Motor evoked potentials (MEPs) and H-reflexes are not equally sensitive to voluntary motor commands.

To investigate the sensitivity to changes in excitability of motoneuron pool dependent on voluntary motor commands, we recorded motor evoked potentials (MEPs) and H-reflexes from the right flexor carpi radialis (FCR) muscle of normal human subjects. Amplitudes of MEPs were always larger than those of the H-reflex in both tonic and phasic muscle contractions. Furthermore, amplitudes of MEP and H-reflex were larger in phasic than in tonic muscle contraction. These results indicate that there are differences in the sensitivity to changes in motoneuronal excitability related to the production of excitatory postsynaptic potentials for H-reflex and MEP responses, respectively.