Dynamic Effects on F wave Parameters and SEPs in Lumbar Canal Stenosis. |
Kim, Cheol Hyeon , Lee, Zee Ihn , Lee, Yang Soo , Park, Hyun , Kim, Poong Taek |
1Department of Rehabilitation Medicine, Kyungpook National University Medical College, Korea. 2Department of Rehabilitation Medicine, Taegu Veterans Hospital, Korea. |
요부 척추 협착증 환자에 있어서 F파와 체성감각 유발 전위 검사의 역동적 연구 |
김철현, 이지인, 이양수, 박현*, 김풍택 |
경북대학교병원 재활의학교실 및 대구보훈병원 재활의학과* |
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Abstract |
Neurogenic claudication can be difficult to diagnose despite of strict radiologic criteria for lumbar stenosis. Because canal dimensions can change with body posture, and neuroimaging studies are usually done only in the supine position, not all patients with neurogenic claudication will have CT scan documented stenosis. This study evaluated changes in F wave minimal latency, chronodispersion and SEPs from the lower limbs after walking in normal thirteen subjects and twelve patients with lumbar spinal stenosis. In normal subjects, only F chronodispersion showed a significant decrease for both the peroneal and tibial nerves(p<0.05) after walking. Patients with spinal stenosis had markedly increased F chronodispersion in the peroneal nerve(p<0.01) but had minimal changes of the F minimal latency and SEPs. In conclusion, the marked changes of F chronodispersion after walking increase the diagnostic sensitivity in patients with spinal stenosis, who do not have abnormal nerve conduction and electromyographic findings. |
Key Words:
Chronodispersion, Spinal stenosis, Dynamic, F-wave, Chronodispersion, SEPs |
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