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健康成年人尺神经F波最小潜伏期与尺神经远端运动潜伏期的重测信度

Test-retest reliability of the ulnar F-wave minimum latency versus ulnar distal motor latency in healthy adults.

作者信息

McNulty V B, McBride K D, Moreland T A, Allison S C, Moore J H, Ernst G P

机构信息

U.S. Army-Baylor University Graduate Program in Physical Therapy, AMEDD Center and School, Ft. Sam Houston, TX 78234, USA.

出版信息

Electromyogr Clin Neurophysiol. 2001 Sep;41(6):323-8.

PMID:11680855
Abstract

BACKGROUND AND PURPOSE

The purposes of this study were to explore reliability of the ulnar F-wave minimum latency (Fmin) and the ulnar distal motor latency (DML) and to contrast those levels of reliability in order to reveal whether physiologic lability is the primary contributor to unwanted variability in Fmin measurements.

SUBJECTS AND METHODS

Fmin and DML in the Abductor Digiti Minimi muscle were measured bilaterally by two raters in 50 healthy adults (n = 100 hands, 70 male, 30 female) with 3-14 days between testing sessions.

RESULTS

Intrarater reliability (ICC 3,1) for the Fmin was 0.89 with a standard error of the measurement (SEM) of 0.77 msec. Interrater reliability (ICC 2,1) for the Fmin was 0.80 with a SEM of 1.04 msec. Intrarater reliability (ICC 3,1) for the DML was 0.71 with a SEM of 0.18 msec. Interrater reliability (ICC 2,1) for the DML was 0.76 with a SEM of 0.19 msec.

DISCUSSION AND CONCLUSIONS

Contrary to our hypothesis, the Fmin had a higher reliability than the DML. The DML did not display the high reliability other investigators have reported. We conclude the Fmin is a reliable measurement when 10 supramaximal stimulations are administered to healthy, young to middle-aged adult subjects. However, no inferences were made regarding relative levels of psychologic lability for the two latencies.

摘要

背景与目的

本研究旨在探讨尺神经F波最小潜伏期(Fmin)和尺神经远端运动潜伏期(DML)的可靠性,并对比这些可靠性水平,以揭示生理易变性是否是Fmin测量中不必要变异的主要因素。

对象与方法

由两名评估者对50名健康成年人(n = 100只手,70名男性,30名女性)双侧小指展肌的Fmin和DML进行测量,两次测试之间间隔3 - 14天。

结果

Fmin的评估者内可靠性(ICC 3,1)为0.89,测量标准误(SEM)为0.77毫秒。Fmin的评估者间可靠性(ICC 2,1)为0.80,SEM为1.04毫秒。DML的评估者内可靠性(ICC 3,1)为0.71,SEM为0.18毫秒。DML的评估者间可靠性(ICC 2,1)为0.76,SEM为0.19毫秒。

讨论与结论

与我们的假设相反,Fmin的可靠性高于DML。DML并未表现出其他研究者所报告的高可靠性。我们得出结论,当对健康的年轻至中年成年受试者进行10次超强刺激时,Fmin是一项可靠的测量指标。然而,未对两种潜伏期的心理易变性相对水平进行推断。

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