Nerve Conduction Testing and Electromyography for the Physical Therapist

Nerve Conduction Testing and Electromyography for the Physical Therapist

Author: Gary Krasilovsky

Publisher:

Published: 2012-05-01

Total Pages: 132

ISBN-13: 9780615647265

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This book was developed to assist physical therapy students and clinicians in learning the techniques, interpretation and use of electroneuromyography evaluation in the differential diagnosis of patients with neuromuscular disorders. It provides the physiological basis and techniques of this diagnostic test through the use of nerve conduction studies and needle electromyography. Readers will learn the application of these techniques to the upper and lower extremities, plus the interpretation of results/reports through case studies. Differential diagnosis of abnormalities that are distributed throughout the neuromuscular system will be presented. Knowledge of basic anatomy related to peripheral nerve and root distributions is being assumed. Table of Contents CHAPTER ONE1 Introduction to Electrophysiological Evaluation - Peripheral Nerve and Muscle1 CHAPTER TWO17 Instrumentation used in Electroneuromyography Examinations17 CHAPTER THREE23 Upper Extremity Motor Nerve Conduction Studies & Sensory Nerve Action Potential's (SNAP's)23 Motor Nerve Conduction Studies - Overview23 Sensory Nerve Conduction Studies42 CHAPTER FOUR53 Lower Extremity Motor Nerve Conduction Studies & Sensory Nerve Action Potential's53 Motor Nerve Conduction Studies54 Sensory Nerve Conduction Studies61 CHAPTER FIVE66 Advanced Techniques of Nerve Studies - Late Responses66 Somatosensory Evoked Potentials (SSEP's)66 Brainstem Auditory Evoked Potentials (BAER's)69 Visually Evoked Potentials (VEP's)69 H- Reflex70 F- Wave Testing72 Repetitive Nerve Stimulation - Myasthenia Gravis73 CHAPTER SIX78 Diagnostic Electromyography78 CHAPTER SEVEN92 Problem Solving in Electroneuromyography and Case Studies92 Case Study # 1: Carpal Tunnel Syndrome95 Case Study # 2: Age 5 - Duchenne MD (DMD)96 Case Study # 3: Suspected L5 Root Compression97 Case Study # 4: Suspected Peripheral Polyneuropathy99 Case Study #5: EMG Report #1100 Case Study #6: EMG Report #2102 Case Study #7: EMG Report #3103 Case Study #8: Gun Shot Wound to the Cauda Equina, L1 - L2.105 Case #9: Anterior Glenohumeral Joint Dislocation107 Case #10: Mid Humeral Fracture107 Case #11: Multiple Sclerosis107 Case #12: Isolated Scapula Winging107 Case #13: Idiopathic Bell's Palsy107 Appendix A111 Anatomical Correlates and Associated Impairments111 Appendix B113 Common Causes of Peripheral Neuropathies113 Appendix C114 Upper Extremity - Root and Peripheral Nerve Innervations114 Lower Extremity - Root and Peripheral Nerve Innervations115 References116


Introduction to Electromyography and Nerve Conduction Testing

Introduction to Electromyography and Nerve Conduction Testing

Author: John L. Echternach

Publisher: Slack Incorporated

Published: 2003

Total Pages: 178

ISBN-13: 9781556425295

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This text has been completely revised and updated to include the latest information in the area of nerve conduction testing and electromyography. The combination of insightful text, excellent illustrations, and laboratory exercises enable the reader to gain a comprehensive understanding of the topic and develop essential skills for this form of testing. Both students in their professional preparation education and clinicians expanding their knowledge in this area will benefit from the format of this manual. Objectives are detailed at the beginning of each chapter and sample questions are provided at the end of each chapter to scale the desired outcome. This updated second edition also includes many more illustrations that provide information about the nerves being tested and a decision guide to assist the beginning electromyographer perform tests for various conditions. Introduction to Electromyography and Nerve Conduction Testing, Second Edition is an excellent complementary resource to develop a basic understanding of the techniques for this type of testing.


Manual of Nerve Conduction Study and Surface Anatomy for Needle Electromyography

Manual of Nerve Conduction Study and Surface Anatomy for Needle Electromyography

Author: Hang J. Lee

Publisher: Lippincott Williams & Wilkins

Published: 2005

Total Pages: 326

ISBN-13: 9780781758215

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This manual is a practical, illustrated how-to guide to the proper techniques and electrode placements for common nerve conduction studies. The first section describes each nerve conduction study, including placement of electrodes, typical electromyography equipment settings, normal values, and pearls and pitfalls. The second section provides detailed coverage of surface anatomy for needle electromyography and shows where to place the needles for each muscle. More than 200 clear photographs demonstrate correct placement of needle electrodes. Chapters in each section follow a consistent sequence and are written in outline format to help readers find information quickly.


Primary Care for the Physical Therapist

Primary Care for the Physical Therapist

Author: William R. Vanwye

Publisher: Elsevier Health Sciences

Published: 2020-01-01

Total Pages: 433

ISBN-13: 0323638988

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- NEW! Updated content throughout the text reflects the current state of primary care and physical therapy practice. - NEW! New chapter on electrodiagnostic testing helps familiarize physical therapists with indications for electrodiagnostic testing and implications of test results to their clinical decision-making. - NEW! New chapter on patients with a history of trauma emphasizes the red flags that physical therapists need to recognize for timely patient referral for appropriate tests. - NEW! Updated information on how to screen and examine the healthy population enhances understanding of the foundations of practice and the role that physical therapists can fill in primary care models.


