Relation between H Reflex and Spasticity after Cervical or Thoracic Spinal Cord Injury
- VernacularTitle:颈胸髓损伤患者H反射测定值与痉挛的关系研究
- Author:
Guoxing XIONG
;
Yi HONG
;
Junwei ZHANG
;
Yadong LIU
;
Shizheng CHEN
;
Hua GUAN
- Publication Type:Journal Article
- Keywords:
spinal cord injury, H reflex, Hmax/Mmax ratio, modified Ashworth scale
- From:
Chinese Journal of Rehabilitation Theory and Practice
2010;16(6):563-565
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the changes and relevance of H reflex and spasticity after cervical or thoracic spinal cord injury (SCI).MethodsH reflex of 13 healthy adults as controls and 30 SCI patients (subacute, n=18; chronic, n=12) was measured twice from soleus muscle once a month. In the same time, the evaluation of spasm was performed by the modified Ashworth scale.ResultsThere was no significant difference in the mean Hmax amplitude and Hmax/Mmax ratio between different SCI stages(P>0.05). However, the mean Hmax amplitude of the patients was smaller than that of controls(P<0.01). During subacute stage there was quadratic correlation between the mean Hmax amplitude and spasticity, Hmax/Mmax ratio and spasticity. But there was linear correlation between Hmax/Mmax ratio and spasticity during chronic stage.ConclusionThere was closer relation between spasticity and Hmax/Mmax ratio after spinal cord injury. However, the quantitative evaluation need to be proved by larger samples.
