The accuracy of needle electrode placement by trainees in selected forearm muscles using verification by neuromuscular ultrasound
Copyright © 2021 Elsevier Ltd. All rights reserved..
INTRODUCTION: Anatomic landmarks alone may not always be sufficient to accurately guide electromyography (EMG) electrode needle placement.
METHODS: Senior residents and fellows (n = 11) targeted 4 forearm muscles with anatomic landmarks alone versus with audiovisual EMG feedback. Accuracy of EMG needle placement was verified using neuromuscular ultrasound imaging.
RESULTS: While relatively large and superficial FCR muscle was sampled at a rate of 100% with and without audiovisual EMG feedback, accuracy of deeper and/or smaller forearm muscles (FPL, EIP, and SUP) diminished significantly without audiovisual EMG feedback.
DISCUSSION: Our study suggests that in clinical scenarios in which an electrodiagnostician relies on anatomic landmarks alone to target small and deep muscles, the risk of misplacement of needle electrode is increased. Consideration for neuromuscular ultrasound to augment training and/or real time guidance in EMG practice may be appropriate.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:60 |
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| Enthalten in: |
Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology - 60(2021) vom: 01. Okt., Seite 102573 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Jin, Tae Gun [VerfasserIn] |
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| Links: |
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| Themen: |
Electromyography |
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| Anmerkungen: |
Date Completed 22.09.2021 Date Revised 22.09.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.jelekin.2021.102573 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM328191019 |
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| 100 | 1 | |a Jin, Tae Gun |e verfasserin |4 aut | |
| 245 | 1 | 4 | |a The accuracy of needle electrode placement by trainees in selected forearm muscles using verification by neuromuscular ultrasound |
| 264 | 1 | |c 2021 | |
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| 500 | |a Date Completed 22.09.2021 | ||
| 500 | |a Date Revised 22.09.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2021 Elsevier Ltd. All rights reserved. | ||
| 520 | |a INTRODUCTION: Anatomic landmarks alone may not always be sufficient to accurately guide electromyography (EMG) electrode needle placement | ||
| 520 | |a METHODS: Senior residents and fellows (n = 11) targeted 4 forearm muscles with anatomic landmarks alone versus with audiovisual EMG feedback. Accuracy of EMG needle placement was verified using neuromuscular ultrasound imaging | ||
| 520 | |a RESULTS: While relatively large and superficial FCR muscle was sampled at a rate of 100% with and without audiovisual EMG feedback, accuracy of deeper and/or smaller forearm muscles (FPL, EIP, and SUP) diminished significantly without audiovisual EMG feedback | ||
| 520 | |a DISCUSSION: Our study suggests that in clinical scenarios in which an electrodiagnostician relies on anatomic landmarks alone to target small and deep muscles, the risk of misplacement of needle electrode is increased. Consideration for neuromuscular ultrasound to augment training and/or real time guidance in EMG practice may be appropriate | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Electromyography | |
| 650 | 4 | |a Forearm muscles | |
| 650 | 4 | |a Neuromuscular | |
| 650 | 4 | |a Quality improvement | |
| 650 | 4 | |a Ultrasound | |
| 700 | 1 | |a D'Andrea, Dominic |e verfasserin |4 aut | |
| 700 | 1 | |a Ajroud-Driss, Senda |e verfasserin |4 aut | |
| 700 | 1 | |a Franz, Colin K |e verfasserin |4 aut | |
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