Please cite this article in press as: Casanova I, et al. Motor excitability measurements: The influence of gender,
body mass index, age and temperature in healthy controls. Neurophysiologie Clinique/Clinical Neurophysiology (2014),
http://dx.doi.org/10.1016/j.neucli.2014.03.002
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Neurophysiologie Clinique/Clinical Neurophysiology (2014) xxx, xxx—xxx
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ORIGINAL ARTICLE/ARTICLE ORIGINAL
Motor excitability measurements: The
influence of gender, body mass index, age
and temperature in healthy controls
Mesures d’excitabilité des fibres motrices : influences du
sexe, de l’indice de masse corporelle, de l’âge et de la
température chez les sujets sains
I. Casanova , A. Diaz , S. Pinto , M. de Carvalho
*
Clinical and translational physiology unit, physiology institute, faculty of medicine, Instituto de Medicina
Molecular, university of Lisbon, avenue Professor Egas Moniz, 1649-028 Lisbon, Portugal
Received 29 June 2013; accepted 6 March 2014
KEYWORDS
Age;
Body mass index;
Nerve excitability;
Gender;
Temperature
Summary
Study aims. — The technique of threshold tracking to test axonal excitability gives information
about nodal and internodal ion channel function. We aimed to investigate variability of the
motor excitability measurements in healthy controls, taking into account age, gender, body
mass index (BMI) and small changes in skin temperature.
Materials and methods. — We examined the left median nerve of 47 healthy controls using
the automated threshold-tacking program, QTRAC. Statistical multiple regression analysis was
applied to test relationship between nerve excitability measurements and subject variables.
Results. — Comparisons between genders did not find any significant difference (P > 0.2 for all
comparisons). Multiple regression analysis showed that motor amplitude decreases with age and
temperature, stimulus-response slope decreases with age and BMI, and that accommodation
half-time decrease with age and temperature.
Conclusion. — The changes related to demographic features on TRONDE protocol parameters are
small and less important than in conventional nerve conduction studies. Nonetheless, our results
underscore the relevance of careful temperature control, and indicate that interpretation of
stimulus-response slope and accommodation half-time should take into account age and BMI.
In contrast, gender is not of major relevance to axonal threshold findings in motor nerves.
© 2014 Elsevier Masson SAS. All rights reserved.
∗
Corresponding author.
E-mail addresses: mamedemg@mail.telepac.pt, mamedemg@netcabo.pt (M. de Carvalho).
http://dx.doi.org/10.1016/j.neucli.2014.03.002
0987-7053/© 2014 Elsevier Masson SAS. All rights reserved.