Impact of electromyographic findings on choice of treatment and outcome
| Autor: | Igor Rigler, S. Podnar |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Population Decision Making MEDLINE Electromyography Disease Clinical neurophysiology ELECTROMYOGRAPHIC FINDINGS Outcome (game theory) Physical medicine and rehabilitation Surveys and Questionnaires medicine Humans education Carpal tunnel syndrome Radiculopathy Aged Aged 80 and over education.field_of_study medicine.diagnostic_test business.industry Peripheral Nervous System Diseases Middle Aged musculoskeletal system medicine.disease Carpal Tunnel Syndrome body regions Treatment Outcome Neurology Physical therapy Female Neurology (clinical) business Case Management Follow-Up Studies |
| Zdroj: | European journal of neurology. 14(7) |
| ISSN: | 1468-1331 |
| Popis: | The subsequent clinical course of patients examined in the EMG laboratory has not been adequately studied before. It is not known how EMG findings in practice affect patients' final diagnosis, treatment and outcome. The aim of the present study was to test the hypothesis that EMG results have an important impact on the choice of patients' treatment and on outcome. Three years after EMG examination, a short questionnaire asking about initial symptoms, the final diagnosis, treatment and current symptoms was sent to 300 consecutive EMG patients. Responses concerning 186 of them (39% men) were received either from patients and/or from their referring physicians. Information obtained during EMG examination was also added. Data was analyzed using methods of bivariate and multivariate statistics. We found that patients with a pathologic EMG had a better clinical outcome 3 years later. Pathologic EMG has an independent effect, pointing to more favorable disease courses, which was further improved by more active treatment approaches received by these patients. The study demonstrated the important impact of EMG findings on the treatment choice and clinical outcome in population consisting mainly of patients with carpal tunnel syndrome and radiculopathy. Studies in other patient populations are needed. |
| Databáze: | OpenAIRE |
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