Functional Electromyography: Provocative Maneuvers in Electrodiagnosis / Edition 1

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More About This Textbook


The book introduces the use of provocative maneuvers to widen the scope of application and sharpen the diagnostic acuity of electrodiagnostic studies including nerve conduction velocities (NCV) and electromyogram (EMG). Employing provocative maneuvers in somatosensory, ocular, and brainstem studies is suggested but not detailed. The author suggests the further use of provocative maneuvers in other electrodiagnostics such as somatosensory, visual, and brains stem evoked potential studies. The electrodiagnostic studies described and suggested here are extensions of the physical examination conducted in many clinical specialties, ranging from internal medicine to neurosurgery to chiropractic and other types of body workers. These studies are central to the work of physiatrists, neurologists, orthopedic surgeons and specialists in pain management. The techniques extend the reach of EMG to conditions that were difficult to diagnose by any means before. In addition, the book provides direction to adapt its methods to cases beyond those it discusses. The book presents three well-documented examples of functional EMG: the changes in electrophysiological parameters with provocative maneuvers help make diagnosis of piriformis syndrome that is otherwise considered a "diagnosis of exclusion" by many physicians, yet can be proven to occur frequently in respectably large sample populations. Neurological thoracic outlet syndrome is another diagnosis that is even less accessible. Although its incidence and prevalence are less thoroughly documented, it is important both to identify the entity and to have a definitive means to rule it out, especially in referred or neurological upper extremity pain of non-cervical origin. Third, the distinction between foraminal narrowing due to disc herniations and spinal stenosis is often difficult in the many cases in which both are present. The clinical question often revolves around which of the two cond

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Product Details

  • ISBN-13: 9781607610199
  • Publisher: Springer US
  • Publication date: 11/11/2010
  • Edition description: 2011
  • Edition number: 1
  • Pages: 171
  • Product dimensions: 6.40 (w) x 9.30 (h) x 0.90 (d)

Table of Contents

Chapter 1: Electricity in Medicine - Philosophy meets Physiology

Chapter 2: Electrodiagnosis and the Physical Examination - Casting a fine net widely
Chapter 3: Functional electrodiagnosis - Provocative Maneuvers define Diagnoses of Exclusion, and refine Dual Diagnoses
Chapter 4: Neurological Thoracic Outlet Syndrome - Approaching a pathognomonic electrophysiologic sign
Chapter 5: Treating Neurological Thoracic Outlet Syndrome Identified Functional Electrodiagnostically - Analysis of the Data
Chapter 6: Piriformis Syndrome - Electrophysiology corrects Anatomical Assumption
Chapter 7: Treating Piriformis Syndrome Identified Functional Electrodiagnostically - Analysis of the Data
Chapter 8: Radiculopathy vs. spinal stenosis - Evocative Electrodiagnosis Identifies the Main Pain Generator
Chapter 9: Basing Treatment on the Evoked Delay in Spinal Stenosis - Analysis of the Data
Chapter 10: Extending the Methods of Functional Electrodiagnosis - Application to Common and Uncommon Conditions

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