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Article
September 1964

Post-Tetanic Potentiation of H Reflex in Normal Man: Quantitative Study

Author Affiliations

ST. LOUIS
From the Department of Neurology and the Beaumont-May Institute of Neurology, Washington University School of Medicine.

Arch Neurol. 1964;11(3):317-323. doi:10.1001/archneur.1964.00460210095010
Abstract

Hoffmann1 originally suggested that the electrically induced stretch reflex in man is a monosynaptic one. Later Lloyd2 proved in cats that the simple reflex twitch which resulted from muscle nerve stimulation is in fact monosynaptic, and, in 1951, Magladery and others3 confirmed this observation for the H reflex in man.

It soon became evident that even among normal human volunteers there is considerable variation of H reflex amplitude.4,5 Moreover, the reflex in individual subjects varies spontaneously, as well as with changes in muscle length, tonic contraction, the Jendrassik maneuver, and post-tetanic potentiation (PTP). Attempts to correlate H reflexes with specific pathological conditions have met with limited success.6-9 The H reflex is absent, or markedly reduced, when the myotatic reflex is itself absent due to a disorder of the reflex arc. An exception to this rule is spinal shock.10 Significant augmentation of the H

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