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[Purpose] We examined the characteristic appearances of the H-reflex and F-wave of the soleus with increased stimulus intensity in subjects with hemiparesis caused by cerebrovascular disease (CVD) as a preliminary study to explore the clinical application of these appearances. [Subjects] The subjects were 10 patients with hemiparesis caused by CVD. [Method] With subjects supine, the H-reflex and F-wave were induced and recorded at the soleus with increasing stimulus intensity. Characteristic appearances were classified according to the method used by Suzuki et al. who classified the appearances into four patterns in cases of CVD with upper extremity involvement. [Results] Characteristic appearances of the H-reflex and F-wave of the soleus were classified as type 1 in 1 patient, and type 3 in 9 patients. We were able to classify them as two kinds, A and B, from the characteristic of the wave pattern. [Conclusion] The findings in patients with CVD revealed that the F-wave started appearing with the H-reflex with high-intensity stimuli. In the future, these findings can be used in an objective functional evaluation if combined with the functional evaluation of movement during the assessment of neurological function in physiotherapy.

rigaku ryōhō kagaku/rigaku ryoho kagaku

Characteristic Appearances of the H-reflex and F-wave in the Lower Extremity with Increased Stimulus Intensity in Subjects with Cerebrovascular Disease