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Interexaminer repeatability of antidromic ulnar sensory nerve conduction velocity measurements.

作者信息

Schuhfried Othmar, Angst Martina, Herceg Malvina, Paternostro-Sluga Tatjana

机构信息

Department of Physical Medicine and Rehabilitation, Medical University of Vienna, Austria.

出版信息

Arch Phys Med Rehabil. 2005 Oct;86(10):2047-50. doi: 10.1016/j.apmr.2004.11.019.

DOI:10.1016/j.apmr.2004.11.019
PMID:16213252
Abstract

OBJECTIVE

To determine the interexaminer repeatability of the ulnar antidromic sensory nerve conduction velocity (NCV).

DESIGN

Test-retest design. Based on a randomization list of various combinations and sequences from 2 of a total of 3 examiners, the measurement was repeated within half an hour by a second examiner blinded to the results of the first examiner.

SETTING

Outpatient department.

PARTICIPANTS

Twenty-four consecutive healthy subjects (mean age, 38 y).

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURES

The intraclass correlation coefficient (ICC) and the coefficient of repeatability (CR) were determined for the below elbow to wrist (BE-to-W), above elbow to below elbow (AE-to-BE), and axilla to above elbow (AX-to-AE) segments.

RESULTS

The ICC was .42 for the BE-to-W, .15 for the AE-to-BE, and -.05 for the AX-to-AE segment. The CR was 12.2m/s for the BE-to-W, 16.2m/s for the AE-to-BE, and 21.4m/s for the AX-to-AE segment.

CONCLUSIONS

During the assessment of the antidromic sensory NCV of the ulnar nerve, a moderate amount of interexaminer variability must be taken into account for the BE-to-W segment. More proximally, an extremely large amount of interexaminer variability must be taken into account. This calls into question the usefulness of the antidromic ulnar sensory NCV for the AX-to-AE and AE-to-BE segments.

摘要

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