Comparison of the results of sensor and nervous – muscular agitation of the median nerve odtained throught the use of the i/t curve
Keywords:
i/t curve, electrodiagnosis, parameters, healthy muscles, median nerveAbstract
Introduction. I/t curve is an accessible method of electrodiagnosis that allows determinate lesion degree of a peripheral nerve. The method utilizes triangularly and rectangularly shaped direct current impulses. Impulse length can vary from 1000 ms to 0,05 ms. The aim of this article is to compare the proper values of parameters of sensor and nervous – muscular agitation of the median nerve odtained throught the use of the i/t curve.
Source. The study group included 102 persons: 70 females and 32 males (average 23 years), clinically examined and no disorders were found in the function of the median nerve.
Results. There are existing differences in the value current intensity of the i/t curve of rectangular and triangular impulse between sensor and nervous – muscular agitation of the median nerve. Differences are present in the values of coefficient and accommodation quotient, rheobase, threshold value of accommodation. The chart for the triangular impulse (where impulse last from 1 – 0,05 ms) for sensor agitation shows a steeper curve in comparison to the curve of nervous – muscular agitation.
Conclusion. Knowledge of methods of execution and how to interpret the i/t curve can be helpful for physiotherapist to understand and evaluate the results obtained using more accurate tests such as electroneurography. I/t curve is available method, to confirm the fact that peripheral nerve is damaged and monitor the process of healing and rehabilitation
Downloads
References
Kinalski R. Neurofizjologia kliniczna dla neurorehabilitacji. Wrocław: MedPharm; 2008: 194 – 201.
Bauer A., Wiecheć M. Przewodnik metodyczny po wybranych zabiegach fizykalnych. Ostrowiec Św.: Markmed, Rehabilitacja; 2005: 88 – 93.
Georgiew F. Porównanie wyników pobudliwości nerwowo – mięśniowej prawidłowo unerwionych mięśni uzyskanych za pomocą krzywej IT, z normami podawanymi przez renomowane podręczniki do fizjoterapii. Fizjoterapia Polska 2009; 2: 151 – 157.
Georgiew F., Maciejczak A., Klimek-Piskorz E., Otfinowska E., Magoń G., Adamczyk T. Ocena przydatności krzywej IT do diagnostyki i oceny wyników leczenia pacjentów po urazach nerwów obwodowych. Tarnów: Wydawnictwo monograficzne PWSZ Tarnów; 2010; Tom I: 215 – 223.
Kahn J. Elektroterapia zasady i zastosowanie. Warszawa: PZWL; 2002: 184 – 190.
Łukasiak A. Podstawy elektrodiagnostyki w porażeniach nerwów obwodowych. Balneologia 2007; 3: 154 – 159.
Mika T, Kasprzak W. Fizykoterapia. Warszawa: PZWL; 2003: 273 - 279
Straburzyński G, Straburzyńska-Lupa A. Medycyna fizykalna. Warszawa: PZWL; 2000: 351 – 354.
Banach M., Bogucki A. Zespoły z ucisku diagnostyka i leczenie. Kraków: Medycyna Praktyczna; 2003.
Vella J.C., Hartigan B.J., Stern P.J. Kaplan’s Cardinal Line. Journal of Hand Surgery 2006; Vol. 31A: 912 – 918.
Szaro P., Witkowski P. Zespół cieśni nadgarstka. http://chirurg.pl/mod/archiwum/6352 (2006-10-17).
Georgiew F., Otfinowska E., Adamczyk T. Testy diagnostyczne stosowane w rozpoznawaniu zespołu kanału nadgarstka. Rehabilitacja medyczna 2008: 12, 3: 24 – 35.
Atroshi I., Hofer M., Larsson G., Ornstein E., Johnsson R., Ranstam J. Open compared with 2 – portal endoscopic carpal tunnel release: a 5 – year follow – up of a randomized controlled trial. Journal of Hand Surgery 2009;Vol 34A: 266 – 272.
Ikeda K., Osamura N., Tomita K. Segmental carpal canal pressure in patients with carpal tunnel syndrome. Journal of Hand Surgery 2006; 31A: 925 – 929.
Wilder-Smitha E.P., Ngb E.S., Chanc Y.H., Therimadasamyb A. K. Sensory distribution indicates severity of median nerve damage in carpal tunnel syndrome. Clinical Neurophysiology 2008; 119: 1619 – 1625.
Gehrmann S., Tang J., Kaufmann R.A., Goitz R.J., Windolf J., Li Z.M. Variability of precision pinch movements caused by carpal tunnel syndrome. Journal of Hand Surgery 2008; 33A: 1069 – 1075.
Atroshi I., Johnsson R. Evaluation of portable nerve conduction testing in the diagnosis of carpal tunnel syndrome. Journal of Hand Surgery 1996; Vol 21A: 651 – 654.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2012 Medical Journal of the Rzeszow University and the National Medicines Institute, Warsaw

This work is licensed under a Creative Commons Attribution 4.0 International License.
Our open access policy is in accordance with the Budapest Open Access Initiative (BOAI) definition: this means that articles have free availability on the public Internet, permitting any users to read, download, copy, distribute, print, search, or link to the full texts of these articles, crawl them for indexing, pass them as data to software, or use them for any other lawful purpose, without financial, legal, or technical barriers other than those inseparable from having access to the Internet itself.
All articles are published with free open access under the CC-BY Creative Commons attribution license (the current version is CC-BY, version 4.0). If you submit your paper for publication by the Eur J Clin Exp Med, you agree to have the CC-BY license applied to your work. Under this Open Access license, you, as the author, agree that anyone may download and read the paper for free. In addition, the article may be reused and quoted provided that the original published version is cited. This facilitates freedom in re-use and also ensures that Eur J Clin Exp Med content can be mined without barriers for the research needs.




