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논문 기본 정보

자료유형
학술저널
저자정보
Lee Jae Hyun (Department of Rehabilitation Medicine, Seoul National University Hospital) Kim Eunkyung (Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.) Shim Hyung-Seok (National Center for Standard Reference Data, Daejeon, Korea) Kang Min-Gu (Department of Rehabilitation Medicine, Daegu Workers’ Compensation Hospital, Daegu, Korea.) Kim Keewon (Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, Korea) Lee Sang Yoon (Department of Rehabilitation Medicine, SMG-SNU Boramae Medical Center, Seoul, Korea) Lee Goo Joo (Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, Korea.Department of Rehabilitation Medicine, National Traffic Injury Rehabilitation Hospital, Yangpyeong, Ko) 이시욱 (서울특별시보라매병원) Lim Jae-Young (Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.) 정선근 (서울대학교) Oh Byung-Mo (Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea.)
저널정보
대한재활의학회 Annals of Rehabilitation Medicine Annals of Rehabilitation Medicine Vol.48 No.4
발행연도
2024.8
수록면
259 - 270 (12page)
DOI
10.5535/arm.240015

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Objective: To establish the reference standard of the median nerve conduction study (NCS) in Korea.Methods: A total of 648 median motor and 602 median sensory NCSs from 349 Korean healthy volunteers were tested and analyzed prospectively. Equipment calibration, assessment of intraand inter-rater reliability, and the NCSs per se were conducted according to a predetermined protocol. A reference standard was established from uncertainty components for the following parameters: the onset and peak latencies; the baseline-to-peak and peak-to-peak amplitudes; the area and duration of the negative wave; and the nerve conduction velocity. The effects of sex, age and stimulation intensity were analyzed.Results: Each measured value of 648 median motor and 602 median sensory nerves were obtained and presented with both mean and expanded uncertainties, as well as mean and standard deviations. The cut-off values with expanded uncertainty were determined for different age and sex groups. After adjusting for anthropometric covariates, all parameters except duration were affected by age, and sex appeared to influence both duration and area. While stimulation intensity significantly affected some parameters including latencies, the effect sizes were negligible.Conclusion: We propose the median NCS reference standard using the largest Korean dataset ever available. The use of the traceable and reliable reference standard is anticipated to promote more accurate and dependable diagnosis and appropriate management of median neuropathies in Korea.

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