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Titre : | Effect of Hand Size on the Stimulation Intensities Required for Median and Ulnar Sensory Nerve Conduction Studies (2013) |
Auteurs : | Thanitta Thanakiatpinyo ; Gulapar Srisawasdi |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2013/5, 2013) |
Article en page(s) : | pp. 925-929 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Douleur ; Main ; Pain ; Rééducation et réadaptation |
Mots-clés: | Electrodiagnosis ; Électrodiagnostic ; Hand ; Median Nerve ; Nerf médian ; Ulnar Nerve ; Nerf ulnaire |
Résumé : |
Objectives To examine the effect of hand size on median and ulnar sensory nerve conduction study (NCS) stimulation intensities and pain scores. Design Prospective, single group design to compare main outcomes by using a standard distance of 14cm versus the proximal wrist crease in 3 different hand sizes. Setting Electrodiagnostic laboratory in a department of rehabilitation medicine. Participants Healthy volunteers (N=25) aged 20 to 30 years. Interventions Hand size was determined, based on the distance between the proximal wrist crease and the base of the long finger, resulting in 3 groups (≤11cm, >1112cm, >12cm) with 12 hands per group. Antidromic median and ulnar sensory NCSs were performed. The nerves were randomly stimulated at the proximal wrist crease and 14cm from the recording electrode. Main Outcome Measures Supramaximal stimulation intensities and 10-cm visual analog scale (VAS) pain scores at each stimulating site were recorded and compared. Results Thirty-six hands from 25 young healthy volunteers were studied. There was no correlation between the body mass index (BMI) and stimulation intensity, and BMI and VAS (r Conclusions When the same distance is used for NCSs regardless of patient size, smaller individuals required greater stimulation and reported greater discomfort. This may reflect greater nerve depth and suggests that one size fits all may not be the best approach with NCSs. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |