Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy.
Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Muscle Nerve. 2020 Aug;62(2):219-225. doi: 10.1002/mus.26908. Epub 2020 May 11.
In this study we collected reference values for the across-tarsal-tunnel conduction of the motor tibial nerve (mTN).
The mTN compound muscle action potentials (CMAPs) from the abductor hallucis muscle were obtained by stimulating below/above the malleolus and the popliteal fossa. The effect of weight, height, body mass index (BMI), foot and leg length, sex, and age were evaluated using univariate and multivariate correlation analyses, and predictive equations for each mTN conduction parameter were developed.
On the basis of data from 185 subjects, there were differences between women and men in all anthropometric parameters and for some nerve conduction values. Through multivariate analysis, age, but not sex, was found to have a significant impact. Height affected both distal and proximal conduction velocity. BMI affected CMAP amplitude.
mTN conduction is influenced by various demographic and anthropometric factors. For all intrinsic factors, height demonstrated the greatest effect on mTN conduction across the tarsal tunnel.
本研究旨在收集胫后神经(mTN)经跗管的跨段传导的参考值。
通过在内外踝下方和腘窝处刺激拇展肌,获得 mTN 复合肌肉动作电位(CMAP)。使用单变量和多变量相关分析评估体重、身高、体重指数(BMI)、足长和腿长、性别和年龄的影响,并为每个 mTN 传导参数开发预测方程。
基于 185 名受试者的数据,所有人体测量学参数和一些神经传导值在男女之间存在差异。通过多变量分析,发现年龄而非性别对神经传导有显著影响。身高影响远端和近端传导速度。BMI 影响 CMAP 幅度。
mTN 传导受多种人口统计学和人体测量学因素的影响。对于所有内在因素,身高对跗管内 mTN 传导的影响最大。