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Normal reference value of orthodromic and antidromic sensory nerve conduction velocity of median nerve with intact palmaris longus tendon in apparently healthy individuals

  • Sunil Chouhan ORCID logo EMAIL logo , Ruchi Singh , Ragini Shrisvastava , Akriti Gupta and Ravi Naveen
Published/Copyright: July 22, 2021

Abstract

Objectives

The aim of this study was to determine normative electrophysiological reference values of median sensory nerve conduction studies among security guards with the palmaris longus tendon (PLT).

Methods

Sensory nerve conduction studies of the median nerve using antidromic and orthodromic methods were conducted in the upper limbs of 101 healthy male security guards between the ages of 21 and 42 years. The presence of the PLT was recorded in both hands using a standard test. A scatter plot was used to determine the correlation between different parameters using the ortho and antidromic methods.

Results

The mean age (years), weight (kg), height (cm), and BMI (kg/m2) were 28.77 ± 5.14, 70.53 ± 11.28, 171.71 ± 7.12, and 23.91 ± 3.45, respectively. In the median nerve (sensory) by antidromic method, the mean distal latency (DL) was 2.65 ± 0.33 ms and 2.64 ± 0.37, SNCV (sensory nerve conduction velocity) was 53.45 ± 5.28 m/s and 53.84 ± 5.68 and the amplitude was 27.33 ± 12.38 µV and 29.41 ± 12.97 in the left- and right-hand wrist, respectively. By orthodromic method the DL was 2.54 ± 0.53 ms and 2.51 ± 0.44, SNCV was 55.93 ± 6.09 m/s and 55.93 ± 5.24 and the sensory nerve action potential amplitude was 12.00 ± 8.82 µV and 11.72 ± 6.24 in the left and right hand, respectively. Spearman correlations were used to determine the variables influenced by hand sidedness.

Conclusions

The normative reference parameters of sensory nerve conduction velocity of the median nerve were established by both methods using a standardized technique.


Corresponding author: Dr. Sunil Chouhan, Associate professor, Department of Physiology, All India Institute of Medical Sciences (AIIMS), Bhopal, MP, India, Mobile: +91 9425649056, E-mail:

Acknowledgements

We are thankful to all persons for their precious time from their busy schedules, allowing us to take different parameters concerned with the study.

  1. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  2. Research funding: None declared.

  3. Competing interests: None.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: The Institute Institutional Review Board and Ethical permission was taken before the commencement of the study.

References

1. Dorfman, LJ, Robinson, LR. AAEM minimonograph# 47: normative data in electrodiagnostic medicine. Muscle Nerve 1997;20(1):4–14, https://doi.org/10.1002/(sici)1097-4598(199701)20:1<4::aid-mus1>3.0.co;2-h.10.1002/(SICI)1097-4598(199701)20:1<4::AID-MUS1>3.0.CO;2-HSearch in Google Scholar

2. Bleasel, AF, Tuck, RR. Variability of repeated nerve conduction studies. Electroencephalogr Clin Neurophysiol 1991;81(6):417–20, https://doi.org/10.1016/0168-5597(91)90049-4.Search in Google Scholar

3. Thompson, J, McBatts, J, Danforth, CH. Hereditary and racial variation in the musculus palmaris longus. Am J Phys Anthropol 1921;4(2):205–18, https://doi.org/10.1002/ajpa.1330040207.Search in Google Scholar

4. Schaeffer, J. On the variations of the palmaris longus muscle. Anat Rec 1909;3:275–8.Search in Google Scholar

5. Mishra, S. Alternative tests in demonstrating the presence of palmaris longus. Indian J Plast Surg 2001;34(2):12–4.10.1055/s-0043-1778548Search in Google Scholar

6. Pushpakumar, SB, Hanson, RP, Carroll, S. The ‘two finger’ sign. Clinical examination of palmaris longus (PL) tendon. Br J Plast Surg 2004;57(2):184–5, https://doi.org/10.1016/j.bjps.2003.11.024.Search in Google Scholar

7. Lee, HJ, Kwon, HK, Kim, DH, Pyun, SB. Nerve conduction studies of median motor nerve and median sensory branches according to the severity of carpal tunnel syndrome. Ann Rehabil Med 2013;37(2):254, https://doi.org/10.5535/arm.2013.37.2.254.Search in Google Scholar

8. Aydn, G, Keles, I, Demir, SÖ, Baysal, AI. Sensitivity of median sensory nerve conduction tests in digital branches for the diagnosis of carpal tunnel syndrome. Am J Phys Med Rehabil 2004;83(1):17–21, https://doi.org/10.1097/01.phm.0000104662.71129.b9.Search in Google Scholar

9. Sheean, GL, Houser, MK, Murray, NM. Lumbrical-interosseous latency comparison in the diagnosis of carpal tunnel syndrome. Electroencephalogr Clin Neurophysiol 1995;97(6):285–9, https://doi.org/10.1016/0924-980x(95)00197-s.Search in Google Scholar

10. Jablecki, C, Andary, M, Floeter, M, Miller, R, Quartly, C, Vennix, M, et al.. Practice parameter: electrodiagnostic studies in carpal tunnel syndrome: report of the American association of electrodiagnostic medicine, American academy of neurology, and the American academy of physical medicine and rehabilitation. Neurology 2002;58:1589–92, https://doi.org/10.1212/wnl.58.11.1589.Search in Google Scholar

