Arm Length—Does It Influence Late Response in a Nerve Conduction Study?

Author:

G.R Sathya1ORCID,Arulneyam Jayanthi2,J. Venkatachalam3,Manikandan M.4

Affiliation:

1. Department of Physiology, Pondicherry Institute of Medical Sciences, Ganapathichetikulam, Puducherry, India

2. Department of Neurology, Pondicherry Institute of Medical Sciences, Ganapathichetikulam, Puducherry, India

3. Department of Social and Preventive Medicine, Jawaharlal Nehru Institute of Post Graduation and Research, Puducherry, India

4. Department of Community Medicine, Pondicherry Institute of Medical Sciences, Ganapathichetikulam, Puducherry, India

Abstract

Abstract Introduction F wave response, a late response obtained from a motor nerve, can be influenced by various external factors like gender, temperature, height, weight, and limb length, and hence it causes variation in the measured parameters. Since very few studies have studied the impact of arm length on the F wave, this study was conducted to analyze the relation between the arm length on various parameters of F wave and hence to consider the importance of it during conduct of a nerve conduction study. Methods The study was conducted among 40 healthy individuals and 40 diabetics with neuropathy. The arm length was measured in the upper limbs in both the groups and F wave was recorded following a conventional procedure using a standardized instrument. Results This study showed that in the upper limbs of both the groups, there existed a positive correlation for certain parameters like minimum, maximum and mean latencies, persistence, FM latency and M latency, and a negative correlation for chronodispersion. Conclusion F wave parameters should be adjusted for arm length to improve the sensitivity and diagnostic ability of neurological testing.

Publisher

Scientific Scholar

Subject

Pharmacology

Reference17 articles.

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2. Effects of age, sex, and anthropometric factors on nerve conduction measures;D S Stetson;Muscle Nerve,1992

3. Effect of height on nerve conduction velocity;R Soudmand;Neurology,1982

4. Maximum conduction velocities of motor fibers of ulnar nerve in human subjects of various ages and sizes;I H Wagman;J Neurophysiol,1952

5. Sensory conduction of radial nerve;A Feibel;Arch Phys Med Rehabil,1974

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