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Journal of the Korean Academy of Rehabilitation Medicine 1991;15(4):489-492.
Saphenous nerve conduction study: antidromic vs orthodromic.
Kim, Jin Ho , Bang, Moon Suk
Department of Rehabilitation Medicine, Seoul National University College of Medicine
복재신경의 역향성 및 정향성 신경전도검사의 비교*
김진호, 방문석
서울대학교 의과대학 재활의학교실
Abstract

To compare the antidromic and orthodromic conduction of saphenous nerve, SNAP's(sensory nerve action potentials) were recorded at both legs of 31 normal adults.

Three methods were used: 1) stimulation at the medial side of the knee and recording at the medial side of mid-tibia, 2) stimulation at the medial mallelous and recording at the medial side of mid-tibia, 3) stimulation at the medial side of mid-tibia and recording at the medial mallelous.

Latency and duration of SNAP's were practically same in all the methods, which meant that there was no difference in conduction velocity between antidromic and orthodromic methods.

The mean value of the amplitude in method 1, 2, and 3 were 8.06, 4.29, 5.33㎶, respectively. Among 62 tests, we could not get SNAP in 2 tests of the third method. The first method of saphenous nerve conduction seems to be the most practical.

Key Words: Electrodiagnosis, Saphenous nerve, Sensory conduction study


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