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Journal of the Korean Academy of Rehabilitation Medicine 1998;22(3):651-657.
Lumbosacral Plexus Conduction Study by Magnetic Stimulation.
Kim, Chul , Ko, Young Min
Department of Rehabilitation Medicine, Inje University College of Medicine.
자기자극을 이용한 요천추신경총 전도검사
김 철, 고영민
인제대학교 의과대학 상계백병원 재활의학교실
Abstract

Objective
In contrast to the electrical stimulation, the magnetic stimulation of motor system is a painless and noninvasive neurophysiologic technique. We attempted to establish a clinical feasibility of lumbosacral plexus conduction study by using the magnetic stimulation.


Method
We performed a magnetic stimulation at the L5 spinous process and obtained the compound motor action potentials(CMAP) from individual muscles of pelvic area and lower extremity.


Results
The onset latencies of compound muscle action potentials(CMAP) were fastest in the gluteus maximus muscle and slowest in the abductor hallucis muscle. The onset latencies of compound muscle action potentials(CMAP) showed no significant difference in both sides, however, there was a positive correlation between height and onset latency in distal leg muscles. The amplitudes of compound muscle action potentials(CMAP) were the highest in the vastus medialis and lowest in the tibialis anterior muscle.


Conclusion
Lumbosacral plexus conduction study by magnetic stimulation was easy to obtain the compound motor action potentials(CMAP) from individual muscles and was relatively comfortable to the subjects.

Key Words: Magnetic stimulation, Lumbosacral plexus


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