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Updated: Jul 6, 2025

Assessment of Neuromuscular Function Using Percutaneous Electrical Nerve Stimulation
Published on: September 13, 2015
Sex hormone mediated change on flexion reflex
Subaryani D H Soedirdjo1, Yu-Chen Chung1, Yasin Y Dhaher1,2,3
1Department of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas, TX, United States.
Sex hormones like estradiol and progesterone may influence spinal cord networks controlling movement. This study found estradiol potentially affects reflex latency, suggesting a synergistic hormonal effect on motor control.
Area of Science:
- Neuroscience
- Endocrinology
- Motor Control
Background:
- Estrogen and progesterone receptors are present in the spinal cord.
- Hormonal fluctuations during the menstrual cycle may impact motor control.
- The polysynaptic spinal network's role in movement modulation requires further investigation.
Purpose of the Study:
- To investigate the neuro-modulatory effects of sex hormones on the spinal network.
- To examine how estradiol and progesterone influence the flexion reflex in women.
- To correlate hormone levels with specific parameters of spinal reflex activity.
Main Methods:
- Studied 24 healthy women across one menstrual cycle.
- Measured serum estradiol and progesterone levels.
- Assessed the tibialis anterior flexion reflex via electrical nerve stimulation.
- Analyzed data based on menstrual cycle phases (follicular and luteal).
Main Results:
- No significant association between estradiol/progesterone and reflex duration or amplitude.
- Increased estradiol in the luteal phase correlated with longer reflex latency (p=0.038).
- A trend towards significance was observed for the estradiol × progesterone interaction (p=0.081).
Conclusions:
- Estradiol may modulate spinal reflex latency, particularly in the luteal phase.
- Evidence suggests a potential synergistic effect of estradiol and progesterone on motor control.
- These findings support the modulatory role of sex hormones in spinal cord function.
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