NCV FIELD ATLASEvidence-based nerve conduction learning Open in the interactive 3D atlas
Sensory study Upper limb

Medial antebrachial cutaneous sensory nerve conduction study

Record from the medial forearm and stimulate at the elbow between the medial epicondyle and distal biceps tendon.

01 · Placement

G1, G2, stimulation and ground landmarks

G2 reference electrode

G2: 3 cm distal bar electrode

Use a bar electrode with G2 3 cm distal to G1.

Table 2 · p.373 ↗
Stimulation site

Stimulation: between medial epicondyle and biceps tendon

Stimulate midway between the medial epicondyle and distal biceps tendon, 10 cm from G1.

Table 2 · p.373 ↗
Ground region

Ground electrode region

AANEM places the ground between the stimulating and recording electrodes. The model shows a usable medial forearm region, not a single mandatory point.

Table 2 · p.373 ↗

02 · Reference values

Adult normal limits

MeasureReference limitBasis
SNAP onset-to-peak ≥4 µV 3rd percentile lower limit
SNAP peak-to-peak ≥3 µV 3rd percentile lower limit
Onset latency ≤2.6 ms 97th percentile upper limit

03 · Technique

Acquisition conditions

Fixed distance G1 to stimulation site: 10 cm
Sensitivity 10 µV/div
Filter 20 Hz–2 kHz
Sweep 1 ms/div
Temperature Maintain dorsal hand skin temperature >32°C
Ground Place the ground between the stimulating and recording electrodes

Primary evidence

Method-matched AANEM reference data

Adult medial antebrachial cutaneous sensory reference values.

Open Table 3, p.374 ↗