دورية أكاديمية

A review of electromyography techniques of the cervical paraspinal muscles.

التفاصيل البيبلوغرافية
العنوان: A review of electromyography techniques of the cervical paraspinal muscles.
المؤلفون: McGuire T; The University of Vermont, Burlington, Vermont, USA., Haig AJ; Haig Physical Medicine PLC, The University of Michigan, Ann Arbor, Michigan, USA.
المصدر: PM & R : the journal of injury, function, and rehabilitation [PM R] 2024 Mar; Vol. 16 (3), pp. 287-294. Date of Electronic Publication: 2023 Sep 29.
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: Radiculopathy*/diagnosis, Humans ; Electromyography/methods ; Paraspinal Muscles ; Electrodiagnosis/methods ; Lumbosacral Region
مستخلص: Electrodiagnosis for cervical radiculopathy often involves exploration of the cervical paraspinal muscles. Accurate and reproducible results require a technique with specific anatomic localization, direction of insertion, extent of insertion, scoring system for insertion, and criteria for determining abnormality. We sought to understand if a published technique met these criteria. A Medline search found 39 articles with original research and 10 review articles involving the cervical paraspinals. A library search found 19 textbooks since 2000, but 9 were not available. Only two studies were specific to the question. Neither had reproducible techniques and they contradicted each other. Studies in which the paraspinals were used for comparison or inclusion did not provide any specific technique. The review articles and textbooks typically met none of our criteria and the few that discussed technique at all provided no reproducible methods. Despite 80 years of electrodiagnostic testing, there is no useful, reproducible technique for exploring the cervical paraspinal muscles. Yet such a paraspinal mapping technique has proven invaluable in the lumbar region. For cervical electromyography to be of value, the next step is to understand the anatomy and propose a reproducible technique. Subsequent research will determine whether the neck muscles are helpful in the diagnosis of cervical radiculopathy. The absence of a valid reproducible cervical paraspinal technique impedes clinical and scientific understanding of cervical radiculopathy.
(© 2023 The Authors. PM&R published by Wiley Periodicals LLC on behalf of American Academy of Physical Medicine and Rehabilitation.)
References: Brazier MA, Watkins AL, Michelsen JJ. Electromyography in differential diagnosis of ruptured cervical disk. Arch Neurol Psychiatry. 1946;56(6):651-658. doi:10.1001/archneurpsyc.1946.02300230045004.
American Association of Electrodiagnostic Medicine, So YT. Guidelines in electrodiagnostic medicine. Practice parameter for needle electromyographic evaluation of patients with suspected cervical radiculopathy. Muscle Nerve Suppl. 1999;8:S209-S221. PMID: 16921635.
Kreiner DS, Shaffer WO, Baisden JL, et al. An evidence-based clinical guideline for the diagnosis and treatment of degenerative lumbar spinal stenosis (update). Spine J. 2013;13(7):734-743. doi:10.1016/j.spinee.2012.11.059 PMID: 23830297.
Haig AJ, Moffroid M, Henry S, Haugh L, Pope M. A technique for needle localization in paraspinal muscles with cadaveric confirmation. Muscle Nerve. 1991;14(6):521-526. doi:10.1002/mus.880140606.
Haig AJ, Talley C, Grobler LJ, LeBreck DB. Paraspinal mapping: quantified needle electromyography in lumbar radiculopathy. Muscle Nerve. 1993;16(5):477-484. doi:10.1002/mus.880160508.
Tong HC, Haig AJ, Yamakawa KS, Miner JA. Paraspinal electromyography: age-correlated normative values in asymptomatic subjects. Spine. 2005;30(17):E499-E502. doi:10.1097/01.brs.0000176318.95523.12.
Haig AJ, Geisser ME, Tong HC, et al. Electromyographic and magnetic resonance imaging to predict lumbar stenosis, low-back pain, and no back symptoms. J Bone Joint Surg Am. 2007;89(2):358-366. doi:10.2106/JBJS.E.00704.
Annaswamy TM, Bierner SM, Chouteau W, Elliott AC. Needle electromyography predicts outcome after lumbar epidural steroid injection. Muscle Nerve. 2012;45(3):346-355. doi:10.1002/mus.22320.
