A medium-latency response (MLR) has been recorded from soleus during stance and walking, and has been attributed to stretch-evoked
volleys in group II afferents. The present paper describes a MLR in soleus evoked by stimulating the deep peroneal nerve,
documents its characteristics and addresses its likely origin. The MLR of soleus was recorded in healthy subjects and hemiplegic
patients, following electrical stimulation of the deep peroneal nerve at the fibula at rest, during voluntary dorsiflexion,
during plantar flexion, during external restraint to the ankle dorsiflexion movement, during limb cooling, during limb ischaemia
and 1 h after the ingestion of tizanidine. The dorsiflexion movement of the foot was measured using an accelerometer. During
cooling, ischaemia and after tizanidine, changes in the MLR were compared with changes in the soleus H reflex, Achilles tendon
reflex and, during cooling, F waves of abductor hallucis. The MLR was facilitated by voluntary dorsiflexion, was suppressed
during plantar flexion, disappeared when ankle movement was prevented, and was enhanced in patients with spastic hemiplegia.
Cooling delayed the MLR significantly more than the Achilles tendon reflex and the abductor hallucis F wave. During ischaemia
the response was significantly less affected than the Achilles tendon reflex and the soleus H reflex. Tizanidine suppressed
the MLR, but not the soleus H and tendon reflexes. The latencies and the experiments using cooling, ischaemia and tizanidine
implicate soleus group II afferents in the genesis of this response.
Keywords Medium-latency reflex responses to stretch - Deep peroneal stimulation - Proprioceptive reflexes - Group II afferents
L.-E. Larsson: Deceased.
C. Ertekin: Retired.