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The gold standard in many EMG labs, this resource is a practical working reference for performing a wide variety of common nerve conduction studies. It provides both practicing clinicians and trainees with an impressive database of normal values they can use to interpret nerve conduction results with confidence. The third edition is revised to deliver an up-to-date set of normal values that take into account age, sex, height, and body mass index for a wide range of demographic groups. Two new authors bring a novel clinical perspective to the manual along with valuable tips and pearls to help the busy electromyographer conduct more effective studies and make a more informed diagnosis. The third edition includes updated nomenclature and methodology for conducting nerve conduction tests along with supportive evidence to bolster all recommendations. New illustrations and diagrams supplement precise descriptions of electrode placements and study techniques. Additionally, the authors codify the acceptable differences in latency, amplitude, and nerve conduction velocity between nerves of the same or opposite limbs, to foster a more precise diagnosis. Recently updated references and suggested readings for each study provide the opportunity for more in-depth learning. For determining normal reference values for any patient, or for review of a specific nerve conduction technique, this third edition of Buschbacher’s Manual of Nerve Conduction Studies is essential for physicians and technologists alike. Key Features: New references, technique descriptions, and drawings bring the classic manual up to date Provides clinical pearls and tips for performing each study A new Appendix covers common anomalous innervations such as the Martin Gruber Anastomosis. Offers a current, comprehensive set of reference values for clinical use Discusses advantages and pitfalls of alternative techniques Includes schematics to illustrate optimal electrode placement and typical waveform appearance
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.
The only case-based guide to electromyography—back in a fully revised and updated New Edition! This practical resource examines how to approach, diagnose, and manage the most commonly encoun-tered disorders in the EMG laboratory. Based on actual cases, it correlates patient history, physical exam, EMG findings, relevant anatomy, treatment, and follow-up to help readers sharpen their clinical problem-solving skills. New cases have been added, and every case includes the latest advances in knowledge and technique. - Features study questions, answers, and clinical discussions of how experts manage cases to help readers work through the problems presented. - Summarizes the results of nerve conduction studies and EMG data with standardized tables. - Includes more than 200 relevant imaging studies and anatomic figures. - Makes information easy to find with a uniform chapter organization. - Offers a consistent approach to electromyography based on Dr. Katirji's broad knowledge and clinical experience.7 new case studies, including Hereditary Neuropathy with Liability to Pressure Palsy, Ischemic Monomelic Neuropathy, and Myotonic Dystrophy. - Three new chapters on Nerve Conduction Studies, Needle EMG Examination, and Specialized Procedures. - Many new and revised figures that clarify complex information.
This invaluable book for the electromyographer dispenses the latest techniques detailing methods of intramuscular electrode placement. The author examines the basic principles in electromyography (EMG) and includes updated information for the appendicular and axial muscles. It is divided into 14 sections organized by anatomical region: the muscles of the hand, forearm, arm, shoulder girdle, foot, leg, thigh, pelvis, hip joint, perineal region, paraspinal region, abdominal wall, the intercostals and diaphragm regions, along with the muscles innervated by cranial nerves. This information includes the innervations and attachments of each muscle, how to position the patient for examination, the appropriate site for insertion of the electrode, the depth of insertion for the electrode, and the action that the patient should perform to activate the muscle. The descriptions of the techniques used for rarely examined muscles are sufficient for a clinician to have the confidence needed to perform the procedure. Common errors in electrode placement and clinically relevant comments are illustrated and discussed, including cross-sectional illustrations on the appendicular muscles. A particularly useful inclusion is “Pitfalls” that describes which muscle the electrode will record if the needle is placed too deep, not deep enough, or not at the location described. The text contains a useful appendix, providing dermatomes of the limb and trunk, cutaneous innervations of the head, and excellent illustrations of both the brachial plexus and the lumbo-sacral-coccygeal plexus. The appendix also contains a useful table listing all muscles that are presented in the text with innervations from the peripheral nerve to the mixed spinal nerve root. Well organized, clearly and concisely written, this book remains a learning tool and excellent reference for electromyographers and for healthcare practitioners who are expanding their practice skills to include diagnostic EMG, as well as for graduate students who use EMG as part of their research.
