Utilidad de las ondas F en el diagnóstico de radiculopatía
Palabras clave:
ondas F, radiculopatía, electromiografíaResumen
Las ondas F son respuestas tardías fácilmente obtenibles y reproducibles, que pueden contribuir al diagnostico de radiculopatias. Existen unos nueve parámetros que se pueden evaluar de las ondas F y no solamente la latencia mínima, con lo cual la precisión diagnostica se puede mejorar. En el presente artículo se revisaran los conceptos fisiológicos básicos de las ondas F, así como la bibliografía a favor y en contra de la utilidad de esta prueba para complementar el diagnostico electrofisiológico de radiculopatia.
Referencias bibliográficas
1. Dumitru D. Amato A, Zwarts M. Electrodiagnostic Medicine. Second Edition, 2002. Hanley&Belfus, Philadephia.
2. Chious Tan F. Emg Secrets. 2003. Hanley And Belfus Medical Publishers
3. Kimura J, Electrodiagnosis in diseases of nerve and muscle: principles and practice. Third edition, 2001.Oxford University Press.
4. Oh Shin. Clinical Electromyography: Nerve Conduction Studies, 2003. Lippincott, Williams and Wilkins. Philadelphia.
5. Fisher M. El e c t rophysiology of radiculopathies. Clin Neurophys 2002; 113: 317–335.
6. Magladery JW, McDougal Jr DB. Electrophysiological studies of nerve and reflex activity in normal man: identification of certain reflexes in the electromyogram and the conduction velocity of peripheral nerve fibers. Bull Johns Hopkins Hospital 1950;86:265 90.
7. Puksa L, Stalberg E, Falck B.Reference values of F wave parameters in healthy subjects, 2003; 114: 1079–1090
8. Kong X, Bansal P, Megerian JT, Gozani SN. Peroneal F-wave characteristics under submaximal stimulation 2006; 1:1-13.
9. DiBenedetto M, Gale SD, Adarmes D. F-Wave Acquisition using low-current stimulation. Muscle Nerve 2003;28:82-86.
10. Fisher M. issues & opinions the contemporary role of F-wave studies FWave Studies: Clinical Utility., 1998; 8:1098-1101
11. F. Fisher MA, Hoffen B, Hultman C: Normative Fwave values and the number of recorded F waves. Muscle Nerve 1994;17: 1185–1189
12. Taniguchi MH, Hayes J, Rodriguez AA. Reliability determination of F mean response latency. Arch Phys Med Rehabil. 1993; 74:1139-43
13.Puksa L, Stalberg E, Falck B. Referencevalues of F wave parameters in healthy subjects Clin Neurophys, 2003;114:1079-90.
14. Maciel J, Spinola D, Mastrocola G, Kimura J. Various aspects of F-wave values in a healthy population. Clin Neurophys, 2004; 115: 2336–2342
15. Espiritu M, Lin C, Burke D. Motoneuron Excitability And The F Wave. Muscle Nerve 2003; 27: 720–727.
16. Panayiotopoulos C, Chroni E. F-waves in clinical neurophysiology: a review, methodological issues and overall value in peripheral neuropathies. Electroenceph Clin Neurophys, 1996; 101: 365-374
17. Fox J, Hitchcock E. F wave size as a monitor of motor neuron excitability: the effect of deafferentation. J Neurol, Neurosurg Psych 1987;50:453-459
18.Wedekind C, Ullrich R, Klug N. F-wave amplitudes indicate evolving spinal autonomy during spontaneous recovery of hindlimb function in rat spinal cord contusion. Spinal Cord, 2006; 44: 44–48.
19. Ohgaki K, Nakano K, Shigeta H, et al. Ratio of Motor Nerve Conduction Velocity to F-Wave Conduction Velocity in Diabetic Neuropathy Diabetes Care, 1998; 21: 616-618
20. Spinola D, Mastrocola G, Maciel J. Reproducibility in nerve conduction studies and F-wave analysis. Clin Neurophys, 2008; 119: 2070–2073
21. Aminoff MJ, Goodin DS, Parry GJ, Barbaro NM, Weinstein PR, Rosenblum ML. Electrophysiologic evaluation of lumbosacral radiculopathies: electromyography, late responses, and somatosensory evoked potentials. Neurology 1985;35:1514–8.
22. Rivner M. F-Wave Studies: Limitations Muscle&Nerve, 1998; Aug: 1101-04
23. Toyokura M, Ishida A, Murakami K. Follow-up study on F-wave in patients with lumbosacral radiculopathy: comparison between before and after surgery. Electromyogr Clin Neurophysiol 1996;36:207–214.
