H reflex restitution and facilitation after different types of peripheral nerve injury and repair

Brain Res. 2001 Nov 23;919(2):302-12. doi: 10.1016/s0006-8993(01)03052-9.

Abstract

This study addresses the restitution of monosynaptic H reflex after nerve injuries and their role in the recovery of walking. Adult rats were submitted to sciatic crush, complete section repaired by aligned or crossed fascicular suture, or an 8-mm resection repaired by autograft or tube repair. The sciatic nerve was stimulated proximal to the injury site and the M and H waves were recorded from gastrocnemius (GCm) and plantar (PLm) muscles at monthly intervals during 3 months postoperation. Walking track tests were also carried out and the sciatic functional index (SFI) calculated to assess gait recovery. The M and H waves reappeared in all the animals at the end of the follow-up. The H/M amplitude ratio increased during the first stages of regeneration and tended to decrease to control values as muscle reinnervation progressed. However, final values of the H/M ratio for the PLm remained significantly higher in all the groups except that with a nerve crush. The walking track pattern showed an appreciable recovery only after crush injury. Final SFI values correlated positively with the M wave amplitude and negatively with the H/M ratio. In conclusion, H reflex is facilitated after peripheral nerve injury and regeneration and tends to return to normal excitability with time. Changes in the H reflex circuitry and excitability correlated positively with the deficient recovery of walking pattern after severe nerve injury.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Female
  • Gait / physiology
  • H-Reflex / physiology*
  • Muscle Contraction / physiology
  • Muscle, Skeletal / innervation*
  • Muscle, Skeletal / physiology
  • Nerve Crush
  • Nerve Regeneration / physiology*
  • Neural Conduction / physiology
  • Paralysis / physiopathology*
  • Paralysis / rehabilitation
  • Paralysis / surgery
  • Peripheral Nerve Injuries
  • Peripheral Nerves / physiopathology*
  • Peripheral Nerves / surgery
  • Peripheral Nervous System Diseases / physiopathology*
  • Peripheral Nervous System Diseases / rehabilitation
  • Peripheral Nervous System Diseases / surgery
  • Rats
  • Rats, Sprague-Dawley
  • Reaction Time / physiology
  • Recovery of Function / physiology*
  • Sciatic Nerve / injuries
  • Sciatic Nerve / physiopathology
  • Sciatic Nerve / surgery
  • Sensory Thresholds / physiology
  • Treatment Outcome