肌肉进行H反射的表面记录,以确定这些记录的规范值和可靠性。对53名健康年轻成年人双侧记录FCU H反射的最大振幅和潜伏期。计算规范值和组内相关系数(ICC)。几乎所有参与者(96%)都记录到了放松状态下FCU H反射的振幅。FCU H反射的平均最大振幅为1.35mV。平均潜伏期为18.8ms。H反射的振幅和潜伏期在性别或肢体侧别之间无统计学差异。振幅和潜伏期在各次记录之间和各次记录内部的可靠性良好,ICC范围为0.96至0.99。放松状态下FCU H反射的记录很容易获得,并且在各次记录之间和各次记录内部都能可靠地评估。这种方法可能会在临床和实验室环境中更频繁地用于检查C7和C8脊髓节段以及上肢肌肉的正常功能或神经肌肉病变。