Correlation between Surface Electromyography and Conventional Electromyography in Facial Nerve Palsy
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Objective: To assess the correlation between surface electromyography (SEMG) and conventional EMG in patients with facial nerve palsy. Additionally, compare the discomfort and the time required by the patients in two methods. Method: 36 patients with facial palsy were given nerve conduction studies (NCS) via conventional EMG. Then, the peak root mean square (RMS) values were obtained from the SEMG. We also recorded visual analogue scale (VAS), House- Brackmann scale, and the time required for the examination. Results: Pearson’s correlation coefficient between the amplitude loss ratio of the RMS values obtained by SEMG compared to the unaffected side (RSEMG) and the amplitude loss ratio of CMAP amplitudes compared to the unaffected side (RCMAP) was 0.567 at the frontalis, 0.456 at the orbicularis oculi, 0.393 at the nasalis, and 0.437 at the orbicularis oris. An increase in RSEMG is positively correlated with an increase in RCMAP. The mean VAS score with conventional EMG was 3.55 ± 1.42, whereas that experienced when using SEMG was 0.11 ± 0.52 and the mean time required for conventional EMG was 610 ± 103.84 seconds, while that required for SEMG was 420 ± 86.32 seconds. Conclusion: This study demonstrated a significant positive correlation between facial muscle activities as measured by SEMG and conventional EMG in patients with facial nerve palsy. SEMG has the benefits of being more comfortable and faster when diagnosing facial palsy.
Abstract
Objective: To assess the correlation between surface electromyography (SEMG) and conventional EMG in patients with facial nerve palsy. Additionally, compare the discomfort and the time required by the patients in two methods. Method: 36 patients with facial palsy were given nerve conduction studies (NCS) via conventional EMG. Then, the peak root mean square (RMS) values were obtained from the SEMG. We also recorded visual analogue scale (VAS), House- Brackmann scale, and the time required for the examination. Results: Pearson’s correlation coefficient between the amplitude loss ratio of the RMS values obtained by SEMG compared to the unaffected side (RSEMG) and the amplitude loss ratio of CMAP amplitudes compared to the unaffected side (RCMAP) was 0.567 at the frontalis, 0.456 at the orbicularis oculi, 0.393 at the nasalis, and 0.437 at the orbicularis oris. An increase in RSEMG is positively correlated with an increase in RCMAP. The mean VAS score with conventional EMG was 3.55 ± 1.42, whereas that experienced when using SEMG was 0.11 ± 0.52 and the mean time required for conventional EMG was 610 ± 103.84 seconds, while that required for SEMG was 420 ± 86.32 seconds. Conclusion: This study demonstrated a significant positive correlation between facial muscle activities as measured by SEMG and conventional EMG in patients with facial nerve palsy. SEMG has the benefits of being more comfortable and faster when diagnosing facial palsy.
참고문헌 (25)
- Yanagihara N, "Incidence of Bell's palsy", Ann Otol Rhinol Laryngol Suppl, 137, pp.3~4 (1988)
- Truelsen T, "Stroke incidence and prevalence in Europe : a review of available data", Eur J Neurol, 13, pp.581~598 (2006)
- Heuschmann PU, "Incidence of stroke in Europe at the beginning of the 21st century", Stroke, 40, pp.1557~1563 (2009)
- Rosler KM, "Investigation of facial motor pathways by electrical and magnetic stimulation : sites and mechanisms of excitation", J Neurol Neurosurg Psychiatry, 52, pp.1149~1156 (1989)
- Ghonim MR, "Blink reflex : prognostic value in acute peripheral facial palsy", ORL J Otorhinolaryngol Relat Spec, 52, pp.75~79 (1990)
- Dumitru D, "Electrodiagnostic medicine", pp.678~679 (2002), Hanley& Belfus Inc.
- De Luca CJ, "The use of surface electromyography in biomechanics", Journal of applied biomechanics, 13, pp.135~163 (1997)
- Merletti R, "Surface electromyography for noninvasive characterization of muscle", Exerc Sport Sci Rev, 29, pp.20~25 (2001)
- Sutherland DH, "The evolution of clinical gait analysis part l : kinesiological EMG", Gait Posture, 14, pp.61~70 (2001)
- Merletti R, "Myoelectric manifestations of fatigue in voluntary and electrically elicited contractions", J Appl Physiol(1985), 69, pp.1810~1820 (1990)
- Hodges PW, "Feedforward contraction of transversus abdominis is not influenced by the direction of arm movement", Exp Brain Res, 114, pp.362~370 (1997)
- Mannion AF, "The influence of muscle fiber size and type distribution on electromyographic measures of back muscle fatigability", Spine(Phila Pa 1976), 23, pp.576~584 (1998)
- 한재영, "표면 근전도검사를 이용한 만성 요통환자의 평가", Annals of Rehabilitation Medicine, 26(6), pp.16~744 (2002), 대한재활의학회
- Zwarts MJ, "Recent progress in the diagnostic use of surface EMG for neurological diseases", J Electromyogr Kinesiol, 10, pp.287~291 (2000)
- Casale R, "Can continuous physical training counteract aging effect on myoelectric fatigue? A surface electromyography study application", Arch Phys Med Rehabil, 84, pp.513~517 (2003)
- Hee Song Lee, "Facilitating Effects of Fast and Slope Walking on Paraspinal Muscles", Annals of Rehabilitation Medicine, 38(4), pp.514~522 (2014), 대한재활의학회
- Schumann NP, "Facial muscle activation patterns in healthy male humans : a multi-channel surface EMG study", J Neurosci Methods, 187, pp.120~128 (2010)
- Lindsey KT, "Surface facial electromyography, skin conductance, and self-reported emotional responses to light-and season-relevant stimuli in seasonal affective disorder", J Affect Disord, 133, pp.311~319 (2011)
- 김종욱, "안면신경마비의 평가척도와 SEMG 검사 결과 간의 상관성 연구", Journal of Acupuncture Research, 30(5), pp.107~116 (2013), 대한침구의학회
- Gant L, "Spectral analysis of root-meansquare processed surface electromyography data as a measure of repetitive muscular exertion", Proceedings of the Human Factors and Ergonomics Society Annual Meeting (2012), SAGE Publications
- Castroflorio T, "Effects of a functional appliance on masticatory muscles of young adults suffering from muscle-related temporomandibular disorders", J Oral Rehabil, 31, pp.524~529 (2004)
- Walker WC, "Relation of electromyography-induced pain to type of recording electrodes", Muscle Nerve, 24, pp.417~420 (2001)
- Yalinay Dikmen P, "Pain levels of examined muscles and gender differences in pain during electromyography", Agri, 27, pp.79~82 (2015)
- Kalantar SS, "Paracetamol 325 mg", tramadol 37.5 mg effect on pain during needle electromyography: a doubleblind crossover clinical trial, 2016, pp.116, 599~604
- DİKMEN PY, "Expected and experienced pain levels in electromyography", Noro Psikiyatr Ars, 50, pp.364~367 (2013)