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Review on methodology and interpretation of results of motor evoked potentials induced with magnetic field or electrical stimuli recorded preoperatively or intraoperatively
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1
Department of Pathophysiology of Locomotors Organs, University of Medical Sciences, Poland
 
2
Faculty of Physics, Adam Mickiewicz University, Poland
 
 
Submission date: 2021-03-24
 
 
Final revision date: 2021-03-26
 
 
Acceptance date: 2021-03-26
 
 
Publication date: 2025-11-26
 
 
Corresponding author
Anna Garasz   

Department of Pathophysiology of Locomotors Organs, University of Medical Sciences, Poznań, Poland
 
 
Issue Rehabil. Orthop. Neurophysiol. Sport Promot. 2021;34
 
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ABSTRACT
Introduction. The method of motor evoked potentials recordings induced with magnetic field (MEP) and motor evoked potentials induced with electrical stimuli is particularly intensively used among clinical neurophysiology studies in last twenty years. Aim. The aim of the study is to review the practical usefulness of MEP in clinical diagnostics and present the most common examples of the application of this method, the possibility of modifications aimed at increasing non-invasiveness, safety and diagnostic precision. Material and Methods. Results of pilot tests of different variants of MEP recordings are presented preoperatively from muscles and nerves of the lower extremities in healthy volunteers (N=10) and patients with disc-root conflicts (N=15). Results. Pilot tests show that in healthy people after oververtebral stimulation with the magnetic field at the lumbar level, the MEP amplitude and latency parameters recorded from nerves compared to those recorded from muscles are characterized by lower values (amplitudes by about 50%, latencies with mean at about 3 ms) and the time duration is increased by approximately 20%. The variability of MEP parameters is similar in patients with disc-root conflict in preoperative diagnostics, even though mean amplitude values from muscles were lower in comparison to healthy control group. Conclusions. The MEP recording method from nerves vs. muscles after oververtebral stimulation with the magnetic field at the lumbar level in patients with disc-root conflict is diagnostically essential in cases of visible atrophic changes in muscles with symptoms of slight pathology in the transmission of nerve impulses in motor axons.
ISSN:2300-0767
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