Fidancı Halit, Öztürk İlker, Buturak Şencan, Yıldız Mehmet, Arlier Zülfikar
Department of Neurology, Division of Clinical Neurophysiology, University of Health Sciences, Adana City Training and Research Hospital, Adana, Türkiye.
Department of Neurology, University of Health Sciences, Adana City Training and Research Hospital, Adana, Türkiye.
Turk J Phys Med Rehabil. 2023 Jun 4;69(3):309-316. doi: 10.5606/tftrd.2023.10931. eCollection 2023 Sep.
This study investigated whether peroneal nerve F-wave persistence increased when the Jendrassik maneuver (JM) was performed, aiming to obtain information about the physiology of F-waves and JM.
Thirty healthy individuals (HIs; 17 females, 13 males; mean age: 33.6±8.2 years; range, 23-50 years) were included in the prospective experimental study conducted between June 15, 2021, and December 15, 2021. Nerve conduction studies of peroneal, superficial peroneal, posterior tibial, and sural nerves were performed in one extremity of each HI. The peroneal nerve F-wave study was performed at rest (Study 1), during JM (Study 2), and after JM (Study 3). F-wave persistence of the peroneal nerve, maximum F-wave amplitude (ampF-wave), mean F-wave amplitude (ampF-wave), minimum F-wave latency, and the ratio of ampF-wave to maximum M amplitude (F/M ratio) were analyzed.
The mean peroneal nerve F-wave persistence in Study 1, Study 2, and Study 3 was 28.7±23.9%, 52.3±32.1%, and 34.7±29.0%, respectively. F-wave persistence in Study 2 was higher compared to Studies 1 and 3 (p<0.001 and p<0.001, respectively). Moreover, ampF-wave, ampF-wave, and F/M ratio in Study 2 were higher than Studies 1 and 3 (p=0.026 and p=0.021 for ampF-wave; p=0.015 and p=0.003 for ampF-wave; p=0.033 and p=0.015 for F/M ratio, respectively). F-wave persistence in Study 2 was positively correlated with ampF-wave and ampF-wave (p<0.001, r= 0.717; p<0.001, r=0.786, respectively).
This study demonstrated that JM increased F-wave persistence and amplitude. Jendrassik maneuver may show its effect through motor neuron excitability.
本研究调查了在进行Jendrassik动作(JM)时腓总神经F波的持续时间是否增加,旨在获取有关F波和JM生理学的信息。
30名健康个体(HI;17名女性,13名男性;平均年龄:33.6±8.2岁;范围23 - 50岁)纳入了2021年6月15日至2021年12月15日进行的前瞻性实验研究。对每名HI的一个肢体进行腓总神经、腓浅神经、胫后神经和腓肠神经的神经传导研究。在静息状态下(研究1)、进行JM期间(研究2)和进行JM后(研究3)进行腓总神经F波研究。分析腓总神经的F波持续时间、最大F波振幅(ampF-wave)、平均F波振幅(ampF-wave)、最小F波潜伏期以及ampF-wave与最大M波振幅的比值(F/M比值)。
研究1、研究2和研究3中腓总神经F波的平均持续时间分别为28.7±23.9%、52.3±32.1%和34.7±29.0%。研究2中的F波持续时间高于研究1和研究3(分别为p<0.001和p<0.001)。此外,研究2中的ampF-wave、ampF-wave和F/M比值高于研究1和研究3(ampF-wave分别为p=0.026和p=0.021;ampF-wave分别为p=0.015和p=0.003;F/M比值分别为p=0.033和p=0.015)。研究2中的F波持续时间与ampF-wave和ampF-wave呈正相关(分别为p<0.001,r = 0.717;p<0.0