24. Toyokura M, Murakami K. F wave study in patients with lumbosacral radiculopathies. E l e c t romyog r C l i n Neurophys i o l 1997;37:19–26.
25. ToyokuraM, Furukawa T. F wave duration in mild S1 radiculopathy: comparison between the affected and unaffected sides Clinical Neurophysiology 2002; 113:1231–1235
26. Eisen A, Schomer D, Melmed C. An electrophysiological method for examining lumbosacral root compression. Can J Neurol Sci 1977;4: 117–23.
27.Weber F, Albert U. Electrodiagnostic e x a m i n a t i o n o f l u m b o s a c r a l radiculopathies. Electromyogr Clin Neurophysiol 2000;40:231–6.
28. Braune H-J,WunderlichMT. Diagnostic value of different neurophysiological methods in the assessment of lumbar nerve root lesions, Arch Phys Med Rehabil 1997; 78:518-20.
29. Weber F. The diagnostic sensitivity of different F wave parameters. J Neurol Neurosurg Psychiatry 1998;65:535–540
30. Fisher MA, Bajwa R, Somashekar KN. Routine e l e c t rodiagnosis and a multiparameter technique in lumbosacral radiculopathies. Acta Neurol Scand 2008: 118: 99–105.
32. Lo L, Chan L, Leoh T, LimW, Tan S, Tan C, Fook- Chong s. Diagnostic utility of F waves in cervical radiculopathy: Electrophysiological and magnetic resonance imaging correlation Clinical Neurology and Neurosurgery 2008; 110: 58–61
33. Bal S, Celiker R, Palaoglu S, Cila A: F wave studies of neurogenic intermittentclaudication in lumbar spinal stenosis. Am J Phys Med Rehabil 2006;85:135 140
34. Adamova B, Vohanka S, Dusek L. Differential diagnostics in patients with mild lumbar spinal stenosis: the contributions and limits of various tests. Eur Spine J, 2003;12 :190–196
35. Adamova B, Vohanka S, Dusek L. Dynamic electrophysiological examination in patients with lumbar spinal stenosis: Is it useful in clinical practice? Eur Spine J , 2005; 14 : 269–276
36. Chiodo A, Haig AJ, Yamakawa KSJ, Quint D, Tong, H, Choksi VR: Magnetic resonance imaging vs. electrodiagnostic root compromise in lumbar spinal stenosis: a masked controlled study. Am J Phys Med Rehabil 2008;87:789–797.
37. Hardy RW, Plank NM. Clinical diagnosis of herniated lumbar disc. In: Hardy RW, editor. Lumbar disc disease, New York: Raven, 1982. pp.17–28.
38.Wi l b o u r n A, Aminoff M, AAEE Minimonograph #32:The Electrophysiologic Examination In Patients With Radiculopathies Muscle&Nerve 1988; 11:1099-1114.
39. Levin K. Electrodiagnostic approach to the patient with suspected radiculopathy. Neurol ClinNAm, 2002; 20: 397–421
40.Gozani S, Kong X, Fisher M. Factors influencing F-wave latency detection of lumbosacral root lesions using a detection t h e o r y b a s e d mo d e l . C l i n i c a l Neurophysiology 2006, 117: 1449–1457
41. Braddom R, Johnson E. Standardization of H reflex and diagnost i c use in S1 radiculopathy. Arch PhysMed Rehabil 1974;55:161–6.
42. Schuchmann J. H reflex latency in radiculopathy. Arch Phys Med Rehabil 1978;59:1857.
43. Yuen TS, AminoffMJ, Olney RK. The role of thermography in the evaluation of lumbosacral radiculopathy. Neurology 1989;39:1154–8.
44. Alavian-ghavaniniM, Haghpanah S. Normal values of F wave in lower extremities of 73 healthy individuals in Iran. Electrom Clin Neurophys, 2000, 40; 375-379
45. Tsao B. The Electrodiagnosis of Cervical and Lumbosacral Radiculopathy, 2007; 25: 473–494
46. Rydevik BL, Brown MD, Lundborg G. Pathoanatomy and pathophysiology of nerve root compression. 1984; 9:7–15.
47. AminoffMJ. Electrophysiological evaluation of root and spinal cord disease. 2002;22:197–9.
48. Mebrahtu S, Rubin R. The utility of F wave chronodispersion in lumbosacral radiculopathy. ,1993; 240 : 427-429
48. Aiello I, Patraskakis S, Sau Gf et al. Diagnostic value of extensor digitorum brevis F-wave in L5 root compression. 1990;30:73-6.
49. Eisen A, Hoirch M, Moll A: Evaluation of radiculopathies by segmental stimulation and somatosensory evoked potentials. 1983; 10:178-182 .
50. Robinton J.E., Pearson J.M., Malloy M.J., Richards, R., Zamora, J. Diagnosis of Lumbar Radiculopathy by EMG, Nerve Conduction and Late Wave Testing, AANEM Poster. Muscle Nerve 2006
2. Chious Tan F. Emg Secrets. 2003. Hanley And Belfus Medical Publishers
3. Kimura J, Electrodiagnosis in diseases of nerve and muscle: principles and practice. Third edition, 2001.Oxford University Press.
4. Oh Shin. Clinical Electromyography: Nerve Conduction Studies, 2003. Lippincott, Williams and Wilkins. Philadelphia.
5. Fisher M. El e c t rophysiology of radiculopathies. Clin Neurophys 2002; 113: 317–335.
6. Magladery JW, McDougal Jr DB. Electrophysiological studies of nerve and reflex activity in normal man: identification of certain reflexes in the electromyogram and the conduction velocity of peripheral nerve fibers. Bull Johns Hopkins Hospital 1950;86:265 90.
7. Puksa L, Stalberg E, Falck B.Reference values of F wave parameters in healthy subjects, 2003; 114: 1079–1090
8. Kong X, Bansal P, Megerian JT, Gozani SN. Peroneal F-wave characteristics under submaximal stimulation 2006; 1:1-13.
9. DiBenedetto M, Gale SD, Adarmes D. F-Wave Acquisition using low-current stimulation. Muscle Nerve 2003;28:82-86.
10. Fisher M. issues & opinions the contemporary role of F-wave studies FWave Studies: Clinical Utility., 1998; 8:1098-1101
11. F. Fisher MA, Hoffen B, Hultman C: Normative Fwave values and the number of recorded F waves. Muscle Nerve 1994;17: 1185–1189
12. Taniguchi MH, Hayes J, Rodriguez AA. Reliability determination of F mean response latency. Arch Phys Med Rehabil. 1993; 74:1139-43
13.Puksa L, Stalberg E, Falck B. Referencevalues of F wave parameters in healthy subjects Clin Neurophys, 2003;114:1079-90.
14. Maciel J, Spinola D, Mastrocola G, Kimura J. Various aspects of F-wave values in a healthy population. Clin Neurophys, 2004; 115: 2336–2342
15. Espiritu M, Lin C, Burke D. Motoneuron Excitability And The F Wave. Muscle Nerve 2003; 27: 720–727.
16. Panayiotopoulos C, Chroni E. F-waves in clinical neurophysiology: a review, methodological issues and overall value in peripheral neuropathies. Electroenceph Clin Neurophys, 1996; 101: 365-374
17. Fox J, Hitchcock E. F wave size as a monitor of motor neuron excitability: the effect of deafferentation. J Neurol, Neurosurg Psych 1987;50:453-459
18.Wedekind C, Ullrich R, Klug N. F-wave amplitudes indicate evolving spinal autonomy during spontaneous recovery of hindlimb function in rat spinal cord contusion. Spinal Cord, 2006; 44: 44–48.
19. Ohgaki K, Nakano K, Shigeta H, et al. Ratio of Motor Nerve Conduction Velocity to F-Wave Conduction Velocity in Diabetic Neuropathy Diabetes Care, 1998; 21: 616-618
20. Spinola D, Mastrocola G, Maciel J. Reproducibility in nerve conduction studies and F-wave analysis. Clin Neurophys, 2008; 119: 2070–2073
21. Aminoff MJ, Goodin DS, Parry GJ, Barbaro NM, Weinstein PR, Rosenblum ML. Electrophysiologic evaluation of lumbosacral radiculopathies: electromyography, late responses, and somatosensory evoked potentials. Neurology 1985;35:1514–8.
22. Rivner M. F-Wave Studies: Limitations Muscle&Nerve, 1998; Aug: 1101-04
23. Toyokura M, Ishida A, Murakami K. Follow-up study on F-wave in patients with lumbosacral radiculopathy: comparison between before and after surgery. Electromyogr Clin Neurophysiol 1996;36:207–214.
24. Toyokura M, Murakami K. F wave study in patients with lumbosacral radiculopathies. E l e c t romyog r C l i n Neurophys i o l 1997;37:19–26.
25. ToyokuraM, Furukawa T. F wave duration in mild S1 radiculopathy: comparison between the affected and unaffected sides Clinical Neurophysiology 2002; 113:1231–1235
26. Eisen A, Schomer D, Melmed C. An electrophysiological method for examining lumbosacral root compression. Can J Neurol Sci 1977;4: 117–23.
27.Weber F, Albert U. Electrodiagnostic e x a m i n a t i o n o f l u m b o s a c r a l radiculopathies. Electromyogr Clin Neurophysiol 2000;40:231–6.
