AANEM Practice Topic

Electrodiagnostic reference values for upper and lower limb nerve conduction studies in adult populations

Shan Chen MD, PhD

Department of Neurology, Rutgers, the State University of New Jersey, Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA

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Michael Andary MD, MS,

Michael Andary MD, MS

Department of Physical Medicine and Rehabilitation, College of Osteopathic Medicine, Michigan State University, East Lansing, Michigan, USA

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Ralph Buschbacher MD,

Ralph Buschbacher MD

Department of Physical Medicine and Rehabilitation, Indiana University, Indianapolis, Indiana, USA

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David Del Toro MD,

David Del Toro MD

Department of Physical Medicine and Rehabilitation, Medical College of Wisconsin, Milwaukee, Wisconsin, USA

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Benn Smith MD,

Benn Smith MD

Department of Neurology, Mayo Clinic, Scottsdale, Arizona, USA

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Yuen So MD,

Yuen So MD

Department of Neurology, Stanford University, Stanford, California, USA

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Kuno Zimmermann DO, PhD,

Kuno Zimmermann DO, PhD

Qinqunxx Institute, Rosharon, Texas, USA

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Timothy R. Dillingham MD,

Corresponding Author

Timothy R. Dillingham MD

Department of Physical Medicine and Rehabilitation, University of Pennsylvania, 1800 Lombard Street, First Floor, Philadelphia, Pennsylvania, 19146 USA

Correspondence to: T.R. Dillingham; e-mail: [email protected]Search for more papers by this author

Shan Chen MD, PhD,

Shan Chen MD, PhD

Department of Neurology, Rutgers, the State University of New Jersey, Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA

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Michael Andary MD, MS,

Michael Andary MD, MS

Department of Physical Medicine and Rehabilitation, College of Osteopathic Medicine, Michigan State University, East Lansing, Michigan, USA

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Ralph Buschbacher MD,

Ralph Buschbacher MD

Department of Physical Medicine and Rehabilitation, Indiana University, Indianapolis, Indiana, USA

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David Del Toro MD,

David Del Toro MD

Department of Physical Medicine and Rehabilitation, Medical College of Wisconsin, Milwaukee, Wisconsin, USA

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Benn Smith MD,

Benn Smith MD

Department of Neurology, Mayo Clinic, Scottsdale, Arizona, USA

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Yuen So MD,

Yuen So MD

Department of Neurology, Stanford University, Stanford, California, USA

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Kuno Zimmermann DO, PhD,

Kuno Zimmermann DO, PhD

Qinqunxx Institute, Rosharon, Texas, USA

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Timothy R. Dillingham MD,

Corresponding Author

Timothy R. Dillingham MD

Department of Physical Medicine and Rehabilitation, University of Pennsylvania, 1800 Lombard Street, First Floor, Philadelphia, Pennsylvania, 19146 USA

Correspondence to: T.R. Dillingham; e-mail: [email protected]Search for more papers by this author

First published: 30 May 2016

https://doi.org/10.1002/mus.25203

Citations: 154

Disclaimer: This article was prepared and reviewed by the American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM) and did not undergo separate peer review by Muscle & Nerve. Reviewed by the AANEM Practice Issue Review Panel, April 2016. Approved by the AANEM Board of Directors, April 2016.

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ABSTRACT

Introduction: To address the need for greater standardization within the field of electrodiagnostic medicine, the Normative Data Task Force (NDTF) was formed to identify nerve conduction studies (NCS) in the literature, evaluate them using consensus-based methodological criteria derived by the NDTF, and identify those suitable as a resource for NCS metrics. Methods: A comprehensive literature search was conducted of published peer-reviewed scientific articles for 11 routinely performed sensory and motor NCS from 1990 to 2012. Results: Over 7,500 articles were found. After review using consensus-based methodological criteria, only 1 study each met all quality criteria for 10 nerves. Conclusion: The NDTF selected only those studies that met all quality criteria and were considered suitable as a clinical resource for NCS metrics. The literature is, however, limited and these findings should be confirmed by larger, multicenter collaborative efforts. Muscle Nerve 54: 371–377, 2016

