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Practice Parameter and Literature Review of the Usefulness of ...

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<strong>Practice</strong> <strong>Parameter</strong>: Carpal Tunnel SyndromeTable 4. Median Motor Nerve Conduction BetweenWrist <strong>and</strong> Palm in CTS.Author Kimura 130 Di Guglielmo <strong>and</strong>colleagues 59Year 1979 1997Number <strong>of</strong> NormalH<strong>and</strong>s (subjects)122 (61) 88 (69)Normal Subject’sAge: Mean (range)43 (15 to 60) 40 (20 to 86)Number <strong>of</strong> CTS172 (105) 294 (198)H<strong>and</strong>s (patients)CTS Subjects Age:Mean (range)48 (20 to 78) 46 (13 to 84)TechniqueAnatomical Anatomicall<strong>and</strong>marks l<strong>and</strong>marksProximal Stimulation1-2 cm proximal toWrist creaseSitewrist creaseDistal Stimulation Site Palm3 cm distal to wristcreaseRecording Site APB APBMinimum H<strong>and</strong>Temperature34°C 32°CMedian Motor CV ±SD49.0 ± 5.7 46.7 ± 5.8Criteria for AbnormalValueMean – 2 SD Mean – 2 SDAbnormal Value

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