28. Braune H-J,WunderlichMT. Diagnostic value of different neurophysiological methods in the assessment of lumbar nerve root lesions, Arch Phys Med Rehabil 1997; 78:518-20.
29. Weber F. The diagnostic sensitivity of different F wave parameters. J Neurol Neurosurg Psychiatry 1998;65:535–540
30. Fisher MA, Bajwa R, Somashekar KN. Routine e l e c t rodiagnosis and a multiparameter technique in lumbosacral radiculopathies. Acta Neurol Scand 2008: 118: 99–105.
32. Lo L, Chan L, Leoh T, LimW, Tan S, Tan C, Fook- Chong s. Diagnostic utility of F waves in cervical radiculopathy: Electrophysiological and magnetic resonance imaging correlation Clinical Neurology and Neurosurgery 2008; 110: 58–61
33. Bal S, Celiker R, Palaoglu S, Cila A: F wave studies of neurogenic intermittentclaudication in lumbar spinal stenosis. Am J Phys Med Rehabil 2006;85:135 140
34. Adamova B, Vohanka S, Dusek L. Differential diagnostics in patients with mild lumbar spinal stenosis: the contributions and limits of various tests. Eur Spine J, 2003;12 :190–196
35. Adamova B, Vohanka S, Dusek L. Dynamic electrophysiological examination in patients with lumbar spinal stenosis: Is it useful in clinical practice? Eur Spine J , 2005; 14 : 269–276
36. Chiodo A, Haig AJ, Yamakawa KSJ, Quint D, Tong, H, Choksi VR: Magnetic resonance imaging vs. electrodiagnostic root compromise in lumbar spinal stenosis: a masked controlled study. Am J Phys Med Rehabil 2008;87:789–797.
37. Hardy RW, Plank NM. Clinical diagnosis of herniated lumbar disc. In: Hardy RW, editor. Lumbar disc disease, New York: Raven, 1982. pp.17–28.
38.Wi l b o u r n A, Aminoff M, AAEE Minimonograph #32:The Electrophysiologic Examination In Patients With Radiculopathies Muscle&Nerve 1988; 11:1099-1114.
39. Levin K. Electrodiagnostic approach to the patient with suspected radiculopathy. Neurol ClinNAm, 2002; 20: 397–421
40.Gozani S, Kong X, Fisher M. Factors influencing F-wave latency detection of lumbosacral root lesions using a detection t h e o r y b a s e d mo d e l . C l i n i c a l Neurophysiology 2006, 117: 1449–1457
41. Braddom R, Johnson E. Standardization of H reflex and diagnost i c use in S1 radiculopathy. Arch PhysMed Rehabil 1974;55:161–6.
42. Schuchmann J. H reflex latency in radiculopathy. Arch Phys Med Rehabil 1978;59:1857.
43. Yuen TS, AminoffMJ, Olney RK. The role of thermography in the evaluation of lumbosacral radiculopathy. Neurology 1989;39:1154–8.
44. Alavian-ghavaniniM, Haghpanah S. Normal values of F wave in lower extremities of 73 healthy individuals in Iran. Electrom Clin Neurophys, 2000, 40; 375-379
45. Tsao B. The Electrodiagnosis of Cervical and Lumbosacral Radiculopathy, 2007; 25: 473–494
46. Rydevik BL, Brown MD, Lundborg G. Pathoanatomy and pathophysiology of nerve root compression. 1984; 9:7–15.
47. AminoffMJ. Electrophysiological evaluation of root and spinal cord disease. 2002;22:197–9.
48. Mebrahtu S, Rubin R. The utility of F wave chronodispersion in lumbosacral radiculopathy. ,1993; 240 : 427-429
48. Aiello I, Patraskakis S, Sau Gf et al. Diagnostic value of extensor digitorum brevis F-wave in L5 root compression. 1990;30:73-6.
49. Eisen A, Hoirch M, Moll A: Evaluation of radiculopathies by segmental stimulation and somatosensory evoked potentials. 1983; 10:178-182 .
50. Robinton J.E., Pearson J.M., Malloy M.J., Richards, R., Zamora, J. Diagnosis of Lumbar Radiculopathy by EMG, Nerve Conduction and Late Wave Testing, AANEM Poster. Muscle Nerve 2006
Cómo citar
1.
Salinas F. Utilidad de las ondas F en el diagnóstico de radiculopatía. Rev. Colomb. Med. Fis. Rehabil. [Internet]. 19 de abril de 2012 [citado 19 de abril de 2024];19(2):69-76. Disponible en: https://revistacmfr.org/index.php/rcmfr/article/view/39
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