REFERENCES

1 American Association of Electrodiagnostic Medicine. Guidelines in electrodiagnostic medicine. Muscle Nerve 1999; 22(suppl): S3–S300.
Google Scholar
2 Dillingham T, Chen S, Andary M, Buschbacher R, Del Toro D, Smith B, et al. Establishing high quality reference values for nerve conduction studies: a report from the Normative Data Task Force of the AANEM. Muscle Nerve 2016; XX: 000–000.
Google Scholar
3 Evanoff V Jr, Buschbacher RM. Radial versus dorsal ulnar cutaneous sensory studies. J Long Term Eff Med Implants 2006; 16: 349–357.
10.1615/JLongTermEffMedImplants.v16.i5.40
PubMed Google Scholar
4 Buschbacher RM. Median 14-cm and 7-cm antidromic sensory studies to digits two and three. Am J Phys Med Rehabil 1999; 78(suppl): S53–S62.
10.1097/00002060-199911001-00011
PubMed Web of Science® Google Scholar
5 Buschbacher RM. Ulnar 14-cm and 7-cm antidromic sensory studies to the fifth digit: reference values derived from a large population of normal subjects. Am J Phys Med Rehabil 1999; 78(suppl): S63–S68.
10.1097/00002060-199911001-00012
PubMed Web of Science® Google Scholar
6 Prahlow ND, Buschbacher RM. An antidromic study of the medial antebrachial cutaneous nerve, with a comparison of the differences between medial and lateral antebrachial cutaneous nerve latencies. J Long Term Eff Med Implants 2006; 16: 369–376.
10.1615/JLongTermEffMedImplants.v16.i5.60
PubMed Google Scholar
7 Buschbacher R, Koch J, Emsley C, Katz B. Electrodiagnostic reference values for the lateral antebrachial cutaneous nerve: standardization of a 10-cm distance. Arch Phys Med Rehabil 2000; 81: 1563–1566.
10.1053/apmr.2000.9394
CAS PubMed Web of Science® Google Scholar
8 Buschbacher RM. Sural and saphenous 14-cm antidromic sensory nerve conduction studies. Am J Phys Med Rehabil 2003; 82: 421–426.
10.1097/01.PHM.0000069198.47377.72
PubMed Web of Science® Google Scholar
9 Benatar M, Wuu J, Peng L. Reference data for commonly used sensory and motor nerve conduction studies. Muscle Nerve 2009; 40: 772–794.
10.1002/mus.21490
CAS PubMed Web of Science® Google Scholar
10 Peng L, Wuu J, Benatar M. Developing reference data for nerve conduction studies: an application of quantile regression. Muscle Nerve 2009; 40: 763–771.
10.1002/mus.21489
CAS PubMed Web of Science® Google Scholar
11 Buschbacher R. Median motor nerve conduction to the abductor pollicis brevis. Am J Phys Med Rehabil 1999; 78(suppl): S1–S8.
10.1097/00002060-199911001-00002
PubMed Web of Science® Google Scholar
12 Foley B, Roslonski E, Buschbacher R. Reference values for median motor nerve conduction to the pronator quadratus. Arch Phys Med Rehabil 2006; 87: 88–91.
10.1016/j.apmr.2005.08.124
PubMed Web of Science® Google Scholar
13 Foley B, Buschbacher R. Establishing normal values of the proximal median motor nerve—a study of the pronator teres and flexor carpi radialis in healthy volunteers. J Long Term Eff Med Implants 2006; 16: 341–347.
10.1615/JLongTermEffMedImplants.v16.i5.30
PubMed Google Scholar
14 Buschbacher RM. Ulnar nerve motor conduction to the abductor digiti minimi. Am J Phys Med Rehabil 1999; 78(suppl): S9–S14.
10.1097/00002060-199911001-00003
CAS PubMed Web of Science® Google Scholar
15 Buschbacher RM. Peroneal nerve motor conduction to the extensor digitorum brevis. Am J Phys Med Rehabil 1999; 78(suppl): S26–S31.
10.1097/00002060-199911001-00006
PubMed Web of Science® Google Scholar
16 Mathis S, Ciron J, du Boisguéheneuc F, Godenèche G, Hobeika L, Larrieu D, et al. Study of accessory deep peroneal nerve motor conduction in a population of healthy subjects. Neurophysiol Clin 2011; 41: 29–33.
10.1016/j.neucli.2010.12.002
PubMed Web of Science® Google Scholar
17 Buschbacher RM. Tibial nerve motor conduction to the abductor hallucis. Am J Phys Med Rehabil 1999; 78(suppl): S15–S20.
10.1097/00002060-199911001-00004
CAS PubMed Web of Science® Google Scholar
18 Barkhaus PE, Kincaid JC, Nandedkar SD. Tibial motor nerve conduction studies: an investigation into the mechanism for amplitude drop of the proximal evoked response. Muscle Nerve 2011; 44: 776–782.
10.1002/mus.22173
PubMed Web of Science® Google Scholar
19 Buschbacher RM. Tibial nerve conduction to the flexor digit minimi brevis. Am J Phys Med Rehabil 1999; 78(suppl): S21–S25.
10.1097/00002060-199911001-00005
PubMed Web of Science® Google Scholar
20 Grossart E, Prahlow N, Buschbacher R. Acceptable differences in sensory and motor latencies between the median and ulnar nerves. J Long Term Eff Med Implants 2006; 16: 395–399.
10.1615/JLongTermEffMedImplants.v16.i5.90
PubMed Google Scholar
21 Falco FJ, Hennessey WJ, Braddom RL, Goldberg G. Standardized nerve conduction studies in the upper limb of the healthy elderly. Am J Phys Med Rehabil 1992; 71: 263–271.
10.1097/00002060-199210000-00003
CAS PubMed Web of Science® Google Scholar
22 Ehler E, Ridzo∧ P, Urban P, Mazanec R, Nakládalová M, Procházka B, et al. Ulnar nerve at the elbow—normative nerve conduction study. J Brachial Plex Peripher Nerve Inj 2013; 8: 2.
PubMed Google Scholar
23 Falco FJ, Hennessey WJ, Goldberg G, Braddom RL. Standardized nerve conduction studies in the lower limb of the healthy elderly. Am J Phys Med Rehabil 1994; 73: 168–174.
10.1097/00002060-199406000-00005
PubMed Web of Science® Google Scholar
24 Kushnir M, Klein C, Kimiagar Y, Pollak L, Rabey JM. Medial dorsal superficial peroneal nerve studies in patients with polyneuropathy and normal sural responses. Muscle Nerve 2005; 31: 386–389.
10.1002/mus.20183
CAS PubMed Web of Science® Google Scholar

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Volume54, Issue3

September 2016

Pages 371-377

Electrodiagnostic reference values for upper and lower limb nerve conduction studies in adult populations

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Electrodiagnostic reference values for upper and lower limb nerve conduction studies in adult populations

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