Soleus H-reflex phase-dependent modulation during one-legged foot reaching and withdrawal in standing humans

The aim of this study was to establish the modulation pattern of the soleus H-reflex and excitability changes of interneurones mediating presynaptic inhibition from tibialis anterior to soleus Ia afferents when the right foot approached and withdrew from a step in standing humans. The task was conducted at 40 beats per minute, and this tempo corresponded to the rhythm of a half full movement cycle. Each subject was instructed not to load and not to move forward. Soleus H-reflexes were elicited once in every full movement cycle that lasted approximately 3s. The ipsilateral knee joint angle and activity of leg muscles were recorded through a twin-axis goniometer and surface EMG, respectively. In all subjects, the soleus H-reflex was modulated in a phase-dependent pattern. The H-reflex was significantly depressed during the approach phase of the motor task and when the foot was on the step, and facilitated during the withdrawal phase and when the foot was on the ground. The soleus H-reflex conditioned by common peroneal nerve stimulation at tibialis anterior motor threshold at a long conditioning test interval was increased during the withdrawal phase or while the foot was on the ground suggesting that presynaptic inhibition was decreased. In most subjects, knee extensor activity was small, while ankle flexors and extensors were active in a reciprocal pattern. This study provides evidence that the soleus H-reflex is modulated in a phasic pattern during one-legged foot reaching and withdrawal by changes occurring at a premotoneuronal level.