Diagnostic Values of Tibialis Anterior H-reflex in the Single L5 Radiculopathy. |
Kim, Yun Ki , Chung, Seung Hyun , Lee, Yong Taek |
1Department of Physical Medicine & Rehabilitation, Masan Samsung Hospital, Sungkyunkwan University School of Medicine, Korea. csh68@hanmir.com 2Department of Physical Medicien and Rehabilitation, Kangbuk Samsung Hospital, Korea. |
단일 편측 제5 요수 신경근 병변에서 전경골근 H반사의 진단적 가치 |
김윤기, 정승현, 이용택1 |
성균관대학교 의과대학 마산삼성병원 재활의학과교실, 1강북삼성병원 재활의학과교 |
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Abstract |
Objective To evaluate the values of H-reflex from tibialis anterior in the diagnosis of L5 radiculopathy. Method The subjects were 37 patients and 30 normal controls. The patient group was composed of 28 patients with L5 radiculopathy and 9 patients with S1 radiculopathy, which were confirmed by clinical, radiological, and electrodiagnostic studies. Tibialis anterior H-reflex (TA-H reflex) was recorded from maximally contracting tibialis anterior muscle by averaging technique and submaximal stimulation of common peroneal nerve. Sensitivities and specificities were delineated from the several diagnostic criteria.
Results In the normal controls, mean side to side difference in the TA-H reflex latency was 0.66⁑0.48 msec and mean amplitude ratio was 75⁑16%. The diagnostic criteria of abnormal TA-H reflex were latency difference above 1.62 msec and amplitude ratio less than 42.2%. The abnormal TA-H reflexes were shown in 17 out of 28 patients with L5 radiculopathy and 1 out of 9 patients with S1 radiculopathy. Sensitivity and specificity of TA-H reflex as a diagnostic criteria of L5 radiculopathy were 61% and 89%, respectively.
Conclusion Tibialis anterior H-reflex might be useful in the diagnosis of L5 radiculopathy.
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Key Words:
H-reflex, Tibialis anterior, L5 radiculopathy |
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