INTEREXAMINER AND INTRAEXAMINER RELIABILITY OF NERVE-CONDUCTION MEASUREMENTS IN PATIENTS WITH DIABETIC NEUROPATHY

被引:46
作者
CHAUDHRY, V [1 ]
CORSE, AM [1 ]
FREIMER, ML [1 ]
GLASS, JD [1 ]
MELLITS, ED [1 ]
KUNCL, RW [1 ]
QUASKEY, SA [1 ]
CORNBLATH, DR [1 ]
机构
[1] JOHNS HOPKINS UNIV, SCH MED, DEPT NEUROL, BALTIMORE, MD 21205 USA
关键词
D O I
10.1212/WNL.44.8.1459
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We determined the inter- and intraexaminer reliability of nerve conduction measurements in six patients with diabetic peripheral neuropathy. Each patient was examined by six electromyographers on two separate occasions at least 1 week apart. We obtained attributes of nerve conduction at each examination and analyzed the data by analysis of variance. Intraexaminer reliability was high for 11 of 12 measurements, and interexaminer reliability was high for eight of twelve. Three of the four measurements that varied between examiners were either sensory or motor amplitudes, attributes frequently used to measure disease progression or to assess the result of therapeutic intervention. Our results suggest that longitudinal nerve conduction measurements used to assess worsening or improvement over time should optimally be performed by a single examiner to minimize the degree of variability associated with different examiners.
引用
收藏
页码:1459 / 1462
页数:4
相关论文
共 17 条
[1]   CLINICAL NEUROPHYSIOLOGY OF GENERALIZED POLYNEUROPATHY [J].
ALBERS, JW .
JOURNAL OF CLINICAL NEUROPHYSIOLOGY, 1993, 10 (02) :149-166
[2]   ELECTROPHYSIOLOGIC CHANGES IN UREMIC NEUROPATHY AFTER SUCCESSFUL RENAL-TRANSPLANTATION [J].
BOLTON, CF .
NEUROLOGY, 1976, 26 (02) :152-161
[3]  
CARLISON S, 1993, NEUROLOGY, V43, P1141
[4]  
CARPENDALE MTF, 1956, ELECTRODIAGNOSIS CLI
[5]   INTER-EXAMINER AND INTRA-EXAMINER RELIABILITY OF NERVE-CONDUCTION MEASUREMENTS IN NORMAL SUBJECTS [J].
CHAUDHRY, V ;
CORNBLATH, DR ;
MELLITS, ED ;
AVILA, O ;
FREIMER, ML ;
GLASS, JD ;
REIM, J ;
RONNETT, GV ;
QUASKEY, SA ;
KUNCL, RW .
ANNALS OF NEUROLOGY, 1991, 30 (06) :841-843
[6]  
DAUBE JR, 1986, ELECTRODIAGNOSIS CLI, P265
[7]   SOURCES OF ERROR IN MOTOR NERVE CONDUCTION STUDIES [J].
GASSEL, MM .
NEUROLOGY, 1964, 14 (09) :825-&
[8]   INTRAMUSCULAR NERVE ACTION POTENTIAL [J].
GUTMANN, L .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1969, 32 (03) :193-&
[9]   ALDOSE REDUCTASE INHIBITION IMPROVES NERVE-CONDUCTION VELOCITY IN DIABETIC-PATIENTS [J].
JUDZEWITSCH, RG ;
JASPAN, JB ;
POLONSKY, KS ;
WEINBERG, CR ;
HALTER, JB ;
HALAR, E ;
PFEIFER, MA ;
VUKADINOVIC, C ;
BERNSTEIN, L ;
SCHNEIDER, M ;
LIANG, KY ;
GABBAY, KH ;
RUBENSTEIN, AH ;
PORTE, D .
NEW ENGLAND JOURNAL OF MEDICINE, 1983, 308 (03) :119-125
[10]   TAXOL CAUSES PERMANENT LARGE FIBER PERIPHERAL-NERVE DYSFUNCTION - A LESSON FOR PREVENTATIVE STRATEGIES [J].
KAPLAN, JG ;
EINZIG, AI ;
SCHAUMBURG, HH .
JOURNAL OF NEURO-ONCOLOGY, 1993, 16 (02) :105-107