P23-F Re-examining the origin of medium latency reflex response of soleus using single motor units

Clinical Neurophysiology(2019)

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Abstract
Background This study is inquiring the origin of the medium latency reflex response (MLR) that occurs in soleus muscle when common peroneal nerve is electrically stimulated. Material and methods In total, 23 SingleMUs from 9 males were obtained. During SMU recruitment, 308 ± 141 stimuli were delivered. We investigated the duration of the inhibitory postsynaptic potential (IPSP) and excitatory postsynaptic potential (EPSP). Results Common peroneal nerve stimulation resulted in M-response at SEMG of TA muscle and MLR in SOL-SEMG as well as accumulation of SMUs between 50 and 120 ms after the stimulus. A reduction in firing probability of SMUs was also observed and the reduction in discharge rate continued much longer than the spike reduction probability in PSTH and CUSUM. This reduction in discharge rate was followed by an increased discharge rate of SMUs. Duration of the IPSP obtained at PSF, 24.5 ± 6.3 ms, and the duration of EPSP, i.e. MLR, in PSF was found as 119.3 ± 54.3 The latency of EPSP was found higher in PSF and SEMG as 68.3 ± 9.9 ms and 74.5 ± 9.7 ms, than PSTH and MMU which were 56.3 ± 4.6 ms and 57.6 ± 4.2 ms, respectively. Conclusions There was a genuine Ia reciprocal inhibition followed by a stretch-induced reflex response in the SOL. The first response was due to the well-known Ia-IPSP pathway connecting antagonist muscles and the second response, the so-called MLR in the literature, was an indirect stretch reflex response caused by the M-response in the TA muscle. This Project (3135) was supported by Akdeniz University Scientific Research Unit .
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Key words
medium latency reflex response,soleus,motor,re-examining
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