{Reference Type}: Journal Article
{Title}: Thenar muscles H reflex in patients with fibromyalgia: A case control study.
{Author}: Azma K;Raeissadat SA;Hosseini A;Mahmoudi H;Sepehrian M;Salehi Z;
{Journal}: Acta Reumatol Port
{Volume}: 41
{Issue}: 2
{Year}: Apr-Jun 2016
{Factor}: 1.375
{DOI}: 
{Abstract}: <B>OBJECTIVE: </B>To delineate H-reflex parameters and specify the diagnostic accuracy measures of thenar muscle H-reflex in Fibromyalgia (FM).<BR><B>METHODS: </B>The study was a cross sectional study performed on 30 subjects with FM and 30 healthy volunteers in two major referral hospitals. We recorded the number of obtainable thenar H-reflexes and their minimum latency, threshold and amplitude in each group.<BR><B>RESULTS: </B>There was a significantly more chance to elicit the H-reflex in patients with FM. H reflex threshold and minimum latency were lower in FM group but no significant difference was shown for H wave amplitude. According to our study, thenar H-reflex has 46.7% sensitivity, 86.7% specificity and 66.7% diagnostic accuracy to detect FM. It also has moderate predictive values and positive likelihood ratio but low negative likelihood ratio.<BR><B>CONCLUSIONS: </B>Higher rate of thenar muscle H-reflex in fibromyalgia can be interpreted as a confirmatory finding to central sensitization theory for this disorder. Obtaining H-reflex from thenar muscles could be a helpful diagnostic tool for fibromyalgia that increases the confidence in diagnosis. Although it is a weak tool for screening because of low sensitivity, it has a relatively high specificity.