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Lower Extremity
Sensory H-Reflex
Patient Name
Age*
Sex*
Ht cm*
TmpR
TmpL
Sup Per Sensory
AM
Right
SD
Left
SD
Distal Distance
cm
Distal Latency
ms
Distal Amplitude
µv
Distal CV
m/s
Distal Pk Lat
ms
Distal Pk CV
m/s
Sural Sensory
BM
Right
SD
Left
SD
Distal Distance
cm
Distal Latency
ms
Distal Amplitude
µv
Distal CV
m/s
Distal Pk Lat
ms
Distal Pk CV
m/s
H-Reflex
Sol
Right
SD
Left
SD
H Latency
ms
H Amplitude
mv
Share your Norms
Send us your norms (NCS, MUP, SF, Macro, Surface EMG etc..) in an Excel Spreadsheet if you want to upload them on this site.
Email:
Joe F. Jabre, M.D.
and attach spreadsheet