Semi-quantitative electromyography as a predictor of nerve transfer outcome
Autor: | Ross Mandeville, Justin C. Brown, Geoffrey Sheean |
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Rok vydání: | 2018 |
Předmět: |
Adult
Male Electromyography 050105 experimental psychology 03 medical and health sciences 0302 clinical medicine Peripheral Nerve Injuries Physiology (medical) medicine Humans 0501 psychology and cognitive sciences Brachial Plexus Spinal cord injury Nerve Transfer Muscle force Retrospective Studies Multivariable linear regression medicine.diagnostic_test business.industry 05 social sciences Motor unit number Recovery of Function Neurophysiology Middle Aged medicine.disease Prognosis Sensory Systems Treatment Outcome Neurology Anesthesia Female Neurology (clinical) business Semi quantitative 030217 neurology & neurosurgery |
Zdroj: | Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology. 130(5) |
ISSN: | 1872-8952 |
Popis: | Objectives Evaluate correlation between donor nerve semi-quantitative electromyography (sqEMG) and strength outcome in nerve transfer surgery. Methods Retrospective review of pre-operative donor nerve semi-quantitative neurophysiology and post-operative recipient muscle force after at least one-year follow-up. The semi-quantitative technique is the average motor unit number estimate associated with needle recorded interference patterns in the donor muscle (IP-AMUNE), which was correlated with hand-held manometry, standardized as a percent of the contralateral arm, using multivariable linear regression with backward selection. Results Twenty-eight nerve transfer cases were included. The correlation between the donor nerve IP-AMUNE and the recipient muscle strength was moderate to strong and highly significant (r = 0.67, p 0.54). Conclusions IP-AMUNE is a good predictor of strength after nerve transfer surgery and should be considered in the evaluation and planning of patients undergoing nerve transfer to aid in donor nerve selection. Significance IP-AMUNE may significantly benefit those undergoing nerve transfer surgery for the restoration of movement. |
Databáze: | OpenAIRE |
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