Prahlow Nathan D, Buschbacher Ralph M
Indiana University, Department of Physical Medicine & Rehabilitation, Indianapolis, Indiana 46202, USA.
J Long Term Eff Med Implants. 2003;13(4):289-307. doi: 10.1615/jlongtermeffmedimplants.v13.i4.30.
Electromyography is a complex diagnostic test that is useful in diagnosing many neuromuscular and musculoskeletal conditions. Physiatrists and neurologists become familiar with this test during their training, while other physicians have minimal or no exposure, outside of perhaps some basic physiology lectures. A review of the anatomy, physiology, and physics upon which electrodiagnostic testing is based and of the various techniques used during a study provides the necessary foundation for understanding and using study results. A discussion of the conditions for which electrodiagnostic testing is useful, including carpal tunnel syndrome, radiculopathy, peripheral neuropathy, and disorders of the neuromuscular junction, is included both to review these disorders and to encourage appropriate referral for electrodiagnostic study.
肌电图是一项复杂的诊断测试,对诊断多种神经肌肉和肌肉骨骼疾病很有用。物理治疗师和神经科医生在培训期间熟悉这项测试,而其他医生除了可能在一些基础生理学讲座中有所接触外,很少或根本没有接触过。回顾电诊断测试所基于的解剖学、生理学和物理学知识以及研究过程中使用的各种技术,为理解和运用研究结果提供了必要的基础。本文还讨论了电诊断测试适用的疾病,包括腕管综合征、神经根病、周围神经病以及神经肌肉接头疾病,目的既是回顾这些疾病,也是鼓励在适当的时候转诊进行电诊断研究。