H-Reflex latency in uremic neuropathy: Correlation with NCV and clinical findings

E. M. Halar, F. V. Brozovich, J. Milutinovic, V. L. Inouye, V. M. Becker

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

62 uremic patients on dialysis of varying durations were tested bilaterally for posterior tibial nerve H-reflex latency, at 3-month intervals. Bilateral nerve conduction velocities (NCVs) of the peroneal, tibial, and sural nerves were concomitantly determined in all subjects. Proprioception sense, vibration perception threshold at the great toes, and deep tendon reflexes at the knee and ankle were determined in all subjects on the day of electrodiagnostic testing. The sensitivity of the H-reflex latency in detection of the onset and severity of uremic neuropathy was assessed. H-reflex latency changes were compared to NCV and clinical test results. The following was found: of the parameters studied, the H-reflex latency appeared to be the most sensitive indicator of early uremic polyneuropathis; electrodiagnostic tests were more sensitive to the onset of neuropathies than the clinical testing parameters studied; and the sural sensory nerve appeared to be involved earlier than peroneal and tibial motor nerves in neuropathies studied.

Original languageEnglish (US)
Pages (from-to)174-177
Number of pages4
JournalArchives of Physical Medicine and Rehabilitation
Volume60
Issue number4
StatePublished - Dec 27 1979

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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    Halar, E. M., Brozovich, F. V., Milutinovic, J., Inouye, V. L., & Becker, V. M. (1979). H-Reflex latency in uremic neuropathy: Correlation with NCV and clinical findings. Archives of Physical Medicine and Rehabilitation, 60(4), 174-177.