Sex-Specific Differences in Peripheral Nerve Properties: A Comparative Analysis of Conduction Velocity and Cross-Sectional Area in Upper and Lower Limbs

<b>Background/Objectives:</b> Peripheral nerve conduction velocity (NCV) and nerve cross-sectional area (nCSA) are crucial parameters in neurophysiological assessments, yet their sex-specific differences are not fully understood. This study investigated sex-based variations in NCV and nC...

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Main Authors: Ayaka Nobue, Masaki Ishikawa
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/14/23/2711
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author Ayaka Nobue
Masaki Ishikawa
author_facet Ayaka Nobue
Masaki Ishikawa
author_sort Ayaka Nobue
collection DOAJ
description <b>Background/Objectives:</b> Peripheral nerve conduction velocity (NCV) and nerve cross-sectional area (nCSA) are crucial parameters in neurophysiological assessments, yet their sex-specific differences are not fully understood. This study investigated sex-based variations in NCV and nCSA between upper and lower limbs. <b>Methods:</b> Twenty participants (ten males and ten females) were recruited for this study. The NCV and nCSA of the ulnar and tibial nerves were measured in both the upper and lower limbs. NCV was measured using supramaximal electric stimulation, and nCSA was assessed using peripheral nerve ultrasonography at three regions for each nerve. Supramaximal electric stimulations were applied superficially to the ulnar and tibial nerves at each measurement point. Action potentials were recorded from the abductor digiti minimi and soleus muscles for the ulnar and tibial nerves, respectively. <b>Results:</b> The ulnar nCSA of the upper limbs was significantly greater in males than in females (<i>p</i> < 0.05). However, ulnar NCV was significantly higher in females than in males (<i>p</i> < 0.05). In the lower limbs, no sex differences were observed in tibial NCV or nCSA. <b>Conclusions:</b> These findings reveal sex-specific differences in upper limb peripheral nerve characteristics that may have important implications for clinical assessments and treatment strategies. The contrasting patterns between upper and lower limbs suggest that both developmental and functional factors influence peripheral nerve properties.
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spelling doaj-art-a024b9cd14e5494e83611495f26d5c432025-08-20T01:55:38ZengMDPI AGDiagnostics2075-44182024-11-011423271110.3390/diagnostics14232711Sex-Specific Differences in Peripheral Nerve Properties: A Comparative Analysis of Conduction Velocity and Cross-Sectional Area in Upper and Lower LimbsAyaka Nobue0Masaki Ishikawa1Faculty of Medical Science Technology, Morinomiya University of Medical Sciences, Osaka 559-8611, JapanGraduate School of Sport and Exercise Sciences, Osaka University of Health and Sport Sciences, Osaka 590-0459, Japan<b>Background/Objectives:</b> Peripheral nerve conduction velocity (NCV) and nerve cross-sectional area (nCSA) are crucial parameters in neurophysiological assessments, yet their sex-specific differences are not fully understood. This study investigated sex-based variations in NCV and nCSA between upper and lower limbs. <b>Methods:</b> Twenty participants (ten males and ten females) were recruited for this study. The NCV and nCSA of the ulnar and tibial nerves were measured in both the upper and lower limbs. NCV was measured using supramaximal electric stimulation, and nCSA was assessed using peripheral nerve ultrasonography at three regions for each nerve. Supramaximal electric stimulations were applied superficially to the ulnar and tibial nerves at each measurement point. Action potentials were recorded from the abductor digiti minimi and soleus muscles for the ulnar and tibial nerves, respectively. <b>Results:</b> The ulnar nCSA of the upper limbs was significantly greater in males than in females (<i>p</i> < 0.05). However, ulnar NCV was significantly higher in females than in males (<i>p</i> < 0.05). In the lower limbs, no sex differences were observed in tibial NCV or nCSA. <b>Conclusions:</b> These findings reveal sex-specific differences in upper limb peripheral nerve characteristics that may have important implications for clinical assessments and treatment strategies. The contrasting patterns between upper and lower limbs suggest that both developmental and functional factors influence peripheral nerve properties.https://www.mdpi.com/2075-4418/14/23/2711nerve conduction velocitysexgenderultrasonographyperipheral nervous system
spellingShingle Ayaka Nobue
Masaki Ishikawa
Sex-Specific Differences in Peripheral Nerve Properties: A Comparative Analysis of Conduction Velocity and Cross-Sectional Area in Upper and Lower Limbs
Diagnostics
nerve conduction velocity
sex
gender
ultrasonography
peripheral nervous system
title Sex-Specific Differences in Peripheral Nerve Properties: A Comparative Analysis of Conduction Velocity and Cross-Sectional Area in Upper and Lower Limbs
title_full Sex-Specific Differences in Peripheral Nerve Properties: A Comparative Analysis of Conduction Velocity and Cross-Sectional Area in Upper and Lower Limbs
title_fullStr Sex-Specific Differences in Peripheral Nerve Properties: A Comparative Analysis of Conduction Velocity and Cross-Sectional Area in Upper and Lower Limbs
title_full_unstemmed Sex-Specific Differences in Peripheral Nerve Properties: A Comparative Analysis of Conduction Velocity and Cross-Sectional Area in Upper and Lower Limbs
title_short Sex-Specific Differences in Peripheral Nerve Properties: A Comparative Analysis of Conduction Velocity and Cross-Sectional Area in Upper and Lower Limbs
title_sort sex specific differences in peripheral nerve properties a comparative analysis of conduction velocity and cross sectional area in upper and lower limbs
topic nerve conduction velocity
sex
gender
ultrasonography
peripheral nervous system
url https://www.mdpi.com/2075-4418/14/23/2711
work_keys_str_mv AT ayakanobue sexspecificdifferencesinperipheralnervepropertiesacomparativeanalysisofconductionvelocityandcrosssectionalareainupperandlowerlimbs
AT masakiishikawa sexspecificdifferencesinperipheralnervepropertiesacomparativeanalysisofconductionvelocityandcrosssectionalareainupperandlowerlimbs