A1 Journal article (refereed)
Modulation of H-reflex and V-wave responses during dynamic balance perturbations (2023)

Nevanperä, S., Hu, N., Walker, S., Avela, J., & Piirainen, J. M. (2023). Modulation of H-reflex and V-wave responses during dynamic balance perturbations. Experimental Brain Research, 241(6), 1599-1610. https://doi.org/10.1007/s00221-023-06625-6

JYU authors or editors

Publication details

All authors or editors: Nevanperä, Samuli; Hu, Nijia; Walker, Simon; Avela, Janne; Piirainen, Jarmo M.

Journal or series: Experimental Brain Research

ISSN: 0014-4819

eISSN: 1432-1106

Publication year: 2023

Publication date: 04/05/2023

Volume: 241

Issue number: 6

Pages range: 1599-1610

Publisher: Springer

Publication country: Germany

Publication language: English

DOI: https://doi.org/10.1007/s00221-023-06625-6

Publication open access: Openly available

Publication channel open access: Partially open access channel

Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/86867

Abstract

Motoneuron excitability is possible to measure using H-reflex and V-wave responses. However, it is not known how the motor control is organized, how the H-reflex and V-wave responses modulate and how repeatable these are during dynamic balance perturbations. To assess the repeatability, 16 participants (8 men, 8 women) went through two, identical measurement sessions with ~ 48 h intervals, where maximal isometric plantar flexion (IMVC) and dynamic balance perturbations in horizontal, anterior–posterior direction were performed. Soleus muscle (SOL) neural modulation during balance perturbations were measured at 40, 70, 100 and 130 ms after ankle movement by using both H-reflex and V-wave methods. V-wave, which depicts the magnitude of efferent motoneuronal output (Bergmann et al. in JAMA 8:e77705, 2013), was significantly enhanced as early as 70 ms after the ankle movement. Both the ratio of M-wave-normalized V-wave (0.022–0.076, p < 0.001) and H-reflex (0.386–0.523, p < 0.001) increased significantly at the latency of 70 ms compared to the latency of 40 ms and remained at these levels at latter latencies. In addition, M-wave normalized V-wave/H-reflex ratio increased from 0.056 to 0.179 (p < 0.001). The repeatability of V-wave demonstrated moderate-to-substantial repeatability (ICC = 0.774–0.912) whereas the H-reflex was more variable showing fair-to-substantial repeatability (ICC = 0.581–0.855). As a conclusion, V-wave was enhanced already at 70 ms after the perturbation, which may indicate that increased activation of motoneurons occurred due to changes in descending drive. Since this is a short time-period for voluntary activity, some other, potentially subcortical responses might be involved for V-wave increment rather than voluntary drive. Our results addressed the usability and repeatability of V-wave method during dynamic conditions, which can be utilized in future studies.

Keywords: motor functions; balance; sense of balance; reflexes; neuromuscular activity; electromyography

Free keywords: V-wave; H-reflex; neural modulation; dynamic condition; dynamic balance

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Ministry reporting: Yes

VIRTA submission year: 2023

JUFO rating: 1