Virtual EMG: Safe and Effective Remote Supervision and Reporting.

The COVID-19 pandemic accelerated the implementation of virtual care in healthcare, revealing challenges and opportunities in the use of remote healthcare services. Electromyography (EMG) traditionally requires in-person interaction, limiting access for patients in remote or underserved areas. This study explores the feasibility of performing needle EMG remotely, a concept referred to as "virtual EMG," whereby an experienced clinician supervises a technician from a different location using virtual tools. We developed a system utilizing remote video technology, a high-resolution camera, and Bluetooth communication devices to allow real-time observation and guidance of EMG procedures. The system was tested across three phases: (1) initial setup within the same facility, (2) refinement with higher quality video and communication tools, and (3) application in a clinical scenario involving a complex patient case. Our findings suggest that virtual EMG can be performed safely and effectively, providing accurate diagnostic information while reducing the need for patient travel and in-person contact. The implementation of virtual EMG has the potential to improve access to neuromuscular diagnostics, especially in rural and remote areas, aligning with the healthcare goals of enhancing patient experience, reducing costs, and promoting access. Further investigations are needed to validate this approach across various clinical scenarios and geographical locations.