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Research ArticleOriginal Article
Open Access

Median nerve conduction study findings in various arm positions

Halit Fidancı and Halil C. Alaydın
Neurosciences Journal October 2024, 29 (4) 270-275; DOI: https://doi.org/10.17712/nsj.2024.4.20240034
Halit Fidancı
From the Division of Clinical Neurophysiology, Department of Neurology, University of Health Sciences Adana City Training and Research Hospital, Adana, Turkey
MD
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  • For correspondence: [email protected]
Halil C. Alaydın
From the Division of Clinical Neurophysiology, Department of Neurology, University of Health Sciences Adana City Training and Research Hospital, Adana, Turkey
MD
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Article Figures & Data

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  • Figure 1
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    Figure 1

    - Arm positions in participants.

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    Figure 2

    - The median nerve CMAP findings of a participant were obtained in different arm positions. CMAP- compound muscle action muscle.

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    Figure 3

    - The comparison of CMAP distal latencies in different arm positions. CMAP- compound muscle action muscle.

Tables

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    Table 1

    - The comparison of median NCS findings between the arm positions.

    Median nerve CMAPP1P2P3P-value
    mean±SD (median) (min-max)mean±SD (median) (min-max)mean±SD (median) (min-max)
    Minimum latency (ms)6.79±0.59 (6.80) (5.63-8.28)6.93±0.57 (6.95) (5.94-8.36)6.99±0.57 (7.07) (5.86-8.44)<0.001
    Mean latency (ms)6.82±0.59 (6.83) (5.63-8.33)6.99±0.56 (7.02) (6.02-8.41)7.03±0.58 (7.12) (5.97-8.52)<0.001
    Maximum amplitude- PP (mV)14.93±4.38 (14.40) (7.80-23.60)15.26±4.34 (14.75) (8.00-23.00)15.72±4.34 (15.15) (9.10-23.40)0.001
    Mean amplitude- PP (mV)14.71±4.25 (14.35) (7.77-23.22)15.02±4.17 (14.68) (8.00-22.20)15.44±4.31 (14.83) (8.87-23.00)<0.001
    Maximum amplitude- OP (mV)8.93±3.10 (8.40) (3.90-16.80)9.10±2.95 (8.30) (4.20-15.80)9.44±3.06 (8.70) (5.20-15.90)0.008
    Mean amplitude- OP (mV)8.77±3.05 (8.10) (3.83-16.63)8.97±2.88 (8.25) (4.13-15.70)9.27±3.03 (8.37) (5.03-15.77)0.002
    Minimum negative duration (ms)5.46±0.75 (5.35) (4.06-6.95)5.65±0.75 (5.63) (4.14-7.03)5.73±0.80 (5.82) (3.91-7.27)<0.001
    Mean negative duration (ms)5.50±0.76 (5.39) (4.09-6.96)5.72±0.73 (5.73) (4.22-7.11)5.79±0.80 (5.83) (3.96-7.37)0.001
    Maximum negative area25.86±6.55 (26.56) (13.85-37.00)28.34±6.41 (29.12) (15.36-38.12)29.50±6.48 (30.96) (17.97-40.50)<0.001
    Mean negative area25.46±6.55 (26.14) (13.78-36.49)27.90±6.21 (28.90) (15.15-38.00)29.10±6.62 (30.03) (17.81-40.43)<0.001

    CMAP- compound muscle action muscle; NCS- nerve conduction study; OP- onset-peak; P1- first position; P2- second position; P3- third position; PP- peak-to-peak.

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      Table 2

      - Pairwise comparisons of median NCS findings.

      Median nerve CMAPPairwise comparisons-P-value
       P1-P2P1-P3P2-P3
      Minimum latency (ms)0.001<0.0010.150
      Mean latency (ms)<0.001<0.0010.096
      Maximum amplitude- PP (mV)0.5940.0450.090
      Mean amplitude- PP (mV)0.3630.0180.051
      Maximum amplitude- OP (mV)1.0000.0690.189
      Mean amplitude- OP (mV)0.4500.0420.048
      Minimum negative duration (ms)0.0060.0030.156
      Mean negative duration (ms)0.0030.0030.420
      Maximum negative area (mVms)<0.001<0.0010.018
      Mean negative area (mVms)<0.0010.0010.015

      CMAP- compound muscle action muscle; NCS- nerve conduction study; OP- onset-peak; P1- first position; P2- second position; P3- third position; PP- peak-to-peak

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      Median nerve conduction study findings in various arm positions
      Halit Fidancı, Halil C. Alaydın
      Neurosciences Journal Oct 2024, 29 (4) 270-275; DOI: 10.17712/nsj.2024.4.20240034

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      Median nerve conduction study findings in various arm positions
      Halit Fidancı, Halil C. Alaydın
      Neurosciences Journal Oct 2024, 29 (4) 270-275; DOI: 10.17712/nsj.2024.4.20240034
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