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Reference values for nerve function assessments among a study population in northern India - III: sensory and motor nerve conduction

Reference values for nerve function assessments among a study population in northern India - III: sensory and motor nerve conduction
Reference values for nerve function assessments among a study population in northern India - III: sensory and motor nerve conduction
Objective: To identify reference values for normal sensory and motor nerve conduction in upper and
lower limb peripheral nerves in a study population in India. The work was carried out in advance
of the INFIR Cohort Study, a prospective study of individuals with newly diagnosed multibacillary
MB leprosy, the objective being to identify early changes in nerve function predictive of new onset
impairment and reactions. Methods: We assessed sensory nerve conduction in bilateral ulnar, median,
radial cutaneous and sural nerves and motor nerve conduction in distal and proximal sites in bilateral
ulnar, median and peroneal nerves among 315 healthy subjects. After adjustment for skin temperature
and removal of outliers reference values were computed using regression analysis of log-transformed
data. The analysis and resulting reference values were stratifi ed by age and sex and based on the
appropriate 5th or 95th percentiles. Results: Presented here are reference values for sensory nerve
conduction velocity (SNCV), sensory nerve action potential (SNAP) amplitude and latency. Also for
motor nerve conduction velocity (MNCV) and compound motor action potential (CMAP) amplitude
at proximal sites and for amplitude and latency at distal sites. In each case percentiles are given by
sex within four 10 year age bands. For males aged 55 years old, the reference value for ulnar SNCV
was 43.6 m/sec and SNAP amplitude was 7.43 ?V. Ulnar MNCV at the proximal site in the elbow
was 50.8 m/sec and CMAP amplitude 7.25 mV and at distal sites in the wrist the amplitude was 7.14
mV and latency 3.1 msec. In the leprosy-affected cohort, the most common and therefore potentially
the earliest impairment, is found in sensory nerve conduction amplitude of the sural nerve.
1823-6138
39-54
McKnight, J.
4e7c84b8-74f3-4552-a189-7dc1c05d5341
Nicholls, P.G.
b569acda-01e1-4022-93ef-efce28ea7ddd
Loretta, Das
360983b4-3d01-430d-8c90-12dc63ff1a05
Desikan, K.V.
7b73a83d-fac6-4c6b-a502-13dfcc379d2b
Lockwood, D.N.J.
075da765-b070-4e35-aa82-84ead70f22f1
Wilder-Smith, E.P.
7c598074-d4f0-4320-ad87-3c5a6ff0b25c
van Brakel, W.H.
6786a823-d23c-4af0-8108-5a8c86c419cc
McKnight, J.
4e7c84b8-74f3-4552-a189-7dc1c05d5341
Nicholls, P.G.
b569acda-01e1-4022-93ef-efce28ea7ddd
Loretta, Das
360983b4-3d01-430d-8c90-12dc63ff1a05
Desikan, K.V.
7b73a83d-fac6-4c6b-a502-13dfcc379d2b
Lockwood, D.N.J.
075da765-b070-4e35-aa82-84ead70f22f1
Wilder-Smith, E.P.
7c598074-d4f0-4320-ad87-3c5a6ff0b25c
van Brakel, W.H.
6786a823-d23c-4af0-8108-5a8c86c419cc

McKnight, J., Nicholls, P.G., Loretta, Das, Desikan, K.V., Lockwood, D.N.J., Wilder-Smith, E.P. and van Brakel, W.H. (2010) Reference values for nerve function assessments among a study population in northern India - III: sensory and motor nerve conduction. Neurology Asia, 15 (1), 39-54.

Record type: Article

Abstract

Objective: To identify reference values for normal sensory and motor nerve conduction in upper and
lower limb peripheral nerves in a study population in India. The work was carried out in advance
of the INFIR Cohort Study, a prospective study of individuals with newly diagnosed multibacillary
MB leprosy, the objective being to identify early changes in nerve function predictive of new onset
impairment and reactions. Methods: We assessed sensory nerve conduction in bilateral ulnar, median,
radial cutaneous and sural nerves and motor nerve conduction in distal and proximal sites in bilateral
ulnar, median and peroneal nerves among 315 healthy subjects. After adjustment for skin temperature
and removal of outliers reference values were computed using regression analysis of log-transformed
data. The analysis and resulting reference values were stratifi ed by age and sex and based on the
appropriate 5th or 95th percentiles. Results: Presented here are reference values for sensory nerve
conduction velocity (SNCV), sensory nerve action potential (SNAP) amplitude and latency. Also for
motor nerve conduction velocity (MNCV) and compound motor action potential (CMAP) amplitude
at proximal sites and for amplitude and latency at distal sites. In each case percentiles are given by
sex within four 10 year age bands. For males aged 55 years old, the reference value for ulnar SNCV
was 43.6 m/sec and SNAP amplitude was 7.43 ?V. Ulnar MNCV at the proximal site in the elbow
was 50.8 m/sec and CMAP amplitude 7.25 mV and at distal sites in the wrist the amplitude was 7.14
mV and latency 3.1 msec. In the leprosy-affected cohort, the most common and therefore potentially
the earliest impairment, is found in sensory nerve conduction amplitude of the sural nerve.

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Published date: 2010

Identifiers

Local EPrints ID: 162227
URI: http://eprints.soton.ac.uk/id/eprint/162227
ISSN: 1823-6138
PURE UUID: debbf9ea-a3b5-439f-bbc6-6e06aa704181

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Date deposited: 17 Aug 2010 15:20
Last modified: 08 Nov 2021 18:44

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Contributors

Author: J. McKnight
Author: P.G. Nicholls
Author: Das Loretta
Author: K.V. Desikan
Author: D.N.J. Lockwood
Author: E.P. Wilder-Smith
Author: W.H. van Brakel

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