Comparison of diagnostic value of nerve conduction studies and F-wave in patients with diabetic polyneuropathy: a retrospective cross-sectional study

Background: Diagnosis of polyneuropathy is typically made using sensory and motor nerve conduction studies (NCS). These tests include measurement of amplitude, velocity, and delay of sensory and motor waves. These waves cannot assess the entire length of the nerve, proximal parts in special. F-wave...

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Main Authors: Zahra Gorji, Hamid Azadeh
Format: Article
Language:fas
Published: Tabriz University of Medical Sciences 2021-04-01
Series:مجله پزشکی دانشگاه علوم پزشکی تبریز
Subjects:
Online Access:https://mj.tbzmed.ac.ir/PDF/mj-43-1-69.pdf
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author Zahra Gorji
Hamid Azadeh
author_facet Zahra Gorji
Hamid Azadeh
author_sort Zahra Gorji
collection DOAJ
description Background: Diagnosis of polyneuropathy is typically made using sensory and motor nerve conduction studies (NCS). These tests include measurement of amplitude, velocity, and delay of sensory and motor waves. These waves cannot assess the entire length of the nerve, proximal parts in special. F-wave is the only test capable of measuring the entire length of the nerve. The purpose of this study was to evaluate the value of F-wave in patients with diabetic polyneuropathy. Methods: This is a retrospective study assessing the value of nerve conduction studies and F-wave in the diagnosis of 148 patients with diabetic polyneuropathy referred to hospitals under the supervision of the University of Iowa from October 1, 2016, to September 5, 2018. Motor neurons of median, ulnar, peroneal, and tibial nerves and sensory neurons of median, ulnar, and sural nerves were assessed using two techniques of NCS and F-wave. Then the data were compared. Results: The results of this study showed that F-wave in all of the evaluated nerves (median, ulnar, tibial and peroneal) detected abnormalities to more extents than routine NCS (P <0.001). When total neuronal abnormalities were accumulated, this value was 82٪ for NCS, while 99٪ for the F wave (P < 0.001). Conclusion: Findings of the current study showed that the assessment of delayed nerve conducting through F-waves can diagnose diabetic polyneuropathy to better extents as compared to NCS. Further evaluations are recommended.
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spelling doaj.art-8bb22f9824ae48678b77e9ad3ccdf90c2022-12-22T03:39:18ZfasTabriz University of Medical Sciencesمجله پزشکی دانشگاه علوم پزشکی تبریز2783-20312783-204X2021-04-01431697510.34172/mj.2021.03027099Comparison of diagnostic value of nerve conduction studies and F-wave in patients with diabetic polyneuropathy: a retrospective cross-sectional studyZahra Gorji0Hamid Azadeh1Faculty of Rehabilitation, Isfahan University of Medical Sciences, Isfahan, IranFaculty of Rehabilitation, Isfahan University of Medical Sciences, Isfahan, IranBackground: Diagnosis of polyneuropathy is typically made using sensory and motor nerve conduction studies (NCS). These tests include measurement of amplitude, velocity, and delay of sensory and motor waves. These waves cannot assess the entire length of the nerve, proximal parts in special. F-wave is the only test capable of measuring the entire length of the nerve. The purpose of this study was to evaluate the value of F-wave in patients with diabetic polyneuropathy. Methods: This is a retrospective study assessing the value of nerve conduction studies and F-wave in the diagnosis of 148 patients with diabetic polyneuropathy referred to hospitals under the supervision of the University of Iowa from October 1, 2016, to September 5, 2018. Motor neurons of median, ulnar, peroneal, and tibial nerves and sensory neurons of median, ulnar, and sural nerves were assessed using two techniques of NCS and F-wave. Then the data were compared. Results: The results of this study showed that F-wave in all of the evaluated nerves (median, ulnar, tibial and peroneal) detected abnormalities to more extents than routine NCS (P <0.001). When total neuronal abnormalities were accumulated, this value was 82٪ for NCS, while 99٪ for the F wave (P < 0.001). Conclusion: Findings of the current study showed that the assessment of delayed nerve conducting through F-waves can diagnose diabetic polyneuropathy to better extents as compared to NCS. Further evaluations are recommended.https://mj.tbzmed.ac.ir/PDF/mj-43-1-69.pdff-wavenerve conduction studiespolyneuropathy
spellingShingle Zahra Gorji
Hamid Azadeh
Comparison of diagnostic value of nerve conduction studies and F-wave in patients with diabetic polyneuropathy: a retrospective cross-sectional study
مجله پزشکی دانشگاه علوم پزشکی تبریز
f-wave
nerve conduction studies
polyneuropathy
title Comparison of diagnostic value of nerve conduction studies and F-wave in patients with diabetic polyneuropathy: a retrospective cross-sectional study
title_full Comparison of diagnostic value of nerve conduction studies and F-wave in patients with diabetic polyneuropathy: a retrospective cross-sectional study
title_fullStr Comparison of diagnostic value of nerve conduction studies and F-wave in patients with diabetic polyneuropathy: a retrospective cross-sectional study
title_full_unstemmed Comparison of diagnostic value of nerve conduction studies and F-wave in patients with diabetic polyneuropathy: a retrospective cross-sectional study
title_short Comparison of diagnostic value of nerve conduction studies and F-wave in patients with diabetic polyneuropathy: a retrospective cross-sectional study
title_sort comparison of diagnostic value of nerve conduction studies and f wave in patients with diabetic polyneuropathy a retrospective cross sectional study
topic f-wave
nerve conduction studies
polyneuropathy
url https://mj.tbzmed.ac.ir/PDF/mj-43-1-69.pdf
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AT hamidazadeh comparisonofdiagnosticvalueofnerveconductionstudiesandfwaveinpatientswithdiabeticpolyneuropathyaretrospectivecrosssectionalstudy