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Journal of the Korean Academy of Rehabilitation Medicine 2002;26(1):46-49.
The Influence of Stimulation Site on the Conduction Study of Palmar Cutaneous Branch of Median Nerve.
An, Hyunmee , Park, Sangok , Kim, Hyun Dong
Department of Rehabilitation Medicine, College of Medicine, Inje University, Korea. gusal6133@hanmail.net
전기 자극의 위치가 정중신경 수장 분지 전도 검사에 미치는 영향
안현미, 박상옥, 김현동
인제대학교 의과대학 재활의학교실
Abstract

Objective
Nerve conduction study of palmar cutaneous branch of median nerve is infrequently evaluated in spite of its importance because of perceived technical difficulties. This study reports the different nerve conduction responses of palmar cutaneous branch of median nerve by change of stimulation site.


Method
Conduction study of palmar cutaneous branch of median nerve was performed in 42 normal individuals stimulated at the site of 7 cm proximal to the recording electrode.
Results
were compared to those of stimulated at the site of 10 cm proximal to the recording electrode with t-test by SPSS 7.5.


Results
Values of conduction study stimulated at the site of 10 cm proximal to the recording electrode were 2.37⁑0.48 msec (mean⁑SD) for peak latency, 15.67⁑8.31μV for amplitude and 34.52⁑5.97 mA for supramaximal intensity.

Those values stimulated at 7 cm proximal were 1.72⁑0.33 msec for peak latency, 24.48⁑11.41μV for amplitude and 12.82⁑2.18 mA for supramaximal intensity. Amplitude stimulated at the site of 7 cm was significantly larger than that stimulated at the site of 10 cm (p<0.01). Supramaximal intensity stimulated at the site of 7 cm was significantly smaller than that stimulated at 10 cm (p<0.01).


Conclusion
The different stimulation site influences on the nerve conduction study of the palmar cutaneous branch of median nerve. Conduction study of palmar cutaneous branch of median nerve with stimulation at 7 cm proximal is a more reliable and convenient method compared to 10 cm proximal in respect of larger amplitude and smaller supramaximal intensity. (J Korean Acad Rehab Med 2002; 26: 46-49)

Key Words: Palmar cutaneous branch of median nerve, Conduction study, Stimulation site


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