دورية أكاديمية
أعرض في EDS

Anatomical study and proposed EMG technique for the cervical paraspinal muscles.

التفاصيل البيبلوغرافية
العنوان: Anatomical study and proposed EMG technique for the cervical paraspinal muscles.
المؤلفون: Haig AJ; Haig Physical Medicine PLC, Middlebury, Vermont, USA.; The University of Michigan, Ann Arbor, Michigan, USA., McGuire TJ; University of Vermont, Burlington, Vermont, USA.
المصدر: PM & R : the journal of injury, function, and rehabilitation [PM R] 2024 Feb; Vol. 16 (2), pp. 165-173. Date of Electronic Publication: 2023 Sep 23.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: United States NLM ID: 101491319 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1934-1563 (Electronic) Linking ISSN: 19341482 NLM ISO Abbreviation: PM R Subsets: MEDLINE
أسماء مطبوعة: Publication: 2019- : [Hoboken, NJ] : Wiley
Original Publication: New York, NY : Elsevier
مواضيع طبية MeSH: Paraspinal Muscles*/physiology , Neck*, Humans ; Reproducibility of Results ; Electromyography/methods
مستخلص: Paraspinal electromyography has proven to be the most sensitive component of the electrodiagnostic examination for lumbar spinal disorders. However, no standardized, anatomically validated technique has been proposed for the cervical region. This study reviewed the published textbooks on cervical paraspinal anatomy to develop a standardized electromyography technique and scoring system. A library search found 32 anatomy texts published between 2000 and 2021. Of these 11 were unique and appropriate. Most texts described the basic muscle anatomy similarly, but only one cited original research. When the spinous process is defined as the origin, the multifidus and deeper rotatores appear innervated by the posterior primary rami of single cervical roots. However, texts differ in the number of pennae, between two and five, traveling to transverse process regions below. These are crowded into a small area between the spinous processes and transverse processes. Based on this understanding, a proposed cervical paraspinal mapping technique involves skin insertions from 1 to 2 cm lateral to the C5, C7, and T2 spinous processes. The needle samples transversely and deep toward midline, contacts bone, then is withdrawn and redirected to sample medial and caudally to midline to bone, creating two scores of 0-4 at three levels, theoretically resulting in scores of 0-24. This technique must be validated by clinical research to determine the range of normal, reproducibility, and the spectrum of findings in various disorders.
(© 2023 The Authors. PM&R published by Wiley Periodicals LLC on behalf of American Academy of Physical Medicine and Rehabilitation.)
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تواريخ الأحداث: Date Created: 20230729 Date Completed: 20240214 Latest Revision: 20240214
رمز التحديث: 20240214
DOI: 10.1002/pmrj.13046
PMID: 37515513
قاعدة البيانات: MEDLINE
الوصف
تدمد:1934-1563
DOI:10.1002/pmrj.13046