Electrophysiologic assessment of spasticity in children using H-reflex

We investigated a possible correlation between Hoffmann's reflex (H-reflex) and the Modified Ashworth Scale (MAS) in children with spasticity. H-reflex latencies, amplitudes (H amplitude), Hmax/Mmax amplitude, and MAS were simultaneously measured in 30 children who had bilateral spastici...

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Main Authors: Hasan Tekgül, Muzaffer Polat, Ayşe Tosun, Gül Serdaroğlu, Sarenur Gökben
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2013-10-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/1544
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author Hasan Tekgül
Muzaffer Polat
Ayşe Tosun
Gül Serdaroğlu
Sarenur Gökben
author_facet Hasan Tekgül
Muzaffer Polat
Ayşe Tosun
Gül Serdaroğlu
Sarenur Gökben
author_sort Hasan Tekgül
collection DOAJ
description We investigated a possible correlation between Hoffmann's reflex (H-reflex) and the Modified Ashworth Scale (MAS) in children with spasticity. H-reflex latencies, amplitudes (H amplitude), Hmax/Mmax amplitude, and MAS were simultaneously measured in 30 children who had bilateral spasticity on the lower extremities. Children with MAS scores of 1 and +1 composed Group I (n=11), and children with MAS scores of 2 and 3 composed Group II (n=26) and Group III (n=23), respectively. The H-reflex latencies were significantly shorter and Hmax/Mmax ratios were significantly higher in patients with cerebral palsy than controls irrespective of the degree of the MAS. The H-reflex latencies in patients with MAS of 1 or +1 were significantly longer than in patients with MAS of 2. Other than between these two groups for H-reflex latencies, no significant differences were revealed among the three different MAS groups for either H-reflex latencies or Hmax/Mmax ratios. There is a positive correlation between spasticity assessed by MAS and H-reflex. We concluded that the H-reflex is a reliable electrophysiologic test for assessment of spasticity in children.
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publishDate 2013-10-01
publisher Hacettepe University Institute of Child Health
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series The Turkish Journal of Pediatrics
spelling doaj-art-904feab9dd634a9ab1faad81cb86cdff2025-08-20T02:55:23ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212013-10-01555Electrophysiologic assessment of spasticity in children using H-reflexHasan Tekgül0Muzaffer PolatAyşe TosunGül SerdaroğluSarenur GökbenDivision of Pediatric Neurology, Department of Pediatrics, Ege University Hospital, İzmir, Turkey. hasan.tekgul@ege.edu.tr. We investigated a possible correlation between Hoffmann's reflex (H-reflex) and the Modified Ashworth Scale (MAS) in children with spasticity. H-reflex latencies, amplitudes (H amplitude), Hmax/Mmax amplitude, and MAS were simultaneously measured in 30 children who had bilateral spasticity on the lower extremities. Children with MAS scores of 1 and +1 composed Group I (n=11), and children with MAS scores of 2 and 3 composed Group II (n=26) and Group III (n=23), respectively. The H-reflex latencies were significantly shorter and Hmax/Mmax ratios were significantly higher in patients with cerebral palsy than controls irrespective of the degree of the MAS. The H-reflex latencies in patients with MAS of 1 or +1 were significantly longer than in patients with MAS of 2. Other than between these two groups for H-reflex latencies, no significant differences were revealed among the three different MAS groups for either H-reflex latencies or Hmax/Mmax ratios. There is a positive correlation between spasticity assessed by MAS and H-reflex. We concluded that the H-reflex is a reliable electrophysiologic test for assessment of spasticity in children. https://turkjpediatr.org/article/view/1544
spellingShingle Hasan Tekgül
Muzaffer Polat
Ayşe Tosun
Gül Serdaroğlu
Sarenur Gökben
Electrophysiologic assessment of spasticity in children using H-reflex
The Turkish Journal of Pediatrics
title Electrophysiologic assessment of spasticity in children using H-reflex
title_full Electrophysiologic assessment of spasticity in children using H-reflex
title_fullStr Electrophysiologic assessment of spasticity in children using H-reflex
title_full_unstemmed Electrophysiologic assessment of spasticity in children using H-reflex
title_short Electrophysiologic assessment of spasticity in children using H-reflex
title_sort electrophysiologic assessment of spasticity in children using h reflex
url https://turkjpediatr.org/article/view/1544
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