Atlas of Pain Medicine Procedures

Atlas of Pain Medicine Procedures

Author: Peter Staats

Publisher: McGraw-Hill Education / Medical

Published: 2014-11-25

Total Pages: 0

ISBN-13: 9780071738767

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Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. CONFIDENTLY PERFORM ESSENTIAL PROCEDURES WITH THE MOST COMPLETE FULL-COLOR GUIDE TO INTERVENTIONAL PAIN MEDICINE This must-have resource presents an encyclopedic, yet focused visual survey of pain medicine, with a strong emphasis on procedural technique and safety. Throughout, you'll find detailed, evidence-based guidance on more than 70 pain medicine procedures--all supported by an illustrated presentation that includes 950 figures (many in full color). Chapters are consistently designed--covering indications, procedural steps, and complications--with the text presented in a succinct, bulleted style. Atlas of Pain Medicine Procedures begins with an incisive review of basic applications such as safety and image guidance and then proceeds to core procedures, from spinal interventions and musculoskeletal injections toperipheral nerve blocks. The book also offers in-depth insights on ultrasound guidance as well as fluoroscopic guidance of procedures. The evidence-based focus ensures that the procedures and techniques discussed are grounded in the peer-reviewed medical literature and the very latest pain medicine perspectives.


Comprehensive Electromyography

Comprehensive Electromyography

Author: Mark A. Ferrante

Publisher: Cambridge University Press

Published: 2018-05-10

Total Pages: 541

ISBN-13: 1108578101

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Electromyography (EMG) is a technique for evaluating and recording the electrical activity produced by nerves and muscles. Interpreting EMG is a mandatory skill for neurologists and rehabilitation specialists. This textbook provides the reader with a detailed discussion of the concepts and principles underlying electrodiagnostic medicine. It is written for an audience without pre-existing knowledge in this discipline, including beginner technicians and physicians in training. It is an ideal review for seasoned practitioners and those preparing for board examinations. It begins with a review of the foundational sciences and works through the field in twenty chapters, including a large number of case studies demonstrating correct application and interpretation. Appendices of information frequently required in the EMG laboratory, such as Nerve Conduction Study techniques and their age-related normal values, anatomic regions assessed by each NCS and needle EMG studies, safety issues, and other important topics, are also included.


Practical Approach to Electromyography

Practical Approach to Electromyography

Author: Didier P. Cros, MD

Publisher: Demos Medical Publishing

Published: 2011-01-27

Total Pages: 338

ISBN-13: 1617050059

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Practical Approach to Electromyography is a pictorial guide to performing and interpreting EMG studies. This step-by-step manual contains tips for working up clinical problems typically encountered in the EMG laboratory and highlights technical aspects and potential pitfalls of sensory and motor nerve conduction studies. Hundreds of photographs and drawings illustrate proper placements of recording and stimulation electrodes and insertion of needle electrodes into the various muscles. The authors also provide sets of normal values and instruction on how to write and interprete an EMG report. Practical Approach to Electromyography is a practical visual reference for both novices and experienced electromyographers. Features of Practical Approach to Electromyography include: Emphasizes a practical orientation Integrates EMG studies into an overall comprehensive neurology examination Provides specific information on needle and electrode placement Over 350 photos and line drawings highlight the relevant landmarks Provides sets of normal values Teaches how to write an EMG Report


Functional Electromyography

Functional Electromyography

Author: Loren M. Fishman

Publisher: Springer Science & Business Media

Published: 2010-11-04

Total Pages: 176

ISBN-13: 1607610205

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Functional Electromyography: Provocative Maneuvers in Electrodiagnosis integrates electrophysiology further into the physical examination than ever before. It introduces the use of electrodiagnostic studies to quantify the neurological changes brought about by three provocative maneuvers commonly used in contemporary medicine. This widens the scope of electromyography while sharpening physicians’ diagnostic acuity. The book presents nerve conduction velocity (NCV) and H-reflex techniques to identify common conditions that are difficult to diagnose by any other means, often using the needle exam (EMG), MRI or musculoskeletal ultrasound to verify their clinical utility. Functional electromyography successfully diagnoses some cases of thoracic outlet syndrome, nearly all cases of piriformis syndrome, and offers a method for determining whether spinal stenosis or radiculopathy is the main pain generator when both are present in a single patient, even at the same level. This is particularly valuable because the standard conservative and surgical treatments for these two conditions are opposite, in spite of the identical symptom-set they produce. The book carefully describes each technique and persuasively documents their validity in statistical series and individual case presentations. It further guides the attentive electromyographer to adapt these methods to cases beyond those presented in its pages, suggesting a safe and scientific approach to other functional maneuvers of value to the electromyographer, and methods for validating one-time measures that may aid the electromyographer in clinical situations that are neither common nor easily analyzed. Hand drawn illustrations are included alongside text developed by experts in the field. An invaluable resource for physiatrists, neurologists, orthopedic surgeons, specialists in pain management and other providers, Functional Electromyography: Provocative Maneuvers in Electrodiagnosis represents a major contribution to the field of electrodiagnosis.


Electrodiagnosis in Diseases of Nerve and Muscle

Electrodiagnosis in Diseases of Nerve and Muscle

Author: Jun Kimura

Publisher: Oxford University Press

Published: 2013-10

Total Pages: 1177

ISBN-13: 0199738688

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Intended for clinicians who perform electrodiagnostic procedures as an extension of their clinical examination, and for neurologists and physiatrists who are interested in neuromuscular disorders and noninvasive electrodiagnostic methods, particularly those practicing electromyography (EMG) this book provides a comprehensive review of most peripheral nerve and muscle diseases, including specific techniques and locations for performing each test.