Skip to content

Load Dependent Modulation of Spinal Excitability: Linking H-Reflex Supression and Whole Body Vibration Induced Reflex Latency

Load Dependent Modulation of Spinal Excitability: Linking H-Reflex Supression and Whole Body Vibration Induced Reflex Latency

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07253467
Acronym
SRML
Enrollment
15
Registered
2025-11-28
Start date
2025-11-21
Completion date
2025-12-30
Last updated
2026-03-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

H-reflex, Vibration

Keywords

H-Reflex, Whole Body Vibration, Bone Myoregulation Reflex, Reflex Latency

Brief summary

This study examines how different standing postures and whole-body vibration conditions affect spinal reflex activity. Participants will stand in various positions-with and without vibration of two amplitudes-and H-reflex responses from the soleus muscle will be recorded. Additionally, vibration-induced reflex latency will be assessed across multiple vibration frequencies.

Detailed description

Participants will engage in a structured set of experimental tasks designed to evaluate the effects of postural mechanical loading, and whole-body vibration. The protocol includes four primary standing conditions: Quiet bipedal stance, Single-leg stance on the left side, Bipedal stance during whole-body vibration (WBV), and Single-leg stance on the left side during WBV. During all WBV conditions, two vibration amplitudes-2.2 mm and 1.2 mm-will be applied sequentially to assess amplitude-dependent modulation of reflex responses. Throughout each condition, H-reflex recordings from the soleus muscle will be collected to quantify changes in spinal reflex excitability under varying postural and vibratory loads. In addition to these measurements, vibration-induced reflex latency will be evaluated by delivering vibratory stimuli at multiple frequencies (30, 32, 34, and 36 Hz) within the same experimental protocol. This approach allows for a comprehensive analysis of how both posture and vibratory parameters influence neuromuscular reflex pathways. The investigators conducted an a priori power analysis for a repeated-measures ANOVA (within-subjects design) to determine the required sample size. The analysis was based on a medium expected effect size, specified as partial eta squared (ηₚ²) = 0.06, which corresponds to an effect size of f = 0.25. The investigators set the alpha error probability at 0.05 and the desired statistical power (1-β) at 0.80. The design included one group with five repeated measurements, assuming a correlation of 0.70 among repeated measures. Under these conditions, the critical F value was 2.5652405, with 4 numerator degrees of freedom and 48 denominator degrees of freedom. The power analysis indicated that a total sample size of 13 participants is required. The required sample size was calculated using G\*Power version 3.1.9.4 (Franz Faul, University of Kiel, Germany).

Interventions

OTHERWhole Body Vibration

Whole Body Vibration (WBV) is a neuromuscular training modality in which patients stand, sit, or exercise on a platform that delivers mechanical oscillations (30-36 Hz, 1-2 mm amplitude). While WBV is applied H-Reflex tests are done.

Sponsors

Istanbul Physical Medicine Rehabilitation Training and Research Hospital
Lead SponsorOTHER_GOV

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
25 Years to 50 Years
Healthy volunteers
Yes

Inclusion criteria

* Healthy adults between 25 and 50 years of age * Individuals willing to participate and able to provide informed consent * Individuals who can stand independently for at least 10 minutes * Participants with no known neurological, orthopedic, or balance impairments

Exclusion criteria

* Individuals who can not tolerate WBV * Individuals who can not tolerate electrical stimulation * Pregnancy

Design outcomes

Primary

MeasureTime frameDescription
Whole Body Vibration induced reflex latencyDay 1 (single-session, during each experimental condition)WBV induced reflex latency will be measured
H-Reflex SizeDay 1 (single-session, during each experimental condition)Peak to peak amplitude of the H-Reflex will be measured

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 26, 2026