Comparing saphenous nerve conduction study techniques at the knee and at the ankle and their relationship to body mass index.
OBJECTIVE
To evaluate the saphenous sensory response by 2 methods and the correlation of obtaining responses bilaterally with body mass index (BMI).


METHODS
Twenty patients evaluated by 1 electromyographer and 10 patients evaluated by 2 blinded electromyographers.


METHODS
University electromyography laboratory.


METHODS
Thirty healthy adult volunteers.


METHODS
Saphenous sensory response with the recording electrode at the level of the medial malleolus, saphenous sensory response with the recording electrode at the level of the proximal tibia, and sural sensory response with the recording electrode posterior to the lateral malleolus.


METHODS
Sensory-evoked amplitude and distal latency.


RESULTS
The saphenous sensory response was obtained bilaterally at the knee in 77% of subjects, whereas it was obtained bilaterally at the ankle in only 50% of subjects (P<.05). BMI of greater than 25 kg/m2 resulted in more difficulty in obtaining the saphenous sensory response at the ankle compared with the response at the knee (P<.05).


CONCLUSIONS
The saphenous sensory response at the knee is more consistently obtained than the saphenous sensory response at the ankle, and it is not affected by BMI.
Chiodo
Anthony
A
Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI 48108, USA. tchiodo@umich.edu
Spiegelberg
Teresa
T
Tong
Henry C
HC
D000328:Adult; D000842:Ankle; D015992:Body Mass Index; D004576:Electromyography; D005260:Female; D006801:Humans; D007717:Knee; D008297:Male; D008875:Middle Aged; D009431:Neural Conduction / Q000502:physiology*; D012501:Saphenous Vein / Q000502:physiology*