caa a22 4500 445831391 CHVBK 20180317145316.0 cr unu---uuuuu 170323e20110601xx s 000 0 eng 10.1007/s00586-010-1681-6 doi (NATIONALLICENCE)springer-10.1007/s00586-010-1681-6 Quantification of the Trömner signs: a sensitive marker for cervical spondylotic myelopathy [Elektronische Daten] [Chein-Wei Chang, Kai-Yin Chang, Swei-Ming Lin] The Trömner sign is commonly used as a clinical neurological examination for upper motor neuron lesions above the fifth or sixth cervical segments of the spinal cord. This study aims to assess and quantify the Trömner signs utilizing electrophysiological test, and correlate to the severity of cord compression in cervical spondylotic myelopathy (CSM). We enlisted 46 CSM patients, and 30 healthy persons as controls. Manual Trömner and Hoffmann signs were tested in all subjects. By using a self-designed instrument, we performed electrophysiological assessments for the Trömner signs in patients and controls. Parameters of conduction latencies and amplitude of muscle action potentials were measured and compared with the cord compression ratios in CSM patients. The results showed a greater diagnostic sensitivity for the quantified Trömner signs in comparison to those of manual Trömner signs and Hoffmann signs. We found a positive correlation between the amplitude of muscle action potentials obtained in the Trömner signs and the cord compression ratios in the patients with CSM. In conclusion, the Trömner signs can be measured by electrophysiological assessments. We demonstrate a new quantification method for an established neurological sign. Not only is Trömner sign a highly sensitive test in clinical neurological examination, the electrophysiological assessment of this sign can also serve as an objective marker for evaluation of the severity of cervical cord compression. Springer-Verlag, 2011 Trömner sign nationallicence Neurological reflex nationallicence Neurophysiology nationallicence Cervical spondylotic myelopathy nationallicence Chang Chein-Wei Section of Neurorehabilitation, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan aut Chang Kai-Yin Institute of Information Management, National Chiao-Tung University, Hsin-Chu, Taiwan aut Lin Swei-Ming Department of Neurosurgery, National Taiwan University Hospital, Taipei, Taiwan aut European Spine Journal Springer-Verlag 20/6(2011-06-01), 923-927 0940-6719 20:6<923 2011 20 586 https://doi.org/10.1007/s00586-010-1681-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-010-1681-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Chang Chein-Wei Section of Neurorehabilitation, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan aut NATIONALLICENCE 700 1- Chang Kai-Yin Institute of Information Management, National Chiao-Tung University, Hsin-Chu, Taiwan aut NATIONALLICENCE 700 1- Lin Swei-Ming Department of Neurosurgery, National Taiwan University Hospital, Taipei, Taiwan aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/6(2011-06-01), 923-927 0940-6719 20:6<923 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer