Presenter: Salim Hirani (BCUHB, United Kingdom)
Presentation Type: Oral Presentation
Title: Placement of reference electrode position in motor nerveconduction study of ulnar nerve while recording from FDI
🔬 Presentation
Highlights
∙ Clinical Focus: Improving diagnostic accuracy in ulnar nerve
entrapment at the wrist and elbow.
∙ Challenge Addressed: Difficulty in reference electrode placement while
recording from the First Dorsal Interosseous (FDI) muscle due to positive
deflection.
∙ Study Design: Nerve conduction studies performed on 46 hands using
standardized departmental protocols.
∙ Comparative Analysis: Reference electrode placement evaluated at five
anatomical locations.
∙ Key Findings:
– FDI tendon at digit II showed consistent positive deflection.
– Thumb placement elevated baseline, affecting distal motor latency accuracy.
– ADM tendon at the base of digit V provided the clearest baseline and most
reliable results with higher amplitude ranges.
∙ Conclusion: Placement of the reference electrode at the ADM tendon
(digit V) is the most reliable method for accurate motor nerve conduction
studies of the ulnar nerve.
∙ Clinical Impact: Supports standardized electrode placement and
reinforces the need for normative data collection in neurophysiology practice.
👨⚕️ About
the Speaker
Salim Hirani is a highly experienced Neurophysiology professional with 28+
years of expertise in Neurophysiology and 5 years in Cardiopulmonary
diagnostics.
∙ BSc graduate from Karachi University, Pakistan
∙ Registered Technologist (ECNE Board, UK) and RCCP member
∙ Worked across three countries in Neurophysiology
∙ Established a new Neurophysiology Department at Torbay Hospital
∙ Published multiple peer-reviewed and open-access research papers, including a
well-recognized study on refined grading of Carpal Tunnel Syndrome (CTS)
🎓 What Will the
Audience Learn?
Participants will gain practical insights into accurate reference electrode
placement, its impact on nerve conduction results, and the importance of
aligning techniques with normative neurophysiological data.
🔗 Join the Conference
Event: International Conference on Neurology and Neuroscience
📅 March 23–25, 2026
📍 Singapore & Online
🧬 Submit Abstract: https://neurocareconference.com/abstract-submission
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