H-Reflex latency in uremic neuropathy: Correlation with NCV and clinical findings

E. M. Halar, F. V. Brozovich, J. Milutinovic, V. L. Inouye, V. M. Becker

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

62 uremic patients on dialysis of varying durations were tested bilaterally for posterior tibial nerve H-reflex latency, at 3-month intervals. Bilateral nerve conduction velocities (NCVs) of the peroneal, tibial, and sural nerves were concomitantly determined in all subjects. Proprioception sense, vibration perception threshold at the great toes, and deep tendon reflexes at the knee and ankle were determined in all subjects on the day of electrodiagnostic testing. The sensitivity of the H-reflex latency in detection of the onset and severity of uremic neuropathy was assessed. H-reflex latency changes were compared to NCV and clinical test results. The following was found: of the parameters studied, the H-reflex latency appeared to be the most sensitive indicator of early uremic polyneuropathis; electrodiagnostic tests were more sensitive to the onset of neuropathies than the clinical testing parameters studied; and the sural sensory nerve appeared to be involved earlier than peroneal and tibial motor nerves in neuropathies studied.

Original languageEnglish (US)
Pages (from-to)174-177
Number of pages4
JournalArchives of Physical Medicine and Rehabilitation
Volume60
Issue number4
StatePublished - 1979
Externally publishedYes

Fingerprint

H-Reflex
Neural Conduction
Tibial Nerve
Sural Nerve
Hallux
Proprioception
Stretch Reflex
Peroneal Nerve
Vibration
Ankle
Dialysis
Knee

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Halar, E. M., Brozovich, F. V., Milutinovic, J., Inouye, V. L., & Becker, V. M. (1979). H-Reflex latency in uremic neuropathy: Correlation with NCV and clinical findings. Archives of Physical Medicine and Rehabilitation, 60(4), 174-177.

H-Reflex latency in uremic neuropathy : Correlation with NCV and clinical findings. / Halar, E. M.; Brozovich, F. V.; Milutinovic, J.; Inouye, V. L.; Becker, V. M.

In: Archives of Physical Medicine and Rehabilitation, Vol. 60, No. 4, 1979, p. 174-177.

Research output: Contribution to journalArticle

Halar, EM, Brozovich, FV, Milutinovic, J, Inouye, VL & Becker, VM 1979, 'H-Reflex latency in uremic neuropathy: Correlation with NCV and clinical findings', Archives of Physical Medicine and Rehabilitation, vol. 60, no. 4, pp. 174-177.
Halar, E. M. ; Brozovich, F. V. ; Milutinovic, J. ; Inouye, V. L. ; Becker, V. M. / H-Reflex latency in uremic neuropathy : Correlation with NCV and clinical findings. In: Archives of Physical Medicine and Rehabilitation. 1979 ; Vol. 60, No. 4. pp. 174-177.
@article{67a33b21abce4b7bbf8a210acb687873,
title = "H-Reflex latency in uremic neuropathy: Correlation with NCV and clinical findings",
abstract = "62 uremic patients on dialysis of varying durations were tested bilaterally for posterior tibial nerve H-reflex latency, at 3-month intervals. Bilateral nerve conduction velocities (NCVs) of the peroneal, tibial, and sural nerves were concomitantly determined in all subjects. Proprioception sense, vibration perception threshold at the great toes, and deep tendon reflexes at the knee and ankle were determined in all subjects on the day of electrodiagnostic testing. The sensitivity of the H-reflex latency in detection of the onset and severity of uremic neuropathy was assessed. H-reflex latency changes were compared to NCV and clinical test results. The following was found: of the parameters studied, the H-reflex latency appeared to be the most sensitive indicator of early uremic polyneuropathis; electrodiagnostic tests were more sensitive to the onset of neuropathies than the clinical testing parameters studied; and the sural sensory nerve appeared to be involved earlier than peroneal and tibial motor nerves in neuropathies studied.",
author = "Halar, {E. M.} and Brozovich, {F. V.} and J. Milutinovic and Inouye, {V. L.} and Becker, {V. M.}",
year = "1979",
language = "English (US)",
volume = "60",
pages = "174--177",
journal = "Archives of Physical Medicine and Rehabilitation",
issn = "0003-9993",
publisher = "W.B. Saunders Ltd",
number = "4",

}

TY - JOUR

T1 - H-Reflex latency in uremic neuropathy

T2 - Correlation with NCV and clinical findings

AU - Halar, E. M.

AU - Brozovich, F. V.

AU - Milutinovic, J.

AU - Inouye, V. L.

AU - Becker, V. M.

PY - 1979

Y1 - 1979

N2 - 62 uremic patients on dialysis of varying durations were tested bilaterally for posterior tibial nerve H-reflex latency, at 3-month intervals. Bilateral nerve conduction velocities (NCVs) of the peroneal, tibial, and sural nerves were concomitantly determined in all subjects. Proprioception sense, vibration perception threshold at the great toes, and deep tendon reflexes at the knee and ankle were determined in all subjects on the day of electrodiagnostic testing. The sensitivity of the H-reflex latency in detection of the onset and severity of uremic neuropathy was assessed. H-reflex latency changes were compared to NCV and clinical test results. The following was found: of the parameters studied, the H-reflex latency appeared to be the most sensitive indicator of early uremic polyneuropathis; electrodiagnostic tests were more sensitive to the onset of neuropathies than the clinical testing parameters studied; and the sural sensory nerve appeared to be involved earlier than peroneal and tibial motor nerves in neuropathies studied.

AB - 62 uremic patients on dialysis of varying durations were tested bilaterally for posterior tibial nerve H-reflex latency, at 3-month intervals. Bilateral nerve conduction velocities (NCVs) of the peroneal, tibial, and sural nerves were concomitantly determined in all subjects. Proprioception sense, vibration perception threshold at the great toes, and deep tendon reflexes at the knee and ankle were determined in all subjects on the day of electrodiagnostic testing. The sensitivity of the H-reflex latency in detection of the onset and severity of uremic neuropathy was assessed. H-reflex latency changes were compared to NCV and clinical test results. The following was found: of the parameters studied, the H-reflex latency appeared to be the most sensitive indicator of early uremic polyneuropathis; electrodiagnostic tests were more sensitive to the onset of neuropathies than the clinical testing parameters studied; and the sural sensory nerve appeared to be involved earlier than peroneal and tibial motor nerves in neuropathies studied.

UR - http://www.scopus.com/inward/record.url?scp=0018412536&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0018412536&partnerID=8YFLogxK

M3 - Article

C2 - 224838

AN - SCOPUS:0018412536

VL - 60

SP - 174

EP - 177

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

SN - 0003-9993

IS - 4

ER -