The amplitude modulation of the quadriceps H-reflex in relation to the knee joint action during walking.

Previously the modulation of the quadriceps H-reflex has only been investigated in the initial part of the gait cycle, and it was suggested that the quadriceps H-reflex modulates with relative high reflex gain at heel contact and decreases during the subsequent part of stance (Dietz et al. 1990b). The objectives of the present study was to elaborate on the previous results by increasing the measurement resolution around heel contact and include additional measures in order to relate the H-reflex modulation to the mechanical function of the knee extensors throughout the gait cycle. EMG profiles were measured in quadriceps and the antagonistic hamstring muscles simultaneously with the knee joint kinematics in ten subjects during treadmill walking at preferred speed. H-reflex excitability was measured in vastus lateralis (VL) and rectus femoris (RF) at 11 selected positions during the gait cycle. The resulting excitability curves showed a significant modulation of the quadriceps H-reflex during the gait cycle. The H-reflex amplitude increases shortly after heel contact and reflex inhibition is present in the remaining part of stance and most of the swing phase. The modulation of the quadriceps H-reflex during walking does not follow the classical pattern of reciprocal inhibition between antagonistic muscles. It is suggested that at least during the stance phase the modulation of the quadriceps H-reflex is controlled by presynaptic inhibition. The present results confirm the idea that the excitability of the quadriceps H-reflex is controlled to comply with the different mechanical demands on the muscle during the gait cycle in humans.