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The lower limbs have a higher threshold than the upper limbs, so a stronger stimulus is needed. For accuracy, homologous sites on both the left and right side of the body need to be tested. The person may lose some perception of pallesthesia when switching sides, probably due to sensory adaptation , as the receptors require a larger threshold ...
Physiologic tremor is a tremor or trembling of a limb or other body part. The recorded frequency is in the range of 8-12Hz. It occurs in normal individuals, especially when they are stressed by anxiety or fatigue.
The major tissues affected are nerves and muscles, where irreversible damage starts to occur after 4–6 hours of cessation of blood supply. [4] Skeletal muscle, the major tissue affected, is still relatively resistant to infarction compared to the heart and brain because its ability to rely on anaerobic metabolism by glycogen stored in the cells may supply the muscle tissue long enough for ...
Rhythmic movement disorder differs from Restless Legs Syndrome in that RMD involves involuntary contractions of muscles with no urge or uncomfortable sensation to provoke such movement. Additionally, 80-90% of individuals with Restless Legs Syndrome show periodic limb movements as observed on a polysomnogram, which are not common in RMD patients.
Proximal diabetic neuropathy, also known as diabetic amyotrophy, is a complication of diabetes mellitus that affects the nerves that supply the thighs, hips, buttocks and/or lower legs. Proximal diabetic neuropathy is a type of diabetic neuropathy characterized by muscle wasting, weakness, pain, or changes in sensation/numbness of the leg.
A patient sits comfortably with the treatment leg elevated. A fine needle electrode is inserted into the lower, inner aspect of the leg, slightly cephalad/rostral to the medial malleolus. As the goal is to send stimulation through the tibial nerve, it is important to have the needle electrode near (but not on) the tibial nerve.