Related Experiment Video
Updated: Jun 6, 2026

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
[Latency values of 248 H reflexes in 124 normal subjects]
G Goizueta-San Martín1, G Ruiz-Rodríguez, G Gutiérrez-Gutiérrez
1Hospital Universitario Santa Cristina, Madrid, España. goizu6@hotmail.com
Introduction:
The Hoffmann reflex or H reflex is an electrical counterpart of the myotatic reflex. In normal adults is elicited with stimulating the tibial and the median nerves. It is useful as an adjunct study of neuroexamination and assesses the corresponding arc reflexes in their integrity.
Subjects And Methods:
248 H reflexes were studied stimulating the tibial nerve in 124 healthy subjects.
Results:
The latency values were: minimum 23.6 ms; maximum 29.8 ms; mean value 27.6 ± 1.41 ms.
Conclusion:
This work explains the technique to obtain the H reflex and discusses the need for normalized values for each neurophysiology lab.
Related Concept Videos
Reflex Activity
A reflex exam is a diagnostic procedure performed by a healthcare professional to evaluate the functionality of a patient's...
Somatic Spinal Reflexes
One of the most well-known somatic spinal reflexes is the stretch reflex, which is activated by the sudden stretching of a muscle. This reflex involves the activation of specialized sensory receptors called muscle spindles, which are located in the muscle tissue and detect changes in the length and speed of muscle contractions. When a muscle is suddenly...

