Temperature affects maximum H-reflex amplitude but not homosynaptic postactivation depression

This study aimed to determinate the effect of hyperthermia on transmission efficacy of the Ia-afferent spinal pathway. Recruitment curves of the Hoffman reflex (H-reflex) and compound motor potential (M-wave) along with homosynaptic postactivation depression (HPAD) recovery curves were obtained in 14 volunteers in two controlled ambient temperatures that resulted in significantly different core temperatures (CON, core temperature ∼37.3°C; and HOT, core temperature ∼39.0°C). Electromyographic responses were obtained from the soleus (SOL) and medial gastrocnemius (MG) muscles following electrical stimulation of the tibial nerve at varying intensities and paired pulse frequencies (0.07–10 Hz). Results showed that maximal amplitude of the H-reflex was reached for a similar intensity of stimulation in CON and HOT (both muscles P > 0.47), with a similar associated M-wave (both muscles P > 0.69) but was significantly decreased in HOT as compared to CON (all P < 0.05), whether expressed in absolute terms (−50% in SOL, −32% in MG) or when normalized to the maximum M-wave (−23% in SOL, −32% in MG). The HPAD recovery curve was not affected by the elevated core temperature (both muscles P > 0.23). Taken together, these results suggest that hyperthermia can alter neuromuscular transmission across the neuromuscular junction and/or muscle membrane as well as transmission efficacy of the Ia-afferent pathway, albeit the latter not via an increase in HPAD.