Optimal E2 (reference) electrode placement in fibular motor nerve conduction studies recording from the tibialis anterior muscle.


Journal

Muscle & nerve
ISSN: 1097-4598
Titre abrégé: Muscle Nerve
Pays: United States
ID NLM: 7803146

Informations de publication

Date de publication:
02 2019
Historique:
received: 19 04 2018
revised: 18 10 2018
accepted: 22 10 2018
pubmed: 30 10 2018
medline: 21 6 2019
entrez: 30 10 2018
Statut: ppublish

Résumé

In this study we aimed to determine the contribution of the E2 (reference electrode) to the compound muscle action potential (CMAP) amplitude during fibular motor recording to the tibialis anterior (TA) when E2 is placed over routine referential vs. alternative sites. The CMAP was obtained from 10 healthy subjects, using the active electrode (E1) over sites routinely used as E2 for the TA, whereas the E2 was over the contralateral knee. The same procedure was performed with the E1 over alternative E2 sites. Significant electrical signal was captured over routine E2 placement sites. Among the tested alternative E2 sites, the ipsilateral patella (especially its medial aspect) was the most electrically silent. Using alternative E2 sites with near isoelectric recordings can optimize near-field potential measurement in the fibular motor recording to the TA and represents a more accurate way of measuring nerve and muscle function. Muscle Nerve 59:249-253, 2019.

Identifiants

pubmed: 30370536
doi: 10.1002/mus.26366
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

249-253

Informations de copyright

© 2018 Wiley Periodicals, Inc.

Auteurs

Marcio Luiz Escorcio-Bezerra (ML)

Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, Rua Pedro de Toledo, 650, 04039-002, Brazil.

Agessandro Abrahao (A)

Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, Rua Pedro de Toledo, 650, 04039-002, Brazil.
Sunnybrook Health Sciences Centre, Division of Neurology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

Karlo Faria Nunes (KF)

Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, Rua Pedro de Toledo, 650, 04039-002, Brazil.

Fabio Veiga de Castro Sparapani (FV)

Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, Rua Pedro de Toledo, 650, 04039-002, Brazil.

Nadia Iandoli de Oliveira Braga (NI)

Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, Rua Pedro de Toledo, 650, 04039-002, Brazil.

Lawrence R Robinson (LR)

Sunnybrook Health Sciences Centre, Division of Physical Medicine and Rehabilitation, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

Lorne Zinman (L)

Sunnybrook Health Sciences Centre, Division of Neurology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

Gilberto Mastrocola Manzano (GM)

Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, Rua Pedro de Toledo, 650, 04039-002, Brazil.

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Classifications MeSH