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Presynaptic Inhibition Does not Mediate Reduced Soleus H-Reflex Amplitudes During Drop Landings
Kevin Soter1,2,3, Daniel Hahn2,4, Sidney Grosprêtre3,5
1School of Medicine and Surgery, Università Degli Studi di Milano-Bicocca, Milan, Italy.
Scandinavian Journal of Medicine & Science in Sports
|September 2, 2025
Summary
Spinal excitability decreases after drop landings, but presynaptic inhibition is not the cause. This suggests other mechanisms reduce soleus H-reflex activity post-landing.
Area of Science:
- Neuroscience
- Biomechanics
- Motor Control
Background:
- Spinal excitability, measured by soleus H-reflex, decreases shortly after drop landings.
- This decrease has been presumed to result from presynaptic inhibition, but this remains unproven.
Purpose of the Study:
- To investigate the role of presynaptic inhibition during the flight and landing phases of drop landings.
- To determine the mechanisms underlying the decrease in soleus H-reflex post-landing.
Main Methods:
- Fifteen participants performed 40 cm drop landings.
- Peripheral nerve stimulations (femoral and common fibular nerves) were used to assess presynaptic inhibition via H-reflex heteronymous facilitation (HHF) and H-reflex D1 inhibition (HD1).
- Soleus H-reflex amplitudes were measured during quiet stance, pre-landing (PRE), and post-landing (POST) and normalized to maximal M-waves (Mmax).
Main Results:
- Soleus H-reflex (HTest) was significantly smaller POST landing compared to PRE landing (-8.5% Mmax, p=0.016).
- Presynaptic inhibition (HHF and HD1) was observed during quiet stance but not during PRE or POST landing phases.
- The effectiveness of both facilitation and inhibition paradigms in quiet stance, contrasted with their absence during drop landings, indicates presynaptic inhibition is not responsible for the POST landing H-reflex reduction.
Conclusions:
- The decreased soleus H-reflex observed POST drop landing is not attributable to ongoing presynaptic inhibition.
- Reduced motoneuron excitability, rather than presynaptic inhibition, likely underlies the observed changes in spinal excitability after drop landings.
- Further research is needed to elucidate the specific mechanisms contributing to altered spinal excitability during and after drop landings.
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