Buschbacher R M
Indiana University, Indianapolis, USA.
Am J Phys Med Rehabil. 1999 Nov-Dec;78(6 Suppl):S9-14. doi: 10.1097/00002060-199911001-00003.
Ulnar motor study to the abductor digiti minimi is commonly performed, but a more extensive database of normative values using modern electrodiagnostic and statistical techniques and temperature control is needed for this test. Demographic subgroups of age, gender, and height should be evaluated using a large subject population to determine whether separate normal ranges should be created for subsets of the general population. In this study, 248 volunteers were tested to measure ulnar motor latency, amplitude, area, duration, and nerve conduction velocity. Side-to-side and distal-to-proximal variability was analyzed. A repeated measures analysis of variance was performed with the waveform measures as the dependent variables and age, gender, and height as independent variables. None of the results were found to vary significantly (at the P < or = 0.01 level) with the subjects' physical characteristics, and thus, the data for all subjects were pooled to create a normative database. The normal range was derived as mean +/- 2 standard deviations and at the 97th (third) percentile of observed values. Mean latency was 3.0 +/- 0.3 ms, and amplitude was 11.6 +/- 2.1 mV. Mean nerve conduction velocity was 61 m/s across all segments tested. The upper limit of normal side-to-side variability (mean + 2 standard deviations) for latency was 0.6 ms; for amplitude, it was 3.6 mV. The upper limit of normal drop in conduction velocity across the elbow was 15 m/s (at the 97th percentile). Additional data are presented for all variables measured, as well as for side-to-side variability and distal-to-proximal change.
通常会对小指展肌进行尺神经运动功能检查,但需要利用现代电诊断和统计技术以及温度控制来建立一个更广泛的正常参考值数据库。应使用大量受试者群体对年龄、性别和身高的人口统计学亚组进行评估,以确定是否应为一般人群的不同子集建立单独的正常范围。在本研究中,对248名志愿者进行了测试,以测量尺神经运动潜伏期、波幅、面积、时限和神经传导速度。分析了双侧以及从远端到近端的变异性。以波形测量值为因变量,年龄、性别和身高为自变量进行重复测量方差分析。结果发现,没有任何结果随受试者的身体特征有显著差异(P≤0.01水平),因此,将所有受试者的数据合并以创建一个正常参考数据库。正常范围推导为平均值±2个标准差以及观察值的第97(第三)百分位数。平均潜伏期为3.0±0.3毫秒,波幅为11.6±2.1毫伏。在所测试的所有节段中,平均神经传导速度为61米/秒。潜伏期双侧正常变异性的上限(平均值 + 2个标准差)为0.6毫秒;波幅为3.6毫伏。肘部神经传导速度下降的正常上限为15米/秒(第97百分位数)。还给出了所有测量变量以及双侧变异性和从远端到近端变化的其他数据。