Neuropack Configuration Settings Survey – NCS & EMG Name* First Last Title*Facility*Email* Phone*1. Nerve Conduction Studies (NCS) a. Below is a list of upper and lower extremity nerves for motor, sensory, and f-wave studies.Check any of the nerves you routinely perform.Upper & Lower Extremity -Motor Median - APB Ulnar - ADM Ulnar - FDI Radial - EIP Tibial - AH Tibial - ADQP Peroneal – EDB Peroneal – TA Upper & Lower Extremity -Sensory Median - Digit 2 Ulnar - Digit 5 Radial - Snuffbox Sural - Post.Ankle Superficial Peroneal - Lateral Ankle Saphenous - Medial Ankle Medial Plantar - Medial Ankle Lateral Plantar - Medial Ankle Lateral Femoral Cutaneous - Anterior Thigh Upper & LowerF-Waves Median Ulnar Tibial Peroneal Uncommon Nerves Musculocutaneous - Motor Musculocutaneous - Sensory Axillary - Motor Fibular - Motor Dorsal Ulnar Cutaneous - Sensory - D4-5 web space Lateral Antebrachial Cutaneous - Sensory - Lateral forearm Medial Antebrachial Cutaneous - Sensory - Medial Forearm Palmar – Mixed Nerve - Median Ulnar Mixed Plantar – Mixed Nerve - Medial Lateral Plantar Facial Additional Nervesb. Please list any nerves not indicated above, include modality (M, S, F), stim site, and recording site.NCS Software Settingsc. Listed below are default Nihon Kohden Neuropack NCS software settings. To make any modifications to our default settings, simply fill out the text box to the right of the setting.SettingMotorPreferred Motor SettingsSensoryPreferred Sensory SettingsF-WavePreferred F-Wave Settings 2. Electromyography (EMG) a. Below is a list of upper and lower extremity muscles for EMG. Check any of the muscles you routinely monitor.Upper Extremity* Deltoid Infraspinatus Serratus Anterior Biceps Brachii Triceps Brachioradialis Ext. Carpi Radialis Ext. Dig. Communis Flexor Capri Radialis Flexor Carpi Ulnaris Flexor Digitorum Profundus Flexor Pollicis Longus Pronator Teres Abductor Digiti Minimi Abductor Pollicis Brevis First Dorsal Interossei (FDI) Lower Extremity* Adductor Longus Biceps Femoris, LH Biceps Femoris, SH Gluteus Maximus Gluteus Medius Iliopsoas Rectus Femori Semitendinosus Vastus Lateralis Vastus Medialis Gastrocnemius Peroneus Longus Soleus Tibialis Anterior Abductor Hallucis Extensor Digitorum Brevis Head & Trunk* Occiptofrontalis Orbicularis Oculi Orbicularis Oris Tongue Masseter Sternocleidomastoid Trapezius – Upper Trapezius – Middle Trapezius - Lower Paraspinals – Cervical Paraspinals - Lumbar Additional Musclesb. Please list any muscles not indicated above. EMG Software Settingsc. Listed below are default Nihon Kohden Neuropack EMG software settings. To make any modifications to our default settings, simply fill out the text box to the right of the setting.SettingNihon Kohden Neuropack® EMG Software Default SettingsNihon Kohden Neuropack® EMG Software Default Preferred Settings Repetitive Stim3. Repetitive Stim (if applicable) a. Please provide a list of commonly tested nerves: Nerves Repetitive Stim Processb. Please provide a step-by-step process for repetitive stim (i.e. baseline, Post Exercise, 1 min post, ....)StepsDescription Other Examsc. Other Exams a. Are there any other exams that you plan on performing? Please select below.StepsDescription x Steps - Descriptionc. Other Exams a. Are there any other exams that you plan on performing? Please select below. 1 - Blink Reflexes 2 - H-Reflexes 3 - Other, please describe: 4 - Other, please describe: Normative Data4. Normative Data If you have normative data please send a copy. Default Nihon Kohden norms are available.Accepted file types: pdf, doc, xls, xlsx, Max. file size: 5 MB.CAPTCHANameThis field is for validation purposes and should be left unchanged.