Diagnose neuromuscular disorders more quickly and accurately with Electromyography and Neuromuscular Disorders: Clinical-Electrophysiologic Correlations, 3rd Edition! State-of-the-art guidance helps you correlate electromyographic and clinical findings and use the latest EMG techniques to their fullest potential. Consult this title on your favorite e-reader with intuitive search tools and adjustable font sizes. Elsevier eBooks provide instant portable access to your entire library, no matter what device you're using or where you're located. Successfully correlate electrodiagnostic findings with key clinical findings for more confident diagnoses. Clearly see how to apply what you’ve learned with abundant case studies throughout the book. Obtain relevant clinical guidance quickly and easily with an accessible, easy-to-read writing style that’s both comprehensive and easy to understand. Ensure correct EMG needle placement and avoid neurovascular injuries by referring to more than 65 detailed, cross-sectional anatomy drawings. Diagnose many newly defined genetic neuromuscular conditions based on their electrodiagnostic presentation. Stay up to date with must-know information on iatrogenic complications of electrodiagnostic studies. Visualize key concepts more easily with a brand-new full-color design, new artwork, and new photographs. Access Electromyography and Neuromuscular Disorders online, fully searchable, at www.expertconsult.com, along with more than 70 videos that allow you to see and hear the EMG waveforms discussed in the text, as well as a convenient "test yourself" module.
Get immediate access to crucial information about the most common EMG studies. This handy, practical resource designed for quick reference at the point of care covers a wide spectrum of electrodiagnostic tests. Written for both novice and experienced electromyographers, this at-a-glance guide is concise enough to fit in a pocket, yet replete with essential technical detail, pearls, and clinical photos to illustrate proper study set-ups. Pocket EMG covers what you need to know to successfully perform nerve conduction and needle EMG studies in a fast-paced clinical environment. It also includes helpful protocols for specific clinical problems. The first section is devoted to nerve conduction studies and covers sensory and motor studies of the upper and lower extremities, late responses, and other tests including facial motor nerves, blink reflex, and repetitive nerve stimulation. Section two covers needle electromyography and catalogs set-ups for upper and lower extremity tests, paraspinals, and facial muscles. The final two sections contain study protocols for presenting chief complaints or suspected diagnoses, normal values, and high-yield tables and lists. Each test includes a photograph of the proper set-up, indications for performing the test, technical pointers, and physiological considerations. Key Features: Organized consistently and pocket-sized for quick reference in the EMG lab Includes a photo of the proper set-up for each test, indications for performing the test, and clinical pearls and pointers to enhance skills Contains study protocols for common complaints, normal value ranges for individual tests, and high-yield tables and lists
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.
Neuromuscular Ultrasound demonstrates the use of ultrasound as an alternative to electrodiagnosis in the evaluation of neuromuscular disorders through detailed descriptions and clear illustrations. Drs. Francis Walker and Michael S. Cartwright discuss techniques for visualizing muscles and nerves without painful testing for better patient compliance and more efficient diagnosis. Color illustrations, pearls for the clinician, and ultrasound videos online at www.expertconsult.com, ensure that you'll be able to apply this technology effectively in your practice. - Access the fully searchable text online at www.expertconsult.com, along with ultrasound videos that demonstrate ultrasound evaluation in real time. - Diagnose and manage your patients more quickly and easily by visualizing muscles and nerves without painful testing. - Master the nuances of using ultrasound through the visual instruction of clear images and illustrations. - Minimize patient discomfort while maximizing optimal patient evaluation with a practical focus that covers using ultrasound as a screening tool, provides clinical pearls, and includes comparisons to electrodiagnosis. - Apply the full range of ultrasound applications, including interventional uses (such as ultrasound-guided botulinum toxin and steroid injections), ultrasound of polyneuropathies (often found in diabetics), and more.
This book describes how to perform nerve conduction studies and electromyography in children, and explains the relevant physiology and anatomy crucial to making a diagnosis. Relevant case presentations are included to aid learning, and the authors also focus on the practical applications of the test results, including discussions of major neuromuscular diseases amenable to diagnosis via electromyography. Pediatric Electromyography: Concepts and Clinical Applications is aimed at residents, technologists and staff pediatric neurologists, as a practical guide and exam study guide.