Volume 21, Issue 10 pp. 1324-1326
Short Report

Effect of stimulator orientation on F-wave persistence

Michael S. Young MD

Michael S. Young MD

Department of Neurology, University of Florida College of Medicine, Box 100236 UFHSC, Gainesville, Florida 32610-0236, USA

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William J. Triggs MD

Corresponding Author

William J. Triggs MD

Department of Neurology, University of Florida College of Medicine, Box 100236 UFHSC, Gainesville, Florida 32610-0236, USA

Department of Neurology, University of Florida College of Medicine, Box 100236 UFHSC, Gainesville, Florida 32610-0236, USASearch for more papers by this author

Abstract

Most electrodiagnosis texts advocate cathode distal stimulation (CDS) for nerve conduction, but suggest cathode proximal stimulation (CPS) for F waves, because of anodal block. We postulated that CDS and CPS elicit F waves of similar persistence. We studied 657 (207 median, 204 ulnar, 136 tibial, and 110 peroneal) nerves in 225 consecutive subjects. In the median nerve, CDS elicited F waves of slightly greater persistence than CPS. Stimulator orientation did not affect F-wave persistence in the remaining nerves. © 1998 John Wiley & Sons, Inc. Muscle Nerve 21:1324–1326, 1998.

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