E-norms: a method to extrapolate reference values from a laboratory population.

J Clin Neurophysiol

*Department of Neurology, Boston University School of Medicine, Boston, Massachusetts, U.S.A.; †Department of Clinical Neurophysiology, Great Ormond Street Hospital for children NHS Foundation Trust, London, United Kingdom; ‡Department of Neurophysiology, Queen's Hospital, Barking, Havering and Redbridge University Hospitals NHS Trust, London, United Kingdom; and §Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, Massachusetts, U.S.A.

Published: June 2015

AI Article Synopsis

  • The study explores a method called extrapolated norms (e-norms) to estimate reference values for Single Fiber EMG jitter in infants and children, addressing challenges in obtaining these values from pediatric populations.
  • The researchers calculated jitter statistics using data from the stable part of an inverted S curve and found that pediatric jitter averaged 22 ± 2.83 μs and adult jitter 21 ± 2.79 μs.
  • The results suggest that e-norms can effectively provide useful reference ranges for neuromuscular transmission disorders in difficult-to-sample populations like children.

Article Abstract

Purpose: Collecting reference values in subpopulations such as infants and children can pose a daunting challenge to gather through epidemiologic studies. The authors propose to evaluate a method the authors refer to as extrapolated norms (e-norms) to derive Stimulated Single Fiber EMG jitter reference values from the laboratory data of pediatric and adult cohorts. Single Fiber EMG studies are considered the gold standard test for evaluation of neuromuscular transmission disorders.

Methods: Data that lie in the plateau part of an inverted S curve derived from sorted jitter data were used to calculate descriptive statistics for pediatric and adult e-norms jitter.

Results: The e-norms derived jitter was 22 ± 2.83 μs for our pediatric and 21 ± 2.79 μs for our adult cohort. Our adult e-norms values compared favorably with the 22 ± 1.99 μs published jitter range derived from a healthy adult cohort.

Conclusions: The e-norms method the authors describe seems to be useful in recovering reference ranges when such values are difficult to obtain, such as in a pediatric subpopulation.

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Source
http://dx.doi.org/10.1097/WNP.0000000000000161DOI Listing

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