EMG Archives

Ultrasound Diagnosis of Carpal Tunnel Syndrome

Ultrasound Diagnosis of Carpal Tunnel Syndrome PM&R News • July 2018 Electrodiagnostics for carpal tunnel syndrome are well proven and very reliable. As ultrasound continues to gain popularity, physiatrists are becoming more interested in diagnosing carpal tunnel syndrome with this technology. This systematic review and meta-analysis set out to evaluate the accuracy of ultrasound diagnosis of carpal tunnel syndrome. 28 studies were included in this analysis. The studies used cutoffs at the inlet level of 9.0-12.6mm2 and 9.5-10mm2 for outlet levels. Evaluation determined there is sufficient accuracy for use in clinical settings based on diagnostic odds ratio. Accuracy was higher for inlet levels [...]

Ultrasound Diagnosis of Carpal Tunnel SyndromeDavid Impastato, MD2018-08-30T12:03:26+00:00

Electrodiagnostic Screening for Critical Ilness Disorders

Electrodiagnostic Screening for CIM/CIP? PM&R News • February 2018 Research continues to be performed looking into the causes and treatments of critical illness polyneuropathy (CIP) and critical illness myopathy (CIM). It was not long ago that we thought these two diagnoses were independent of each other. Now we are finding out they often occur together and can be found in up to 50% of severely critical ill patients. With this research, new studies have shown screening electrodiagnostic studies to best assist in diagnosing these entities. To review, critical illness polyneuropathy usually shows a sensory-motor axonal polyneuropathy and clinically the patient can have difficulty [...]

Electrodiagnostic Screening for Critical Ilness DisordersDavid Impastato, MD2018-02-18T03:45:56+00:00

PM&R Rounds: EMG and Nerve Injury Prognosis

EMG Predicts Clinical Outcomes PM&R ROUNDS • August 28, 2017 We believe that every PM&R doc should take a look at this article titled How Electrodiagnosis Predicts Clinical Outcome of Focal Peripheral Nerve Lesions, because it further elucidates the importance of EDX consultants in providing a prognosis for nerve lesions. For those who are in practice, CME credit is available through the AANEM. Why We Love This Article Reviews the classification tools used to determine severity of nerve injury. The authors do an excellent job in reviewing the Seddon and Sunderland classifications of nerve injury. They further relate the classifications to prognosis; from [...]

PM&R Rounds: EMG and Nerve Injury PrognosisJacques Courseault, M.D., CAQSM2017-08-28T01:46:22+00:00