Soleus H-reflex to S1 nerve root stimulation

H-reflexes in normals were elicited by percutaneous electrical and magnetic stimulation of proximal nerve roots at the cauda equina. H-M interval to S1 nerve root stimulation at the level of the S1 foramen was 6.8±0.33 ms, with side to side difference of 0.16±0.13 ms. Compression/ischemia of the sciatic nerve in the mid-thigh abolished the H-reflex to stimulation of the tibial nerve at the popliteal fossa when the H-reflex to S1 nerve root stimulation was preserved. The length of the S1 nerve root in human cadavers was measured to be 17.5±03 cm, providing an estimated dorsal root conduction velocity of 67.3 m/s and a ventral root conduction velocity of 54 m/s. We conclude that the H-M interval to S1 root stimulation can provide reliable measures of conduction within the spinal canal including proximal afferents, anterior horn cells and ventral roots.