Preview

Neuromuscular Diseases

Advanced search

Medial plantar nerve: normative parameters of an electroneuromyographic study in adults

https://doi.org/10.17650/2222-8721-2021-11-2-28-34

Abstract

Background. The study of the sensitive portion of the medial plantar nerve is relevant not only in the examination of patients with tibial nerve mononeuropathy or its branches, but also in the diagnosis of polyneuropathies.

Objective: to analyze the normative parameters of the sensory potential recorded during the study of the medial plantar nerve by the orthodromic method in healthy adults.

Materials and methods. 126 sensitive fibers of the medial plantar nerves were studied on the Dantec Keypoint G4 device (Denmark) in 63 healthy individuals (31 men and 32 women; age from 20 to 80 years). 3 groups were identified taking into account age: group 1 included healthy people aged 20 to 39 years (n = 23); group 2 consisted of people aged 40 to 60 years (n = 20); and 3 – older than 60 years (n = 20). The parameters of the sensory potential of the medial plantar nerve are analyzed.

Results. The sensory potential in the study of the sensitive portion of the medial plantar nerve was registered in all 126 healthy subjects. Comparative statistical analysis did not demonstrate significant differences between groups 1–3 in the values of such parameters of the sensory potential as the latency of the onset, the duration of the negative phase and the rate of propagation of excitation. At the same time, in groups 2 and 3, the magnitude of the amplitude from peak to peak of the sensory potential was significantly lower compared to group 1, and averaged 8.92 and 7.86 MV, respectively.

Conclusion. Knowledge of the regulatory parameters will allow expanding the use of electroneuromyography of the sensitive portion of the medial plantar nerve in clinical and research practice.

About the Authors

D. A. Grishina
Research Center of Neurology
Russian Federation

 Darya Aleksandrovna Grishina 

 80 Volokolamskoe shosse, Moscow 125367 



N. A. Suponeva
Research Center of Neurology
Russian Federation

 80 Volokolamskoe shosse, Moscow 125367 



References

1. Mumentaler M. Lesions of peripheral nerves and radicular syndromes. MEDpress-inform, 2014. (In Russ.)

2. Martyn C.N., Hughes R.A. Epidemiology of peripheral neuropathy. J Neurol Neurosurg Psychiatry 1997;62(4):310–8. DOI: 10.1136/jnnp.62.4.310.PMID: 9120441.

3. Tankisi H., Pugdahl K., Beniczky S. et al. Evidence-based recommendations for examination and diagnostic strategies of polyneuropathy electrodiagnosis. Clin Neurophysiol Pract 2019;4:214–22. DOI: 10.1016/j.cnp.2019.10.005.

4. Uluc K., Isak B., Borucu D. et al. Medial plantar and dorsal sural nerve conduction studies increase the sensitivity in the detection of neuropathy in diabetic patients. Clin Neurophysiol 2008;119(4):880–5. DOI: 10.1016/j.clinph.2008.01.001. PMID: 18291716.

5. Kannan M.A., Sarva S., Kandadai R.M. et al. Prevalence of neuropathy in patients with impaired glucose tolerance using various electrophysiological tests. Neurol India 2014;62(6):656–61. DOI: 10.4103/0028-3886.149393. PMID: 25591680.

6. An J.Y., Park M.S., Kim J.S. et al. Comparison of diabetic neuropathy symptom score and medial plantar sensory nerve conduction studies in diabetic patients showing normal routine nerve conduction studies. Intern Med 2008;47(15):1395–8. DOI: 10.2169/internalmedicine.47.0901. PMID: 18670144.

7. Kahraman Koytak P., Alibas H., Omercikoglu Ozden H. et al. Medial plantar-to-radial amplitude ratio: does it have electrodiagnostic utility in distal sensory polyneuropathy? Int J Neurosci 2017;127(4):356–60. DOI: 10.3109/00207454.2016.1174119. PMID: 27043973.

8. Guiloff R.J., Sherratt R.M. Sensory conduction in medial plantar nerve: normal values, clinical applications, and a comparison with the sural and upper limb sensory nerve action potentials in peripheral neuropathy. J Neurol Neurosurg Psychiatry 1977;40(12):1168–81. DOI: 10.1136/jnnp.40.12.1168. PMID: 201733.

9. Suponeva N.A., Belova N.V., Zaitseva N.I. et al. Small fiber neuropathy. Ann Clin Exp Neurology 2017;11(1):73–9. (In Russ.)].

10. Oh S.J., Sarala P.K., Kuba T., Elmore R.S. Tarsal tunnel syndrome: electrophysiological study. Ann Neurol 1979;5(4):327–30. DOI: 10.1002/ana.410050404. PMID: 443767.

11. Saeed M.A., Gatens P.F. Compound nerve action potentials of the medial and lateral plantar nerves through the tarsal tunnel. Arch Phys Med Rehabil 1982;63:304–7.

12. Iyer K.S., Kaplan E., Goodgold J. Sensory nerve action potentials of the medial and lateral plantar nerve. Arch Phys Med Rehabil 1984;65(9):529–30. PMID: 6477086.

13. Ponsford S.N. Sensory conduction in medial and lateral plantar nerves. J Neurol Neurosurg Psychiatry 1988;51(2):188–91. DOI: 10.1136/jnnp.51.2.188. PMID: 2831304.

14. Løseth S., Nebuchennykh M., Stålberg E., Mellgren S.I. Medial plantar nerve conduction studies in healthy controls and diabetics. Clin Neurophysiol 2007;118(5):1155–61. DOI: 10.1016/j.clinph.2007.01.008. PMID: 17321794.

15. Preston D.C., Shapiro B.E. Electromyography and neuromuscular disorders (Third Edition). Elsevier Health Sciences, 2013. Pp. 644.


Review

For citations:


Grishina D.A., Suponeva N.A. Medial plantar nerve: normative parameters of an electroneuromyographic study in adults. Neuromuscular Diseases. 2021;11(2):28-34. (In Russ.) https://doi.org/10.17650/2222-8721-2021-11-2-28-34

Views: 1585


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2222-8721 (Print)
ISSN 2413-0443 (Online)