PHYSICALAGENTS
&
ELECTROTHERAPY-
1
Dr. Iqra Nazir PT
DPT
Lecturer at University of Lahore
Lecture 1
Nerve Conduction Study
(NCS)
NCS is a test commonly used to evaluate the function of
the motor and sensory nerves of the human body.
Nerve conduction velocity (NCV) is a
common measurement made during this test.
Nerve Conduction Study (NCS)
Some indications of nerve conduction studies are:
—Symptoms indicative of nerve damage
as numbness, weakness.
—Differentiation between local or diffuse
disease process (mononeuropathy or
polyneuropathy).
—Get prognostic information on the type
and extent of nerve injury.
Nerve Conduction Study (NCS)
Electrodes:
Skin will be cleaned
Electrodes will be taped to the skin along the
nerves that are being studied
Stimulus:
Small stimulus is applied (electric current) by
stimulating electrode that activate nerves
Procedure
The recording electrodes will measure the
current that travels down the nerve pathway
The ground electrode stabilizes the electrical
circuit between the stimulating and recording
electrodes, your recordings may not be external
electrical signals.
The procedure takes about 30-90 minutes
Procedure
If damaged?
If the nerve damaged, the recording will be slower and weaker
Complications
No reported complication from the procedure
expect feeling discomfort from electrical current, but not
painful
Description of Procedure
When a nerve fiber is degenerating, conductivity is
lost distal to the lesion within a few days, and this
give some indication of state of lesion and possible
prognosis.
Nerve Conductivity
• With lesion in which degeneration does not
occur, it may be possible to determine the level at
which impulses are blocked by testing at different
points on nerve trunk.
Nerve Conductivity
Nerve conduction velocity (NCV) is a
common measurement made during this test.
The speed with which an impulse is transmitted
along a nerve fiber and contract a muscle, This can be
measured with suitable equipment called
Electromyography.
Both tests help find the presence, location, and extent
of diseases that damage the nerves and muscles.
Conduction Speed
 The test is not invasive.
 No contraindication to the procedure, but if there
is an artificial pacemaker, appropriate
precautions should be taken.
 Anesthesia is not used for this
procedure.
 No special post procedure precautions.
 The test is sometimes combined with
Electromyography (EMG).
.
Important points about NCS
Median nerves (R & L) at:
Wrist
Elbow
Ulnar nerves (R & L) at:
Wrist
Elbow
Stimulating sites
Peroneal nerves (R & L) at:
Ankle
Stimulating sites
Median nerves (R & L) at;
 index finger
 thumb
Ulnar nerves (R & L) at;
 little finger
 ring finger
Recording site
Peroneal nerves (R & L) at:
Dorsum of the foot, typically between the 1st and 2nd
metatarsals
Recording site
 Scott PM. Clayton’s electrotherapy and
actinotherapy. 9th ed. USA: Williams & Wilkins:
1980.
 Singh J. Textbook of electrotherapy. 2nd ed. India:
Jaypee; 2012
REFERENCE BOOK

NCS.pptxmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

  • 2.
    PHYSICALAGENTS & ELECTROTHERAPY- 1 Dr. Iqra NazirPT DPT Lecturer at University of Lahore Lecture 1
  • 3.
  • 4.
    NCS is atest commonly used to evaluate the function of the motor and sensory nerves of the human body. Nerve conduction velocity (NCV) is a common measurement made during this test. Nerve Conduction Study (NCS)
  • 5.
    Some indications ofnerve conduction studies are: —Symptoms indicative of nerve damage as numbness, weakness. —Differentiation between local or diffuse disease process (mononeuropathy or polyneuropathy). —Get prognostic information on the type and extent of nerve injury. Nerve Conduction Study (NCS)
  • 6.
    Electrodes: Skin will becleaned Electrodes will be taped to the skin along the nerves that are being studied Stimulus: Small stimulus is applied (electric current) by stimulating electrode that activate nerves Procedure
  • 7.
    The recording electrodeswill measure the current that travels down the nerve pathway The ground electrode stabilizes the electrical circuit between the stimulating and recording electrodes, your recordings may not be external electrical signals. The procedure takes about 30-90 minutes Procedure
  • 10.
    If damaged? If thenerve damaged, the recording will be slower and weaker Complications No reported complication from the procedure expect feeling discomfort from electrical current, but not painful Description of Procedure
  • 11.
    When a nervefiber is degenerating, conductivity is lost distal to the lesion within a few days, and this give some indication of state of lesion and possible prognosis. Nerve Conductivity
  • 12.
    • With lesionin which degeneration does not occur, it may be possible to determine the level at which impulses are blocked by testing at different points on nerve trunk. Nerve Conductivity
  • 13.
    Nerve conduction velocity(NCV) is a common measurement made during this test. The speed with which an impulse is transmitted along a nerve fiber and contract a muscle, This can be measured with suitable equipment called Electromyography. Both tests help find the presence, location, and extent of diseases that damage the nerves and muscles. Conduction Speed
  • 14.
     The testis not invasive.  No contraindication to the procedure, but if there is an artificial pacemaker, appropriate precautions should be taken.  Anesthesia is not used for this procedure.  No special post procedure precautions.  The test is sometimes combined with Electromyography (EMG). . Important points about NCS
  • 15.
    Median nerves (R& L) at: Wrist Elbow Ulnar nerves (R & L) at: Wrist Elbow Stimulating sites
  • 16.
    Peroneal nerves (R& L) at: Ankle Stimulating sites
  • 18.
    Median nerves (R& L) at;  index finger  thumb Ulnar nerves (R & L) at;  little finger  ring finger Recording site
  • 19.
    Peroneal nerves (R& L) at: Dorsum of the foot, typically between the 1st and 2nd metatarsals Recording site
  • 20.
     Scott PM.Clayton’s electrotherapy and actinotherapy. 9th ed. USA: Williams & Wilkins: 1980.  Singh J. Textbook of electrotherapy. 2nd ed. India: Jaypee; 2012 REFERENCE BOOK