Statistical methods of computing reference values for side-to-side differences in nerve conduction studies.

This study uses theoretic derivations, statistical simulations, and empirical estimations to compare two ways of deriving reference values for side-to-side differences in nerve conduction parameters of healthy subjects. The two methods involve using the side-to-side differences (STSD) and the absolu...

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Publicado en:American Journal of Physical Medicine & Rehabilitation Vol. 75; no. 6; pp. 437 - 443
Autores principales: Chang AS, Dillingham TR, Yu KF
Formato: equations & formulas research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins 1996 Nov-Dec
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 1996 Nov-Dec
      vid: 75
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        107327465
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        10.1097/00002060-199611000-00007
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        107327465
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        atl: Statistical methods of computing reference values for side-to-side differences in nerve conduction studies.
      aug:
        au:
          Chang AS
          Dillingham TR
          Yu KF
        affil: Department of Clinical Investigations, Building 6, Room 4046, Walter Reed Army Medical Center, Georgia Avenue, Washington, DC 20307-5001
      sug:
        subj:
          Reference Values Methods
          Data Analysis, Statistical
          Neural Conduction
          Comparative Studies
          Mathematics
          Descriptive Statistics
          Simulations
          Human
      ab: This study uses theoretic derivations, statistical simulations, and empirical estimations to compare two ways of deriving reference values for side-to-side differences in nerve conduction parameters of healthy subjects. The two methods involve using the side-to-side differences (STSD) and the absolute values of the STSD (AVSTSD). The theoretic derivations showed that the population reference value of the AVSTSD is greater than the STSD reference values by 0.18%. Simulation studies showed that the AVSTSD yields greater sampling errors than the STSD method when establishing the reference values for nerve conduction parameters. However, the sampling variability is substantially reduced by using study samples of greater than 50, and the differences between the two methods in sampling errors are trivial as sample size approaches 100. Using H reflex (HR) and extensor digitorum brevis reflex (EDBR) clinical data, the two methods were compared. In contrast to the small theoretic differences in reference values, the AVSTSD method overestimated the reference value by 0.5 ms for the EDBR and 0.1 ms for the H reflex, when using data from a population sample, increasing the type II error (reducing sensitivity) for the EDBR. The STSD method is recommended for establishment of normal values and for clinical comparisons.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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