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Orthopaedics Thoracic and Lumbosacral Spine Injuries 5434b847

H-reflex is useful in diagnosing:

A
L3 radiculopathy
B
L4 radiculopathy
C
L5 radiculopathy
D
S1 radiculopathy
High-Yield Explanation
Ans. d. S1 radiculopathy (Ref Harrison 19/e p442e-5, 18/e p45-46 (ebook)H-reflex is useful in diagnosing S1 radiculopathy.'The H-reflex is easily recorded only from the soleus muscle (S1) in normal adults. It is elicited by low-intensity stimulation of the tibial nerve and represents a monosynaptic reflex in which spindle (la) afferent fibers constitute the afferent arc and alpha motor axons the efferent pathway. The H-reflexes are often absent bilaterally in elderly patients or with polyneuropathies and may be lost unilaterally in S1 radiculopathies.' - Harrison 18/e p45-46 (ebook)H-Reflex StudiesThe H reflex is easily recorded only from the soleus muscle (S1) in normal adults.It is elicited by low-intensity stimulation of the tibial nerve and represents a monosynaptic reflex in which spindle (la) afferent fibers constitute the afferent arc and alpha motor axons the efferent pathway.The H reflexes are often absent bilaterally in elderly patients or with polyneuropathies and may be lost unilaterally in S1 radiculopathiesQ.

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