Upper trapezius electromyography aids in the early diagnosis of bulbar involvement in amyotrophic lateral sclerosis

Autor:	Ju-yang Zheng, Dongsheng Fan, Shuo Zhang, Ying-sheng Xu
Rok vydání:	2011
Předmět:	Adult Male Upper trapezius medicine.medical_specialty Disease duration Action Potentials Bulbar involvement Electromyography Lower motor neuron Young Adult Physical medicine and rehabilitation Neck Muscles Tongue Spondylotic myelopathy medicine Humans Amyotrophic lateral sclerosis Aged medicine.diagnostic_test business.industry Amyotrophic Lateral Sclerosis General Medicine Middle Aged musculoskeletal system medicine.disease body regions Early Diagnosis medicine.anatomical_structure Neurology Neurology (clinical) business Brain Stem
Zdroj:	Amyotrophic Lateral Sclerosis. 12:345-348
ISSN:	1471-180X 1748-2968
DOI:	10.3109/17482968.2011.582647
Popis:	Electromyography (EMG), particularly measurements of the tongue or sternocleidomastoid, aids in the diagnosis of amyotrophic lateral sclerosis (ALS) and may be used to identify lower motor neuron lesions in the bulbar region. Abnormal trapezius EMG recordings were recently shown to be useful in diagnosing ALS. Here, we investigated the role of upper trapezius EMG in assessing bulbar involvement in ALS. Standard EMG measurements were recorded from the upper trapezius in ALS, cervical spondylotic myelopathy (CSM), and normal controls (NC). Forty-three CSM patients were examined pre-operatively and three months post-operatively. Greater spontaneous activity levels were observed in upper trapezius EMG measurements of ALS patients with a disease duration of ≤8 months (70%), compared with patients with a disease duration of8 months (40%). Significant differences in motor unit action potential parameters were also noted between ALS and CSM or NC. Fewer spontaneous EMG recordings were detected in CSM post-operatively. Furthermore, no differences in neurogenic EMG measurements were observed in ALS between the trapezius and sternocleidomastoid muscles (p = 0.22). In conclusion, upper trapezius EMG recordings may provide valuable information for assessing the clinical and subclinical involvement of bulbar lower motor neurons in ALS patients, particularly at early disease stages.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ab121523c5545295058caeb28d9e30d9 https://doi.org/10.3109/17482968.2011.582647 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.