IMPACT OF ANTHROPMETRIC MEASURES ON SURAL NERVE CONDUCTION IN HEALTHY SUBJECTS

Authors

  • S. Saeed
  • M. Akram

Abstract

Background: Nerve conduction studies are an invaluable aid to investigate and quantify thephysiological activity of peripheral nerves. These include measurement of sensory and motorconduction velocities and latencies of peripheral nerves. These nerve conduction parameters maybe affected by anthropometric factors like age, sex, height, weight and BMI. In this observationalstudy the impact of these anthropometric parameters was measured on sensory nerve conductionvelocity (SNCV) and sensory latency (SNSL) of sural nerve. Method: Sural nerve conductionstudies were conducted in EMG room of Neurology section of Medical Unit 1 at Sir Ganga RamHospital, Lahore on Electromyograph by Nihon Kohden MEB-5304K. Results: After followingstrict exclusion criteria by careful history and physical examination 25 normal healthy subjectsrecruited from local population by random sampling technique. The age range was 40-70 yearswith mean age 47.2±9.23 years. Gender distribution was 60% females and 40% males. The meanSNCV was found to be 53.16±5.68 meter per second (m/sec) and mean SNSL was 2.81±0.45milliseconds (msec). Conclusion: It was found that the mean sural nerve conduction velocity washigher and the mean sensory latency was shorter in healthy subjects than that of the Western races.Moreover, the SNCV decreases and SNSL increases significantly with age.Key words: Nerve conduction studies, sensory nerve conduction velocity (SNCV), sensorylatency, Sural nerve.

References

Soliman A. Diabetic neuropathy. ē Medicine Journal

;3(3):1–12.

Hendriksen PH, Oey PL, Wieneke GH, Bravenboer B, Van

Huffelen AC. Subclinical diabetic polyneuropathy: early

detection of involvement of different nerve fiber types. J

Neurol Neurosurg and Psychiatry 1993;56:509–14.

Aetna Inc. Nerve conduction velocity studies. Clinical Policy

Bulletin. American Medical Association 2007;No: 0502.

Killian J, Foreman PJ. Clinical utility of dorsal sural nerve

conduction studies. Muscle Nerve 2001;24(6):817–20.

Stalberg E. Nerve conduction studies. Journal of

Neurological Sciences 2000;17(2):1302–664.

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(3):168–

Lang AH , Puusa A, Hynninen P, Kuusela V. Evolution of

nerve conduction velocity in later childhood and adolescence.

Muscle Nerve 1985;8(1):38–43.

Stetson DS, Albers JW, Silverstein BA and Wolfe RA.

Effects of age, sex and anthropometric factors on nerve

conduction measures. Muscle and Nerve 1992;15(10):1095–

Willson HJ and Winer JB. Clinical evaluation and

investigation of neuropathy. Journal of Neurol Neurosurg

Psychiatry 2003;74(suppl II):ii3–ii8.

Dioszeghy P and Stalberg E. Changes in motor and sensory

nerve conduction parameters with temperature in normal and

diseased nerve. Electroencephlogr Clin Neurophysiol

;85(4):229–35.

Perkins BA, Greene DA and Bril V. Glycaemic control is

related to the morphological severity of diabetic sensorimotor

polyneuropathy. Diabetes Care 2001;24(4):748–52.

Sethi RK, Thompson LL. The Electromyographers’

Handbook 2nd ed. Boston Little, Brown and Company Boston

; p.80–2.

Trojaborg WT, Moon A, Anderson BB, Trojaborg NS. Sural

nerve conduction parameters in normal subjects related to

age, gender, temperature and height: a reappraisal. Muscle

and Nerve.1992;15(6):666–71.

Verdu E, Ceballos D ,Vilches JJ, Navarro X. Influence of

aging on peripheral nerve function and regeneration. Journal

of PNS 2000;5(4):191–208.

Published

2008-12-01