A pilot study to measure upper extremity H-reflexes following neuromuscular electrical stimulation therapy after stroke

► First protocol to measure agonist-antagonist H-reflexes in the hemiparetic arm. ► In-home NMES therapy is well tolerated after stroke and improves UE function. ► NMES strengthened the maximum H-reflex amplitude in the ECRL of the affected arm. ► Agonist-antagonist UE H-reflex testing offers new possibilities for research into modulation of reflexes after stroke.