This second edition continues to offer practitioners access to a huge database of normal values, developed using the most modern scientific protocols, for virtually any patient population! Normal ranges take into account age, sex, height, and body mass index for a wide range of demographic groups to provide a complete set of reliable values for everyday clinical practice. Many studies are updated. When possible, studies with normal values based on larger groups of subjects with varied demographics are included. Side-to-side and same-limb comparisons of different nerves are often included, with the acceptable differences listed in the “helpful hints” section of the appropriate chapters. Included for reference is a schematic of the brachial plexus inside the front cover, to be used as an aid in determining which nerves to study in complex cases. Benefits of this outstanding reference: Provides reliable, state-of-the-art normal ranges; Results are presented with the mean, standard deviation, the range, and the upper or lower limit of normal; Covers up-to-date techniques for conducting nerve tests;Provides written descriptions and schematic depictions of electrode placement; Includes typical waveform appearance of the most common studies; Codifies the acceptable differences in latency, amplitude, nerve conduction velocity, etc., between nerves of the same or opposite limbs, allowing for a more precise diagnosis; Offers a concise list of references and suggested readings for each study; Provides helpful hints for performing each study; Includes advantages and pitfalls of alternative techniques This bedside reference offers a comprehensive, up-to-date set of normal values for clinical use that can be used to quickly review how to perform a given study or to look up reference values that have not been committed to memory. By following the described techniques, the user-trainee or clinician-will have normal values that can be used with confidence.
Author(s): Ralph M. Buschbacher, Nathan D. Prahlow
Edition: 2nd
Year: 2005
Language: English
Pages: 299
Contents......Page 8
Introduction......Page 12
1. Upper Limb/Brachial Plexus Motor Nerve Studies......Page 16
Axillary motor nerve to the deltoid......Page 17
Long thoracic motor nerve to the serratus anterior......Page 21
Median motor nerve to the abductor pollicis brevis......Page 25
Median motor nerve to the flexor carpi radialis......Page 33
Median motor nerve (anterior interosseous branch) to the flexor pollicis longus......Page 37
Median motor nerve (anterior interosseous branch) to the pronator quadratus......Page 41
Median motor nerve to the pronator teres......Page 45
Median motor nerve to the 1st lumbrical......Page 49
Median motor nerve to the 2nd lumbrical......Page 53
H-reflex to the flexor carpi radialis......Page 57
Musculocutaneous motor nerve to the biceps brachii......Page 61
Phrenic motor nerve to the diaphragm......Page 65
Radial motor nerve to the extensor carpi ulnaris and brachioradialis......Page 71
Radial motor nerve to the extensor digitorum communis......Page 75
Radial motor nerve to the extensor indicis proprius......Page 79
Suprascapular motor nerve to the supraspinatus and infraspinatus......Page 89
Thoracodorsal motor nerve to the latissimus dorsi......Page 95
Ulnar motor nerve to the abductor digiti minimi......Page 99
Ulnar motor nerve to the palmar interosseous......Page 107
Ulnar motor nerve to the 1st dorsal interosseous......Page 111
2. Upper Limb Sensory and Mixed Nerve Studies......Page 116
Lateral antebrachial cutaneous sensory nerve......Page 117
Medial antebrachial cutaneous sensory nerve......Page 121
Median sensory nerve to 2nd and 3rd digits......Page 127
Median palmar cutaneous sensory nerve......Page 135
Posterior antebrachial cutaneous sensory nerve......Page 139
Radial sensory nerve to the base of the thumb......Page 143
Ulnar dorsal cutaneous sensory nerve......Page 147
Ulnar sensory nerve to the 5th digit......Page 151
Median and radial sensory nerves to the thumb......Page 159
Median and ulnar mixed nerve studies (transcarpal)......Page 165
Median and ulnar sensory nerve studies to the 4th digit......Page 171
3. Lower Limb Motor Nerve Studies......Page 176
Femoral motor nerve to the quadriceps......Page 177
Peroneal motor nerve to the extensor digitorum brevis......Page 181
Peroneal motor nerve to the peroneus brevis......Page 187
Peroneal motor nerve to the peroneus longus......Page 191
Peroneal motor nerve to the tibialis anterior......Page 195
Sciatic motor nerve recording from the foot......Page 199
H-reflex to the calf......Page 203
Tibial motor nerve to the abductor hallucis (medial branch)......Page 207
Tibial motor nerve to the flexor digiti minimi brevis (lateral branch)......Page 213
4. Lower Limb Sensory and Mixed Nerve Studies......Page 218
Lateral femoral cutaneous sensory nerve......Page 219
Medial calcaneal sensory nerve......Page 225
Medial femoral cutaneous sensory nerve......Page 229
Deep peroneal sensory nerve......Page 233
Superficial peroneal sensory nerve......Page 237
Posterior femoral cutaneous sensory nerve (medial and intermediate dorsal cutaneous branches)......Page 243
Saphenous sensory nerve (distal technique)......Page 247
Saphenous sensory nerve (proximal technique)......Page 251
Sural lateral dorsal cutaneous branch sensory nerve......Page 255
Sural sensory nerve......Page 259
Tibial mixed nerve (medial and lateral plantar branches)......Page 263
5. Head and Neck Studies......Page 268
Blink reflex......Page 269
Cranial nerve VII......Page 275
Cranial nerve XI......Page 279
Greater auricular sensory nerve......Page 283
6. Root Stimulation......Page 286
Cervical nerve root stimulation......Page 287
Lumbar nerve root stimulation......Page 291
7. Other Studies of Interest......Page 296
Appendix: BMI Tables......Page 302
Index......Page 306
F......Page 308
I......Page 309
L......Page 310
P......Page 311
T......Page 312
U......Page 313
