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

Istanbul Physical Medicine Rehabilitation Training and Research Hospital

Status: Enrolling

Conditions: Vibration; H-reflex

Treatments: Other: Whole Body Vibration

Study type: Interventional

Funder types: Other

Identifiers

NCT07253467

IstPRMTRH2A

Details and patient eligibility

About

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.

Full 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).

Enrollment: 15 estimated patients

Sex: All

Ages: 25 to 50 years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Basic Science

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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15 participants in 1 patient group

Healthy participants

Experimental group

Description:

Participants will complete a series of experimental tasks involving postural mechanical and vibrational loading. The protocol consists of quiet standing on both feet, single-leg standing on the left side, standing during whole-body vibration (WBV), and single-leg standing on the left side during WBV. Vibration amplitudes of 2.2 mm and 1.2 mm will be applied in each condition. H-reflex measurements will be recorded from the soleus muscle throughout all tasks to evaluate alterations in spinal reflex excitability. Vibration induced reflex latency will be also measured with different vibration frequencies (30-32-34-36) also measured in the same protocol.

Treatment:

Other: Whole Body Vibration