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Updated: Jul 10, 2026

Bilateral Assessment of the Corticospinal Pathways of the Ankle Muscles Using Navigated Transcranial Magnetic Stimulation
Published on: February 19, 2019
Task-specific depression of the soleus H-reflex after cocontraction training of antagonistic ankle muscles
Monica A Perez1, Jesper Lundbye-Jensen, Jens B Nielsen
1Department of Exercise and Sport Science, Panum Institute, University of Copenhagen, Blegdamsvej 3, 2200, Copenhagen N, Denmark.
Abstract:
Ballet dancers have small soleus (SOL) H-reflex amplitudes, which may be related to frequent use of cocontraction of antagonistic ankle muscles. Indeed, SOL H-reflexes are depressed during cocontraction compared with plantarflexion at matched background EMG level. We investigated the effect of 30-min training of simultaneous activation of ankle dorsi- and plantarflexor muscles (cocontraction task) on the SOL H-reflex in 10 healthy volunteers. Measurements were taken during cocontraction. After training, there was a significant improvement in the ability of the subjects to perform a stable cocontraction. SOL H-reflex recruitment curves and H-max/M-max ratios were decreased after cocontraction training but not after 30 min of static dorsi or plantarflexion. The decreased H-reflex size correlated with improved motor performance. No changes in SOL and tibialis anterior (TA) EMG activity or EMG power were observed, suggesting that increased presynaptic inhibition of Ia afferents is a likely mechanism for H-reflex depression. In different sessions we measured SOL and TA motor-evoked potentials (MEPs) by using transcranial magnetic stimulation (TMS), TMS-elicited suppression of SOL EMG, and coherence between electroencephalographic (EEG) activity (Cz) and TA and SOL EMG. SOL and TA MEPs were depressed, whereas TMS-elicited suppression of SOL EMG and coherence were increased after training. Decreased excitability of corticospinal neurons due to increased intracortical inhibition seems a likely explanation of these observations. Our results indicate that the depression in H-reflex observed during a cocontraction task can be trained and that repeated performance of tasks involving cocontraction may lead to prolonged changes in reflex and corticospinal excitability.
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