Abstract
Watson J, DiBenedetto M, Gale SD. Mixed median nerve forearm conduction velocity in
the presence of focal compression neuropathy at the wrist versus peripheral neuropathy.
Arch Phys Med Rehabil 2002;83:302-7. Objectives: To establish normal values for the conduction velocity of the mixed median nerve
in the forearm, and to determine the use of mixed median nerve conduction velocity
(NCV) studies across the forearm in the differential diagnosis of carpal tunnel syndrome
(CTS), peripheral neuropathy, and CTS with peripheral neuropathy. Design: Criterion standard. Mixed median NCV studies across the forearm were added to routine
CTS investigational protocols. Setting: University outpatient setting, rural referral base. Participants: Thirty healthy volunteers and 60 patients referred with symptoms and signs suggestive
of CTS and/or peripheral neuropathy. Interventions: Not applicable. Main Outcome Measures: Motor sensory and mixed median nerve conduction velocity across the forearm. Results: The mean mixed median NCV across the forearm was 64.5m/s in healthy subjects and
subjects with CTS. The mean mixed NCV in subjects with peripheral neuropathy was 54m/s,
even in the presence of CTS. Conclusion: Mixed median NCV in the forearm added to the standard protocols is helpful in differentiating
the diagnosis of CTS from peripheral neuropathy and CTS with peripheral neuropathy.
© 2002 by the American Congress of Rehabilitation Medicine and the American Academy
of Physical Medicine and Rehabilitation
Keywords
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Article info
Publication history
Accepted:
March 13,
2001
Received in revised form:
March 13,
2001
Footnotes
☆No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors(s) or upon any organization with which the author(s) is/are associated.
☆☆Reprint requests to Margarete DiBenedetto, MD, Dept of Physical Medicine & Rehabilitation, 545 Ray C Hunt Dr, Ste 240, Charlottesville, VA 22903-2981, e-mail: [email protected]
★Suppliers
★★a. Medtronic Inc, 710 Medtronic Pkwy NE, Minneapolis, MN 55432-5604.
♢b. SPSS Inc, 233 S Wacker Dr, 11th Fl, Chicago, IL 60606.
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Copyright
© 2002 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.
