[The effect of the lead electrodes on the conduction velocity of the sural nerve]. 1991

I W Husstedt, and K H Grotemeyer, and H P Schlake
Klinik und Poliklinik für Neurologie, Westfälische Wilhelms-Universität Münster.

The result of nerve conduction velocity measuring depends upon all components of the measurement system. Earlier investigations showed that the nerve conduction velocity of the sural nerve depends also on technical attributes of recording electrodes. It was the objective of our study to investigate correlations between different recording electrodes and neurophysiological norm values as nerve conduction velocity and latency prolongation after paired stimulation of the sural nerve. Our investigations were carried out in twenty healthy volunteers aged 39 +/- 14 years. Stimulation of the sural nerve was performed at the lateral malleolus using always surface electrodes of the same type. Recording of nerve action potentials was done in each proband by four different types of electrodes. Surface electrodes consisted of tin, stainless steal and sintered silver/silver chloride, needle electrodes of stainless steel. The nerve conduction velocity using silver/silver chloride was 53.6 +/- 4.3 m/sec, using tin electrodes 53.1 +/- 3.9 m/s, using stainless steel 51.4 +/- 3.0 m/s and using needle electrodes 48,7 +/- 2.7 m/s. The Wilcoxon-test confirmed the differences of nerve conduction velocity between needle and silver/silver chloride and tin electrodes yielding p less than 0.05. Latency prolongation after paired stimulation of the sural nerve was independent from electrodes. In conclusion, our results indicate that electrodes take part in the system of standardization. Changing of recording or stimulation electrodes provoke the necessity of new standardization of norm values in clinical neurophysiology.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009431 Neural Conduction The propagation of the NERVE IMPULSE along the nerve away from the site of an excitation stimulus. Nerve Conduction,Conduction, Nerve,Conduction, Neural,Conductions, Nerve,Conductions, Neural,Nerve Conductions,Neural Conductions
D004566 Electrodes Electric conductors through which electric currents enter or leave a medium, whether it be an electrolytic solution, solid, molten mass, gas, or vacuum. Anode,Anode Materials,Cathode,Cathode Materials,Anode Material,Anodes,Cathode Material,Cathodes,Electrode,Material, Anode,Material, Cathode
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D013497 Sural Nerve A branch of the tibial nerve which supplies sensory innervation to parts of the lower leg and foot. Nerve, Sural,Nerves, Sural,Sural Nerves

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