, Ali T. Ghouse2 and Raghav Govindarajan3
(1)
Parkinson’s Clinic of Eastern Toronto and Movement Disorders Centre, Toronto, ON, Canada
(2)
McMaster University Department of Medicine, Hamilton, ON, Canada
(3)
Department of Neurology, University of Missouri, Columbia, MO, USA
Electrophysiological techniques, including nerve conduction and electromyography, are useful in the evaluation of weakness, paralysis, muscle atrophy, pain, numbness, tingling, burning, fatigue, stiffness, cramps, gait imbalance, and other conditions. Hence, these techniques are an extension of the clinical examination, where a nerve, muscle, or any component of the motor unit needs to be evaluated. The electrophysiological test has to answer a clinical question.
As in any clinical situation, relevant history has to be obtained, along with a detailed physical examination, to be able to develop a differential diagnosis. Appropriate laboratory tests are then arranged to determine the likelihood of a disease or condition being present or absent.
Electrodiagnostic studies are undertaken for the purpose of diagnosis, to establish the severity of the diagnosed disease condition, to understand the progression of the condition, to define prognosis, to determine the localization of the lesion, and to initiate an appropriate treatment protocol.
Precautions and Pitfalls
Patient Considerations
An electrophysiological test should proceed with an appropriate explanation and appropriate consent from the patient.
The patient has to be comfortably gowned.
The room should be comfortable and the privacy of the patient respected.
Reassure the patient that the test will stop at any time when requested.Stay updated, free articles. Join our Telegram channel
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