Chen HB, Wan Q, Xu QF, Chen Y, Bai B. Reducing surgical levels by paraspinal mapping and diffusion tensor imaging techniques in lumbar spinal stenosis. J Orthop Surg. 2016;11(1):47. doi:10.1186/s13018-016-0382-1.
Haig AJ, Tong HC, Kendall R. The bent spine syndrome: myopathy + biomechanics = symptoms. Spine J. 2006;6(2):190-194. doi:10.1016/j.spinee.2005.08.002.
Haig AJ, McGuire TJ. Anatomical study and proposed EMG technique for the cervical paraspinal muscles. PM&R. 2023.
Honet JC, Puri K. Cervical radiculitis: treatment and results in 82 patients. Arch Phys Med Rehabil. 1976;57(1):12-16. Cited in: Ovid MEDLINE(R) at http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med1&NEWS=N&AN=1247370. Accessed December 06, 2020.
Khan MRH, McInnes A, Hughes SPF. Electrophysiological studies in cervical spondylosis. J Spinal Dis. 1989;2:163-169.
Spieker AJ, Narayanaswami P, Fleming L, Keel JC, Muzin SC, Rutkove SB. Electrical impedance myography in the diagnosis of radiculopathy. Muscle Nerve. 2013;48(5):800-805. doi:10.1002/mus.23833.
Bednarik J, Kadanka Z, Dusek L, et al. Presymptomatic spondylotic cervical myelopathy: an updated predictive model. Eur Spine J. 2008;17(3):421-431. doi:10.1007/s00586-008-0585-1.
Lo YL, Chan LL, Leoh T, et al. Diagnostic utility of F waves in cervical radiculopathy: electrophysiological and magnetic resonance imaging correlation. Clin Neurol Neurosurg. 2008;110(1):58-61. doi:10.1016/j.clineuro.2007.09.003.
Ashkan K, Johnston P, Moore AJ. A comparison of magnetic resonance imaging and neurophysiological studies in the assessment of cervical radiculopathy. Br J Neurosurg. 2002;16(2):146-148. doi:10.1080/02688690220131741.
Levin KH, Maggiano HJ, Wilbourn AJ. Cervical radiculopathies: comparison of surgical and EMG localization of single-root lesion. Neurology. 1996;46:1023-1025.
Gough J, Koepke G. Electromyographic determination of motor root levels in erector spinae muscles. Arch Phys Med Rehabil. 1966;47:9-11.
Yoshida T, Sueyoshi T, Suwazono S, Suehara M. Three-tesla magnetic resonance neurography of the brachial plexus in cervical radiculopathy. Muscle Nerve. 2015;52(3):392-396. doi:10.1002/mus.24560.
Zheng C, Zhu Y, Lv F, et al. Abnormal flexor carpi radialis H-reflex as a specific indicator of C7 as compared with C6 radiculopathy. J Clin Neurophysiol. 2014;31(6):529-534. doi:10.1097/WNP.0000000000000104.
Reza Soltani Z, Sajadi S. Tavana BA comparison of magnetic resonance imaging with electrodiagnostic findings in the evaluation of clinical radiculopathy: a cross-sectional study. Eur Spine J. 2014;23:916-921. doi:10.1007/s00586-013-3164-z.
Inal EE, Eser F, Aktekin LA, Oksuz E, Bodur H. Comparison of clinical and electrophysiological findings in patients with suspected radiculopathies. J Back Musculoskeletal Rehabil. 2013;26(2):169-173. doi:10.3233/BMR-2012-00364.
Galarza M, Gazzeri R, Gazzeri G, Zuccarello M, Taha J. Cubital tunnel surgery in patients with cervical radiculopathy: double crush syndrome? Neurosurg Rev. 2009;32(4):471-478. doi:10.1007/s10143-009-0219-z.
Braddom RL, Spitz L, Rivner MH. Frequency of radiculopathies in motor vehicle accidents. Muscle Nerve. 2009;39(4):545-547. doi:10.1002/mus.21276.
