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KERD
논문KCI 등재

무증상 한국 성인의 발근육과 허리엉치 척추옆 근의 탈신경 전위의 빈도

Prevalence of Denervation Potentials from Foot Intrinsic and Lumbosacral Paraspinal Muscles in Asymptomatic Persons in Korea

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키워드

주제분류재활의학

초록

Objective: To determine the prevalence of denervation potentials from the foot intrinsic and the lumbosacral paraspinal muscles in asymptomatic persons in Korea. Method: Nerve conduction studies were performed in 80 asymptomatic persons at sural, peroneal and tibial nerves. We excluded 15 persons with abnormal values of nerve conduction studies. In our study, 36 males and 29 females participated and the mean age of subjects was 52.9 years. We checked denervation potentials from unilateral lumbosacral paraspinal (L4-S1) and foot intrinsic muscles (abductor hallucis and extensor digitorum brevis muscle) by needle EMG. Results: The prevalence of denervation potentials from foot intrinsic muscles was 3% (2 cases out of 65 asymptomatic subjects). Denervation potentials consisting of a positive sharp wave were seen from the abductor hallucis muscle. No subjects showed any denervation potentials from the lumbosacral paraspinal muscles in our study. Abnormal X-ray findings were seen in subjects who had denervation potentials from the foot intrinsic muscles. Conclusion: The prevalence of denervation potentials from the foot intrinsic and the lumbosacral paraspinal muscles in asymptomatic person was not as high as previously reported.

Abstract

Objective: To determine the prevalence of denervation potentials from the foot intrinsic and the lumbosacral paraspinal muscles in asymptomatic persons in Korea. Method: Nerve conduction studies were performed in 80 asymptomatic persons at sural, peroneal and tibial nerves. We excluded 15 persons with abnormal values of nerve conduction studies. In our study, 36 males and 29 females participated and the mean age of subjects was 52.9 years. We checked denervation potentials from unilateral lumbosacral paraspinal (L4-S1) and foot intrinsic muscles (abductor hallucis and extensor digitorum brevis muscle) by needle EMG. Results: The prevalence of denervation potentials from foot intrinsic muscles was 3% (2 cases out of 65 asymptomatic subjects). Denervation potentials consisting of a positive sharp wave were seen from the abductor hallucis muscle. No subjects showed any denervation potentials from the lumbosacral paraspinal muscles in our study. Abnormal X-ray findings were seen in subjects who had denervation potentials from the foot intrinsic muscles. Conclusion: The prevalence of denervation potentials from the foot intrinsic and the lumbosacral paraspinal muscles in asymptomatic person was not as high as previously reported.

참고문헌 (9)

  1. Dumitru D., "Prevalence of denervation in paraspinal and foot intrinsic musculature", Am J Phys Med Rehabil, 80, pp.482~490 (2001)
  2. Morgenlander J. C., "EMG activity in the extensor digitorum brevis and abductor hallucis muscles in normal subjects", Muscle Nerve, 17, pp.1346~1347 (1994)
  3. Wiechers D. O., "Electromyographic findings in the extensor digitorum brevis in a normal population", Arch Phys Med Rehabil, 57, pp.84~85 (1976)
  4. Gatens P. F., "Electromyographic findings in the intrinsic muscle of normal feet", Arch Phys Med Rehabil, 63, pp.317~318 (1982)
  5. Nardin R. A., "Fibrillations in lumbosacral paraspinal muscles of normal subjects", Muscle Nerve, 21, pp.1347~1349 (1998)
  6. Date E. S., "The prevalence of lumbar paraspinal spontaneous activity in asymptomatic subjects", Muscle Nerve, 19, pp.350~354 (1996)
  7. Wiechers D. O., "Eletromyographic insertional activity in normal limb muscles", Arch Phys Med Rehabil, 60, pp.359~363 (1979)
  8. Van der Heijden A., "Fasciculation potentials in foot and leg muscles of health young adults", Electroencephalogr Clin Neurophysiol, 93, pp.163~168 (1994)
  9. Ma D. M., "Laboratory reference for clinical neurophysiology, 1st ed", pp.183~226 (1992), F.A. Davis

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