Book Description

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