Tsai PY, Chuang TY, Cheng H, Wu HM, Chang YC, Wang CP. Concordance and discrepancy between electrodiagnosis and magnetic resonance imaging in cervical root avulsion injuries. J Neurotrauma. 2006;23(8):1274-1281. doi:10.1089/neu.2006.23.1274.
Wainner RS, Fritz JM, Irrgang JJ, Boninger ML, Delitto A, Allison S. Reliability and diagnostic accuracy of the clinical examination and patient self-report measures for cervical radiculopathy. Spine. 2003;28(1):52-62. doi:10.1097/00007632-200301010-00014.
Tong HC, Haig AJ, Yamakawa K. The Spurling test and cervical radiculopathy. Spine. 2002;27(2):156-159. doi:10.1097/00007632-200201150-00007.
Nardin RA, Patel MR, Gudas TF, Rutkove SB, Raynor EM. Electromyography and magnetic resonance imaging in the evaluation of radiculopathy. Muscle Nerve. 1999;22(2):151-155. doi:10.1002/(sici)1097-4598(199902)22:2<151::aid-mus2>3.0.co;2-b.
Lauder TD, Dillingham TR, Andary MT, et al. Predicting electrodiagnostic outcome in patients with upper limb symptoms: are the history and physical examination helpful? Arch Phys Med Rehabil. 2000;81:436-441.
Zhang J, Cui C, Liu Z, Tong T, Niu R, Shen Y. Predisposing factors for poor outcome of surgery for cervical spondylotic amyotrophy: a multivariate analysis. Sci Rep. 2016;6:39512. doi:10.1038/srep39512.
Dillingham TR, Lauder TD, Andary M, et al. Identification of cervical radiculopathies: optimizing the electromyographic screen. Am J Phys Med Rehabil. 2001;80:84-91.
Leblhuber F, Reisecker F, Boehm-Jurkovic H, Witzmann A, Deisenhammer E. Diagnostic value of different electrophysiologic tests in cervical disk prolapse. Neurology. 1988;38:1879-1881.
McNeish B, Hearn S, Craig A, Laidlaw A, Ziadeh M, Richardson JK. Motor amplitudes may predict electromyography-confirmed radiculopathy in patients referred for radiating limb pain. Muscle Nerve. 2019;59(5):561-566. doi:10.1002/mus.26442.
Yun Y, Lee EJ, Kim Y, Kim JC, Lee SA, Chon J. Asymmetric atrophy of cervical multifidus muscles in patients with chronic unilateral cervical radiculopathy. Medicine (Baltimore). 2019;98(32):e16041. doi:10.1097/MD.0000000000016041.
Slipman CW, Lipetz JS, DePalma MJ, Jackson HB. Therapeutic selective nerve root block in the nonsurgical treatment of traumatically induced cervical spondylotic radicular pain. Am J Phys Med Rehabil. 2004;83(6):446-454. doi:10.1097/00002060-200406000-00007.
Slipman CW, Lipetz JS, Jackson HB, Rogers DP, Vresilovic EJ. Therapeutic selective nerve root block in the nonsurgical treatment of atraumatic cervical spondylotic radicular pain: a retrospective analysis with independent clinical review. Arch Phys Med Rehabil. 2000;81(6):741-746. doi:10.1016/s0003-9993(00)90104-7.
Czyrny JJ, Lawrence J. Importance of paraspinal muscle electromyography in cervical and lumbosacral radiculopathies. Am J Phys Med Rehabil. 1995;74:458-459.
Gilad R, Dabby R, Boaz M, Sadeh M. Cervical paraspinal electromyography: normal values in 100 control subjects. J Clin Neurophysiol. 2006 Dec;23(6):573-576. doi:10.1097/01.wnp.0000232190.94175.ab PMID: 17143146.
Date ES, Kim BJ, Yoon JS, Park BK. Cervical paraspinal spontaneous activity in asymptomatic subjects. Muscle Nerve. 2006;34(3):361-364. doi:10.1002/mus.20557.
Han JJ, Kraft GH. Electrodiagnosis of neck pain. Phys Med Rehabil Clin N Am. 2003;14:549-567.
