18Feb 2017

THE STUDY OF H-REFLEX EFFICACY IN DIAGNOSIS OF LUMBOSACRAL RADICULOPATHY.

  • MD(Physiology),Associate Professor, Dept. of Physiology, Mahatma Gandhi Institute of Medical Sciences, Sevagram.
  • MD (Physiology), Professor and Head, Dept. of Physiology, AIIMS, Patna.
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Background: Electrophysiological studies are playing useful and valuable role in the diagnosis and prognosis of lumbosacral radiculopathies. The correct diagnosis of lumbosacral radiculopathy is very essential for administration of timely and appropriate treatment. H-reflex is one of the types of electrophysiologic studies helpful in diagnosis of lumbosacral radiculopathies. Hence,it is reasonable to evaluate the diagnostic efficacy of H-reflex study in lumbosacral radiculopathy. Objectives: The present study was undertaken to evaluate the diagnostic efficacy of various parameters of H-reflex in lumbosacral radiculopathy Methodology: In this cross- sectional study, a total of 283 subjects (168 males and 115 females) aged 40 years and above who were clinically diagnosed as having lumbosacral radiculopathy were enrolled after getting ethical approval and informed written consent. All the patients were subjected to electrophysiological evaluation using RMS EMG EP Mark –II machine in Clinical Neurophysiology unit, Department of Physiology through which their H-reflex study was conducted. Result: No statistically significant difference was observed between right and left sided values for all the H-reflex parameters tested(P >0.05). All parameters were found to have reliable sensitivity, specificity and accuracy in diagnosing lumbosacral radiculopathy Conclusion: H-reflex studies are useful supportive diagnostic tool for lumbosacral radiculopathy.


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[Sachin Pawar, Ramji Singh, Vinod Shende. (2017); THE STUDY OF H-REFLEX EFFICACY IN DIAGNOSIS OF LUMBOSACRAL RADICULOPATHY. Int. J. of Adv. Res. 5 (Feb). 848-852] (ISSN 2320-5407). www.journalijar.com


Dr Sachin Pawar
Dept. of Physiology, Mahatma Gandhi Institute of Medical Sciences, Sevagram

DOI:


Article DOI: 10.21474/IJAR01/3225      
DOI URL: http://dx.doi.org/10.21474/IJAR01/3225