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2013 | 20 | 3 |

Tytuł artykułu

The use of surface electromyography for diagnosis of muscle dysfunction with pain symptoms

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Surface electromyography (sEMG) is generally considered by neurologists as an unacceptable diagnostic tool for examination of changes in the activity of muscle motor units in patients with non-specifi c back pain. The aim of this review is to demonstrate the usefulness of neurophysiological findings for the application of sEMG in differentiation of root-conflict and non-root-conflict sources of muscle pathologies with pain as the main symptom. In the first experiment carried out on 30 patients with clinically recognized myofascial pain, an attempt was undertaken to find out whether surface electromyographic (sEMG) readings during relaxation and maximal contraction revealed differences in the activity of muscles with or without trigger points (TrPs) detected by palpation. In the second experiment carried out on 40 office workers similar methodologies of clinical and neurophysiological examination were used, however, with the aim to verify a hypothesis about the dysfunction of cervical and shoulder girdle muscle motor units as the cause of cervicogenic headache (CEH). The results of both experiments led to the following conclusions: 1. Surface EMG performed at rest and during maximal contraction is a precise diagnostic tool that can be used for detection of changes in the activity of motor units in patients with myofascial pain syndrome and cervocogenic headache; 2. Surface EMG readings at rest, with an amplitude exceeding 25μV, may be helpful for evaluation of increased muscle tension, which leads to a decrease of the activity of muscle motor units during maximal contraction.

Wydawca

-

Rocznik

Tom

20

Numer

3

Opis fizyczny

p.135-139,fig.,ref.

Twórcy

autor
  • Department of Pathophysiology of Locomotor Organs, University of Medical Sciences, Poznan, Poland
autor
  • Department of Pathophysiology of Locomotor Organs, University of Medical Sciences, Poznan, Poland
autor
  • Department and Clinic of Physiotherapy, Rheumatology and Rehabilitation, University of Medical Sciences, Poznan, Poland
autor
  • Department of Pathophysiology of Locomotor Organs, University of Medical Sciences, Poznan, Poland

Bibliografia

  • 1. Pullman SL, Goodin DS, Marquinez AI, et al. Clinical utility of surface EMG. Report of the therapeutics and technology assessment subcommittee of the American Academy of Neurology. Neurology. 2000; 55: 171-177.
  • 2. Basmajian JV, De Luca CJ. Muscles Alive, (5th edition). Williams and Wilkins, Baltimore. MD 1985.
  • 3. Merletti R, Parker P. Electromyography. Physiology, engineering and noninvasive applications. John Wiley & Sons Inc. Hoboken. New Jersey. 2004.
  • 4. Kulczyk A, Lipiec J, Huber J, Zagłoba-Kaszuba A, Wytrążek M, Stryła W, Warzecha D. Standards of the surface electromyography examinations for assessment of muscle motor unit activity for physiotherapy purposes. In: Huber J, Wytrążek M, Joanna J, Kulczyk A, eds., Current topics on clinical neurophysiology, physiotherapy and manual therapy. Coll Educ Ther Publ House. Poznań 2011: 106-119.
  • 5. Cram JR, Kasman GS. Introduction to surface electromyography. Gaithersburg, Aspen Publishers; 1998.
  • 6. Lisiński P, Huber J, Samborski W, Witkowska A. Neurophysiological assessment of the electrostimulation procedures used in stroke patients during rehabilitation. Int J Artif Organs. 2008; 31, 1: 76-86.
  • 7. Huber J, Lisiński P, Samborski W, Wytrążek M. The effect of early isometric exercises on clinical and neurophysiological parameters in patients with sciatica: An interventional randomized one-blinded study. Isokinetic Ex Sci. 2011; 19, 3: 207-214.
  • 8. Wytr^zek M, Huber J, Lisinski P. Changes in muscle activity determine progression of clinical symptoms in patients with chronic spine-related muscle pain. A complex clinical and neurophysiological approach. Functional Neurology. 2011; 26, 3: 141-149.
  • 9. Huber J, Lisinski P, Polowczyk A. Reinvestigation of the dysfunction in neck and shoulder girdle muscles as the reason of cervicogenic headache among office workers. Di Rehab. 2012; 35 (9-10): 793-802.

Typ dokumentu

Bibliografia

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