神经传导的挑性变化:事实还是虚构?
1Physical Medicine and Rehabilitation, University of Toronto, Toronto, Ontario, Canada.
Muscle & nerve
|October 24, 2023
概括
在挑性姿势中进行电诊断研究并不能改善神经疾病的诊断. 研究表明,神经传导没有可重现的变化,快速可逆性在生理上是不可思议的.
科学领域:
- 神经科学是一个神经科学.
- 临床电生理学 临床电生理学
背景情况:
- 电诊断医疗顾问 (EMC) 有时会在中性和挑的位置进行神经传导研究.
- 这种方法旨在识别可能加剧症状的电生理学变化,特别是当标准测试没有确定性时.
研究的目的:
- 评估在挑性或症状性姿势中进行神经传导研究的诊断价值.
主要方法:
- 对研究中介神经病变,胸腔出口综合征,皮形状综合征和辐射道综合征等疾病的挑性姿势的神经传导的研究进行了综述.
- 评估由于位置压缩而导致的快速,可逆的电生理学变化的病理生理学可信性.
主要成果:
- 经验研究未能证明神经传导研究中的可重现的变化,在几个条件下的挑性位置.
- 缺乏可信的病理生理机制,以快速,可逆的电生理变化从短时间的定位压缩.
- 神经运动与关节位置的变化可以导致神经传导研究中的误导性结果.
结论:
- 在挑性或症状性位置测试神经传导并不能为电诊断测试增加价值.
- 在中立位置的标准电诊断测试足以诊断神经陷和相关疾病.
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