The Inhibition of short latency reflex linking the pretibial muscles to quadriceps motoneurones during stance to swing transition in humans

Objective: The modulation of short latency reflex linking the pretibial to quadriceps muscle (CPQ reflex) was investigated in seven subjects during walking on a treadmill at the stance to swing transition period. Methodology: The intensity of quadriceps (Q) EMG was increased throughout the gait cycle by using a modified knee orthosis. Pairs of spring were added to the orthosis to produce different levels of muscular activity in Q during the midstance, transition period and terminal swing phase of gait. Electrical stimulation was applied to the common peroneal nerve (CPN) at these three instants of gait. Results: The peak to peak amplitude of CPQ reflex was significantly increased with escalation of background EMG in Q during midstance (p < 0.015) and terminal swing (p < 0.04). At the transition period however, despite significant increase in the Q activity no responses was evoked. Conclusions: The results were indicative of an active inhibition of the reflex pathway during transition period. This inhibition could help the unloading of the limb that is necessary for the initiation of the swing phase.