11. MacDonell, RA, Schwartz, MS, Swash, M. Carpal tunnel syndrome: which finger should be tested? An analysis of sensory conduction in digital branches of the median nerve. Muscle Nerve 1990;13(7):601–6, https://doi.org/10.1002/mus.880130707.Search in Google Scholar

12. Tackmann, W, Kaeser, H, Magun, H. Comparison of orthodromic and antidromic sensory nerve conduction velocity measurements in the carpal tunnel syndrome. J Neurol 1981;224(4):257–66, https://doi.org/10.1007/bf00313289.Search in Google Scholar

13. Albers, JW, Kelly, JJJr, Acquired inflammatory demyelinating polyneuropathies: clinical and electrodiagnostic features. Muscle Nerve 1989;12(6):435–51, https://doi.org/10.1002/mus.880120602.Search in Google Scholar

14. Sandin, KJ, Asch, SM, Jablecki, CK, Kilmer, DD, Nuckols, TK. Clinical quality measures for electrodiagnosis in suspected carpal tunnel syndrome. Muscle Nerve 2010;41(4):444–52, https://doi.org/10.1002/mus.21617.Search in Google Scholar

15. Basiri, K, Katirji, B. Practical approach to electrodiagnosis of the carpal tunnel syndrome: a review. Adv Biomed Res 2015;4:50, https://doi.org/10.4103/2277-9175.151552.Search in Google Scholar

16. Reimann, AF, Daseler, EH, Anson, BJ, Beaton, LE. The palmaris longus muscle and tendon. A study of 1600 extremities. Anat Rec 1944;89:495–505, https://doi.org/10.1002/ar.1090890408.Search in Google Scholar

17. Machado, AB, Di Dio, LJ. Frequency of the musculus palmaris longus studied in vivo in some Amazon Indians. Am J Phys Anthropol 1967;27(1):11–9, https://doi.org/10.1002/ajpa.1330270103.Search in Google Scholar

18. Troha, F, Baibak, GJ, Kelleher, J. Frequency of the palmaris longus tendon in North American Caucasians. Ann Plast Surg 1990;25(6):477–8, https://doi.org/10.1097/00000637-199012000-00008.Search in Google Scholar

19. Ceyhan, O, Mavt, A. Distribution of agenesis of palmaris longus muscle in 12 to 18 years old age groups. Indian J Med Sci 1997;51(5):156–60.Search in Google Scholar

20. Thompson, N, Mockford, B, Cran, G. Absence of the palmaris longus muscle: a population study. Ulster Med J 2001;70(1):22.Search in Google Scholar

21. Keese, G, Wongworawat, M, Frykman, G. The clinical significance of the palmaris longus tendon in the pathophysiology of carpal tunnel syndrome. J Hand Surg Br 2006;31(6):657–60, https://doi.org/10.1016/j.jhsb.2006.07.015.Search in Google Scholar

22. McKnight, J, Nicholls, P, Loretta, D, Desikan, K, Lockwood, D, Wilder-Smith, E, et al.. Reference values for nerve function assessments among a study population in northern India-III: sensory and motor nerve conduction. Neurol Asia 2010;15(1):39–54.Search in Google Scholar

23. Wang, SH, Robinson, LR. Considerations in reference values for nerve conduction studies. Phys Med Rehabil Clin N Am 1998;9(4):907–23, https://doi.org/10.1016/s1047-9651(18)30240-7.Search in Google Scholar

24. Lim, CL, Lal, H, Yiannikas, C, The effect of wrist size on the orthodromic median sensory nerve action potential. Muscle Nerve 1995;18(1):117–9, https://doi.org/10.1002/mus.880180118.Search in Google Scholar PubMed

25. Singh, M, Gupta, S, Singh, KD, Kumar, A. Normative data for median nerve conduction in healthy young adults from Punjab India. J Neurosci Rural Pract 2017;8(1 Suppl):S83, https://doi.org/10.4103/jnrp.jnrp_94_17.Search in Google Scholar PubMed PubMed Central

26. Owolabi, L, Adebisi, S, Danborno, B, Buraimoh AJAoM, Research HS. Median nerve conduction in healthy Nigerians: normative data. 2016;6(2):85–9, https://doi.org/10.4103/2141-9248.181839.Search in Google Scholar PubMed PubMed Central

27. Desai, C, Gokhale, P, Gandhi, P, Mehta, H, Shah, CJG. Sensory nerve conduction studies of median & ulnar nerve in normal healthy subjects in Bhavnagar, Gujarat, vol 100, 36–45years.Search in Google Scholar

28. Chodoroff, G, Tashjian, E, Ellenberg, M. Orthodromic vs antidromic sensory nerve latencies in healthy persons. Arch Phys Med Rehabil 1985;66(9):589.Search in Google Scholar

29. Shehab, DK. Normative data of nerve conduction studies in the upper limb in Kuwait: are they different from the western data? Med Principles Pract 1998;7(3):203–8.10.1159/000026043Search in Google Scholar

30. Murai, Y, Sanderson, I. Studies of sensory conductions. Comparison of latencies of orthodromic and antidromic sensory potentials. J Neurol Neurosurg Psychiatry 1975;38(12):1187–9, https://doi.org/10.1136/jnnp.38.12.1187.Search in Google Scholar PubMed PubMed Central


Supplementary Material

The online version of this article offers supplementary material (https://doi.org/10.1515/jbcpp-2020-0375).


Received: 2020-12-28
Revised: 2021-06-30
Accepted: 2021-06-30
Published Online: 2021-07-22

© 2021 Walter de Gruyter GmbH, Berlin/Boston

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