Elettromiografia

Continuing the unique case-based learning approach to fill the gap between theory and practice, the third edition of Electromyography in Clinical Practice addresses the advances in neuromuscular medicine, including anterior horn cell disorders, peripheral neuropathies, neuromuscular junction disorders, and myopathies. It is the perfect resource for neurologists, physiatrists, neurosurgeons, orthopedic surgeons, rheumatologists, physical therapists, and pain management specialists, neuromuscular and clinical neurophysiology fellows, as well as the resident, trainee, and medical student interested in the diagnosis and management of the most common disorders encountered in the EMG lab. The book is divided into two major parts; the first an introduction to clinical electromyography and the second is separated into 27 case studies. The cases focus on localized disorders in the lower and upper extremities and end with a selection of generalized disorders. Each case begins with a detailed, tabulated, EMG study, followed by several questions, and a detailed analysis of the study, then takes into account patient history, the physical examination, EMG Neurologists, physiatrists (Physical Medicine andrpen the rehabilitation), Trainees (Neurology and Physical Medicine

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.

Written at the introductory level "A Practical Approach to Clinical Electromyography" will be a practical guide on how to perform and interpret EMGs in clinical practice. Starting with patient presentation, needle placement will be stressed, practical study tips will be emphasized and result interpretation will be explained. "A Practical Approach to Clinical Electromyography" will appeal to both trainees and to those in general practice that have no formal training in the techniques.

Now in its Fourth Edition, this text gives physiatry and neurology residents a comprehensive, practical introduction to electromyography. Section I reviews the anatomy and physiology of nerve problems in relation to the planning and performance of electrodiagnostic procedures. Section II provides technical information on electrophysiology, instrumentation, and specific techniques, with digital photographs showing important surface anatomy. Section III guides physicians through various clinical EMG problems, beginning with the patient's symptoms and proceeding through electrodiagnostic evaluation and diagnosis. This edition includes over 500 new illustrations. A bound-in CD-ROM contains digital videoclips of EMG recordings and test questions that can be submitted for CME credit.

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

This title in the popular "Pearls Series" focuses on electrodiagnostic studies of neuromuscular diseases. EMGs and their interpretation are a major component of the specialty of physical medicine and rehab physicians, and they are important to neurologists and electromyographers. For each case, patient information is presented, the EMG findings are discussed, and the reader is asked to make a diagnosis based on these findings. The next page reveals the diagnosis, discusses the case and the medical condition in question, and then presents 3-4 pearls of practice distilled from the case.

From the highly popular Secrets Series(R) comes the succinct, practical electromyography book that practitioners have been waiting for. Major authorities in the field present a series of key questions and answers in areas of importance in EMG, featuring the additional tips, pearls, and "secrets" that are the hallmark of the series. Major sections include Anatomy and Physiology, Instrumentation, Nerve Conduction Studies, Electromyography, Specific Diseases, and Interpretation of Results.

L'obiettivo di questo libro è discutere da un punto di vista pratico le malattie che si incontrano più frequentemente in un laboratorio di EMG, utilizzando casi clinici tipici ma reali.

Now for the first time, practitioners have access to a huge database of normal values, developed using the most modern scientific protocols, for virtually any patient population! Normal ranges take into account age, sex, height and body mass index for a wide range of demographic groups to provide a complete set of reliable values for everyday clinical practice. For each nerve fiber, the author provides the nerve root level, the peripheral nerve level, and the plexus pathway. In addition, for the most common studies performed, normal ranges are provided for onset latency, amplitude, area, duration of the wave, and nerve conduction velocity across various segments. Other benefits of this outstanding book: * Provides helpful hints for performing each study * Covers the latest, most up-to-date techniques for conducting nerve sensory tests * Codifies the acceptable differences in latency, amplitude, nerve conduction velocity, etc. between nerves of the same or opposite limbs, allowing for a more precise diagnosis * Provides precise written descriptions as well as schematic depiction of electrode placements * Includes typical waveform appearance for the most common studies * Offers a concise list of references and suggested readings for each study * Includes advantages and pitfalls of alternative techniques