Evaluation of persons with suspected lumbosacral and cervical radiculopathy: Electrodiagnostic assessment and implications for treatment and outcomes (Part I).


Journal

Muscle & nerve
ISSN: 1097-4598
Titre abrégé: Muscle Nerve
Pays: United States
ID NLM: 7803146

Informations de publication

Date de publication:
10 2020
Historique:
received: 03 06 2020
accepted: 03 06 2020
pubmed: 20 6 2020
medline: 24 11 2020
entrez: 20 6 2020
Statut: ppublish

Résumé

Persons with back, neck, and limb symptoms constitute a major referral population to specialists in electrodiagnostic (EDX) medicine. The evaluation of these patients involves consideration of both the common and less common disorders. The EDX examination with needle electromyography (EMG) is the most important means of testing for radiculopathy. This test has modest sensitivity but high specificity and well complements imaging of the spine. Needle EMG in combination with nerve conduction testing is valuable in excluding entrapment neuropathies and polyneuropathy-conditions that frequently mimic radicular symptoms. In this first of a two-part review, the optimal EDX evaluation of persons with suspected radiculopathy is presented. In part two, the implications of EDX findings for diagnosis and clinical management of persons with radiculopathy are reviewed.

Identifiants

pubmed: 32557709
doi: 10.1002/mus.26997
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

462-473

Informations de copyright

© 2020 by the American Association of Neuromuscular & Electrodiagnostic Medicine, Inc. All rights reserved.

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Auteurs

Timothy R Dillingham (TR)

Department of Physical Medicine and Rehabilitation, the Perelman School of Medicine, The University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Thiru M Annaswamy (TM)

Department of Physical Medicine & Rehabilitation, Electrodiagnostic and Spine Sections, VA North Texas Health Care System, Dallas VA Medical Center, University of Texas Southwestern Medical Center, Dallas, Texas, USA.

Christopher T Plastaras (CT)

Musculoskeletal Spine & Sports Rehabilitation Medicine, MossRehab, Einstein Spine Institute, Einstein Healthcare Network, Rehabilitation Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

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