Salim Hirani
Biography
Salim Hirani is working in Neurophysiology field for more than 30 years. He did is Neurophysiology course from United Kingdom. He works in different country and can speak 4-5 languages. His three paper was already published i.e. Refine Grading of Carpal Tunnel syndrome in BMC journal in 2019, Neurophysiological Grading tools of ulnar nerve entrapment across elbow in Journal of Neurology, Neurological Science and Disorders in 2023 and third paper of Neurophysiological Study for Ulnar Entrapment at Wrist (meddocsonline.org) in Journal of Psychiatry and Behavioural Sciences in June 2023
Research Interest
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Abstract
Neurophysiological grading tool of ulnar nerve entrapment across wrist and across elbow with case presentation
Ulnar nerve entrapment across the elbow (UNEAE) and wrist (UNEAW) is the second most common type of nerve entrapment affecting the hand, following carpal tunnel syndrome. Despite its prevalence, there are limited grading systems for UNEAE, and even fewer for UNEAW. The primary objective of this research is to develop a comprehensive and clinically relevant ulnar nerve entrapment grading tool that covers both the elbow and wrist entrapment sites within a single framework. Additionally, the study aims to investigate the relationship between sensory nerve involvement at the wrist and entrapment at the elbow, evaluating its effectiveness without relying on invasive diagnostic tests such as needle electromyography (EMG). Another important goal is to identify lesions occurring below and across the wrist to support clinical physiologists in accurately grading these conditions, and to assist consultants in determining whether conservative or surgical treatment is more appropriate. Lastly, the study will compare the sensitivity of the first dorsal interosseous (FDI) and abductor digiti minimi (ADM) muscles, assessing which muscle more effectively detects early changes in ulnar nerve entrapment. To establish a comprehensive grading system for both UNEAW and UNEAE, this research proposes a revised, more descriptive grading scale that spans from “normal” to “severe,” with additional categories to more effectively capture the clinical nuances of the condition