Lauder TD. Physical examination signs, clinical symptoms, and their relationship to electrodiagnostic findings and the presence of radiculopathy. Phys Med Rehabil Clin N Am. 2002;13(3):451-467. doi:10.1016/s1047-9651(02)00006-2.
Johnson E, Fletcher FR. Lumbosacral radiculopathy: review of 100 consecutive cases. Arch Phys Med Rehabil. 1981;62:321-323.
Partanen J, Partanen K, Oikarinen H, Niemitukia L, Hernesniemi J. Preoperative electroneuromyography and myelography in cervical root compression. Electromyogr Clin Neurophysiol. 1991;31:21-26.
Waylonis GW. Electromyographic findings in chronic cervical radicular syndromes. Arch Phys Med Rehabil. 1968;49:407-412.
Hong CZ, Lee S, Lum P. Cervical radiculopathy: clinical, radiographic and EMG findings. Orthop Rev. 1986;15:433-439.
Berger AR, Busis NA, Logigian EL, Wierzbicka M, Shahani BT. Cervical root stimulation in the diagnosis of radiculopathy. Neurology. 1987;37:329-332.
Tamura M, Shinbo S, Ogawa K, Tamiya T, Takasu T. The clinical features of cervical spondylosis with boule musculaire. Rinsho Shinkeigaku. 1999;39(11):1097-1103.
Marinacci AA. A correlation between operative findings in cervical herniated disk with the electromyograms and opaque myelograms. Electromyography. 1966;6:5-20.
Negrin P, Lelli S, Fardin P. Contribution of electromyography to the diagnosis, treatment, and prognosis of cervical disk disease: a study of 114 patients. Electromyogr Clin Neurophysiol. 1991;31:173-179.
Perotto A, Delagi EF. In: Aldo O, ed. Anatomical Guide for the Electromyographer: the Limbs and Trunk. Vol 5th. Perotto, Charles C Thomas; 2011.
Daube JR, Rubin DI. Clinical Neurophysiology. Vol 3rd ed. Oxford University Press; 2009. Accessed December 7, 2020. http://search.ebscohost.com.proxy.lib.umich.edu/login.aspx?direct=true&db=e000xna&AN=330627&site=ehost-live&scope=site.
Cooper R, Binnie CD, Billings R. Techniques in Clinical Neurophysiology: a Practical Manual. Elsevier, 2005.
Leis AA, Trapani VC. Atlas of Electromyography. Oxford University Press; 2000.
Pohlman DD, Tseng VD, Wisotzky EM, EMG P. Demos Medical. 2015. Accessed December 7, 2020 http://search.ebscohost.com.proxy.lib.umich.edu/login.aspx?direct=true&db=e000xna&AN=788029&site=ehost-live&scope=site.
Weiss JM, Weiss L, Silver J. Nerve conduction studies. Easy EMG. A Guide to Performing Nerve Conduction Studies and Electromyography. 2nd ed. Elsevier; 2016.
Preston DC, Comte BS. Electromyography and Neuromuscular Disorders: Clinical-Electrophysiologic Correlations (Expert Consult - Online). 3rd ed. Saunders; 2013. Accessed December 7, 2020 http://search.ebscohost.com.proxy.lib.umich.edu/login.aspx?direct=true&db=nlebk&AN=518058&site=ehost-live&scope=site.
Michell A. Understanding EMG. OUP Oxford; 2013. Accessed December 7, 2020. http://search.ebscohost.com.proxy.lib.umich.edu/login.aspx?direct=true&db=e000xna&AN=678245&site=ehost-live&scope=site.
Siao P, Cros D, Vucic S. Practical Approach to Electromyography. Demos Medical Publishing; 2011.
Blum AS, Rutkove SB. The Clinical Neurophysiology Primer. Humana Press; 2007.
Lee HJ, DeLisa JA. Manual of Nerve Conduction Study and Surface Anatomy for Needle Electromyography. Wolters Kluwer Health; 2004 ProQuest Ebook Central, https://ebookcentral-proquest-com.proxy.lib.umich.edu/lib/umichigan/detail.action?docID=2032528.
