enmg Flashcards
ENMG looks at
determine location and severity of impairment
Does not determine actual cause
Saltatory conduction
Less energy needed to achieve Action
potential
Patients with signs and symptoms of neuromuscular disorders (4)
Numbness, tingling, pain in sensory distribution, and weakness (CNS vs. PNS)
Segmental demyelination
focal conduction abnormality along nerve
Who needs ENMG testing
neuromuscular disorders
Segmental demyelination
Axon degerneration
precautions for ENMG (3)
pacemakers, blood thinners, blood-transmittable diseases (universal precautions)
common nerve and muscle in motor nerve conduction study
Median nerve very common and Abductor pollicis brevis typically uses
orthdromic
goes the same direction as the nerve
antidromic
goes the opposite direction of the nerve
H-reflex
takes a closer look at peripheral nerve dysfunction
F-reflex
takes a closer look at nerves more proximal to spinal cord
order of demylination
Neurapraxia (mildest), axonotmesis, neurotmesis (most severe)
axonotmesis
injury to peripheral nerve
neurotemeis
complete cut, no peak