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Thus, with gradual increases in stimulus intensity, the appearance and gradual increase of the H reflex (monosynaptic reflex from Ia afferent fibers) is followed by the appearance of an M wave, which is caused by direct activation of alpha motor fibers.
The back closed side of the fifth lumbar (L5) dorsal nerve root was cut off then stimulated for evoking monosynaptic reflexes (MSRs).
The present study has been undertaken to measure the NCV in the proximal segment of the spinal monosynaptic reflex (H-reflex).