Katirji B. Neuromuscular disorders in clinical practice. Butterworth-Heinemann; 2002.
Kimura J. Electrodiagnosis in Diseases of Nerve and Muscle: Principles and Practice. 3rd ed. Oxford University Press; 2001.
Fishman LM, Wilkins AN. Functional electromyography: provocative maneuvers in electrodiagnosis. [electronic resource].
Pease WS, Lew HL, Johnson EW. Johnson's Practical Electromyography. 4th ed. Lippincott Williams & Wilkins; 2007.
Amato AA, Greenburg SA. EMG Pearls. Elsevier; 2004.
Binnie CD. Clinical Neurophysiology. 1st ed. Butterworth Heineman; 1995.
Misulis KE, Head TC. Essentials of Clinical Neurophysiology. 3rd ed. Butterworth Heineman; 2003.
Bertorini TE ed. Clinical Evaluation and Diagnostic Tests for Neuromuscular Disorders. Butterworth-Heineman; 2002.
Dumitru D, Amato AA, Zwarts M. Electrodiagnostic Medicine Pitfalls. Electrodiagnostic Medicine. 2nd ed. Elsevier; 2002.
Carrette S, Fehlings MG. Cervical radiculopathy. N Engl J Med. 2005;353:392-399. doi:10.1056/NEJMcp04388.
Rao RD, Currier BL, Albert TJ, et al. Degenerative cervical spondylosis: clinical syndromes, pathogenesis, and management. J Bone Joint Surg Am. 2007;89(6):1360-1378. doi:10.2106/00004623-200706000-00026.
Haig AJ, Talley C, Grobler LJ, LeBreck DB. Paraspinal mapping: quantified needle electromyography in lumbar radiculopathy. Electroencephalogr Clin Neurophysiol. 1993;87:73-484.
Tsao B. The electrodiagnosis of cervical and lumbosacral radiculopathy. Neurol Clin. 2007 May;25(2):473-494. doi:10.1016/j.ncl.2007.02.001.
Date ES, Mar EY, Bugola MR, Teraoka JK. The prevalence of lumbar paraspinal spontaneous activity in asymptomatic subjects. Muscle Nerve. 1996;19:350-354.
Dumitru D, Diaz CA, King JC. Prevalence of denervation in paraspinal and foot intrinsic musculature. Am J Phys Med Rehabil. 2001;80:482-490.
Nardin RA, Raynor EM, Rutkove SB. Fibrillations in lumbosacral paraspinal muscles of normal subjects. Muscle Nerve. 1998;21:1347-1349.
Wu PB, Date ES, Kingery WS. The lumbar multifidus muscle in polysegmentally innervated. Electromyogr Clin Neurophysiol. 2000;40(8):483-485.
Bogduk N. The anatomy and pathophysiology of neck pain. Phys Med Rehabil Clin N Am. 2003;14(3):455-472.
Haig AJ. Clinical experience with paraspinal mapping I: neurophysiology of the paraspinal muscles in various spinal disorders. Arch Phys Med Rehabil. 1997;78(11):1177-1184.
Haig AJ. Clinical experience with paraspinal mapping. II: a simplified technique that eliminates three-fourths of needle insertions. Arch Phys Med Rehabil. 1997;78(11):1185-1190.
Tong HC, Young IA, Koch J, Haig AJ, Yamakawa KS, Wallbom A. Paraspinal electromyography that compares concentric with monopolar needles: a blinded study. Am J Phys Med Rehabil. 2003;82(12):917-924.
Yamakawa KS, Haig AJ, Geisser ME, Tong HC, Chiodo A, Miner JA. The clinician effect on "objective" technical components of the electrodiagnostic consultation. Am J Phys Med Rehabil. 2007;86(5):364-372.
تواريخ الأحداث: Date Created: 20230802 Date Completed: 20240313 Latest Revision: 20240313
رمز التحديث: 20240313
DOI: 10.1002/pmrj.13047
PMID: 37528546
قاعدة البيانات: MEDLINE
الوصف
تدمد:1934-1563
DOI:10.1002/pmrj.13047