A quantitative model of the Hoffmann reflex.

Electrical stimulation of the human posterior tibial nerve elicits two separate electromyographic responses. The shorter latency response results from electrical activation of motor axons and is termed the direct motor (M) response, while the longer latency response results from activation of stretch receptor afferents of the monosynaptic reflex arc and is termed the Hoffmann (H) reflex. At high stimulus intensities, the H reflex is either greatly reduced in size or completely extinguished, presumably by antidromic impulses elicited by stimulation of the motor nerve. In most subjects, a simple quantitative model appears to account for this extinction. In this model: (1) the M response is used to estimate the number of antidromic impulses; (2) the H reflex is used to estimate the number of orthodromic impulses which escape collision; (3) the maximum size of the M response is used to indicate the size of the motoneuron pool; and (4) it is assumed that antidromic impulses collide in a random fashion with orthodromic impulses in the motor nerve.