“…H-reflex methodology has been used to assess the effects of therapeutic interventions such as spinal manipulation, massage, sacro-iliac joint manipulation, cervical traction, tendon pressure and transcutaneous electrical nerve stimulation (Bradnam et al, 2000;Chang et al, 2001;Dishman & Bulbulian, 2001;Dishman, Cunningham, & Burke, 2002;Hardy et al, 2002;Kukulka, Beckman, Holte, & Hoppenworth, 1986;Morelli, Sullivan, & Chapman, 1998;Murphy, Dawson, & Slack, 1995). There have only been two previous studies investigating the effect of acupuncture on α-motoneuron excitability in normal subjects (Chang et al, 2001;Hsieh, 2002) and one study in stroke patients (Yu et al, 1995).…”