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- Differences in trapezius muscle h-reflex between asymptomatic subjects and symptomatic shoulder pain subjectsPublication . Melo, Ana; Taylor, Janet L.; Ferreira, Ricardo; CUNHA, BRUNO; Ascenção, Manuel; Sousa, Vítor; Cruz, Eduardo B.; Vilas-Boas, J. Paulo; Sousa, Andreia S. P.In chronic shoulder pain, adaptations in the nervous system such as in motoneuron excitability, could contribute to impairments in scapular muscles, perpetuation and recurrence of pain and reduced improvements during rehabilitation. The present cross-sectional study aims to compare trapezius neural excitability between symptomatic and asymptomatic subjects. In 12 participants with chronic shoulder pain (symptomatic group) and 12 without shoulder pain (asymptomatic group), the H reflex was evoked in all trapezius muscle parts, through C3/4 nerve stimulation, and the M-wave through accessory nerve stimulation. The current intensity to evoke the maximum H reflex, the latency and the maximum peak-to-peak amplitude of both the H reflex and M-wave, as well as the ratio between these two variables, were calculated. The percentage of responses was considered. Overall, M-waves were elicited in most participants, while the H reflex was elicited only in 58–75% or in 42–58% of the asymptomatic and symptomatic participants, respectively. A comparison between groups revealed that the symptomatic group presented a smaller maximum H reflex as a percentage of M-wave from upper trapezius and longer maximal H reflex latency from the lower trapezius (p < 0.05). Subjects with chronic shoulder pain present changes in trapezius H reflex parameters, highlighting the need to consider trapezius neuromuscular control in these individuals’ rehabilitation.
- Smart dashboard for Hoffmann reflex analysisPublication . Cunha, Bruno; Ferreira, Ricardo; Carneiro, Ana Sofia; Sousa, AndreiaThe Hoffmann reflex is a is a neurophysiological test that provides insight into the functioning of the human nervous system. It is commonly used in clinical and research settings to evaluate the modulation of the monosynaptic spinal reflex. This paper focus the analysis of the Hoffmann reflex in the trapezius muscle, a muscle of particular interest for researchers and clinicians due to its importance in upper limb function and dynamic stability. However, the Hoffmann reflex analysis of this muscle bring some challenges as the need of applicating burst of electrical square impulses in each current intensity. A web-based smart dashboard, implemented in Python, which allows the user to visualize and analyze the Hoffmann reflex using various signals acquired through a constant current stimulator. The dashboard provides an intuitive and user-friendly interface that facilitates the selection of muscle signals of interest, analysis cycles, and start and end points for the signals. The visualizations offered by the dashboard, including overlapped and mean signal graphics, provide valuable insights into the Hoffmann reflex and its properties. Preliminary experiments with field experts and physiotherapists have yielded positive feedback on the usefulness of this tool, as they seek to gain a deeper understanding of the Hoffmann reflex, and we plan to further improve its capabilities in the future by employing machine learning techniques to automate the reflex detection.