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신경근병증에서 전기진단검사의 진료권고안

An Evidence-Based Electrodignositc Guideline for the Diagnosis of Radiculopathy

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참고문헌

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초록

The purpose of this study was to provide optimum practical guideline for electrodiagnostic testing of patients with suspected cervical or lumbosacral radiculopathy. For the guideline presented here, PubMed, and KoreaMed searches were performed. When little or no data from well-designed prospective trials were available, an emphasis was placed on the results from large series and reports from expert consensus conference. This guideline contains evidences and recommendations on the each electrodiagnostic testing for the evaluation of radiculopathy: needle EMG, nerve conduction study, H-reflex, F-wave, evoked potential and root stimulation.

Abstract

The purpose of this study was to provide optimum practical guideline for electrodiagnostic testing of patients with suspected cervical or lumbosacral radiculopathy. For the guideline presented here, PubMed, and KoreaMed searches were performed. When little or no data from well-designed prospective trials were available, an emphasis was placed on the results from large series and reports from expert consensus conference. This guideline contains evidences and recommendations on the each electrodiagnostic testing for the evaluation of radiculopathy: needle EMG, nerve conduction study, H-reflex, F-wave, evoked potential and root stimulation.

참고문헌 (44)

  1. Dumitru D, "Radiculopathies, In Electrodiagnostic medicine. 2nd Ed", pp.711~776 (2002), Hanley & Belfus
  2. Jensen MC, "Magnetic resonance imaging of the lumbar spine in people without back pain", N Engl J Med, 331, pp.69~73 (1994)
  3. Boden SD, "Abnormal magnetic-resonance scans of the cervical spine in asymptomatic subjects. A prospective investigation", J Bone Joint Surg Am, 72, pp.1178~1184 (1990)
  4. Cho SC, "Utility of electrodiagnostic testing in evaluating patients with lumbosacral radiculopathy: an evidence-based review", Muscle Nerve, 42, pp.276~282 (2010)
  5. American Association of Electrodiagnostic Medicine, "Guidelines in electrodiagnostic medicine. Practice parameter for needle electromyographic evaluation of patients with suspected cervical radiculopathy", Muscle Nerve Suppl, 8, pp.S209~S221 (1999)
  6. Fisher MA, "Electrophysiology of radiculopathies", Clin Neurophysiol, 113, pp.317~335 (2002)
  7. Wilbourne AJ, "AAEM minimonograph #32. The electrophysiologic examination in patients with radiculopathies", Muscle Nerve, 21, pp.1612~1631 (1998)
  8. Ashkan K, "A comparison of magnetic resonance imaging and neurophysiological studies in the assessment of cervical radiculopathy", Br J Neurosurg, 16, pp.146~148 (2002)
  9. Alrawi MF, "The value of neurophysiological and imaging studies in predicting outcome in the surgical treatment of cervical radiculopathy", Eur Spine J, 16, pp.495~500 (2007)
  10. Dillingham TR, "The lumbosacral Electromyographic screen: revisiting a classic paper", Clin Neurophysiol, 111, pp.2219~2222 (2000)
  11. Haig AJ, "The sensitivity and specificity of electrodiagnostic testing for the clinical syndrome of lumbar spinal stenosis", Spine, 30, pp.2667~2676 (2005)
  12. Dillingham TR, "Identification of cervical radiculopathies: optimizing the electromyographic screen", Am J Phys Med Rehabil, 80, pp.84~91 (2001)
  13. Dillingham TR, "Identifying lumbosacral radiculopathies: an optimal electromyographic screen", Am J Phys Med Rehabil, 79, pp.496~503 (2000)
  14. Haig AJ, "Clinical experience with paraspinal mapping. I: Neurophysiology of the paraspinal muscles in various spinal disorders", Arch Phys Med Rehabil, 78, pp.1177~1184 (1997)
  15. Haig AJ, "Spinal stenosis, back pain, or no symptoms at all? A masked study comparing radiologic and electrodiagnostic diagnoses to the clinical impression", Arch Phys Med Rehabil, 87, pp.897~903 (2006)
  16. Haig AJ, "Electromyographic and magnetic resonance imaging to predict lumbar stenosis, low-back pain, and no back symptoms", J Bone Joint Surg, 89, pp.358~366 (2007)
  17. Yagci I, "The utility of lumbar paraspinal mapping in the diagnosis of lumbar spinal stenosis", Am J Phys Med Rehabil, 88, pp.843~851 (2009)
  18. Song NK, "Screening test of cervical radiculopathy using needle electromyography", J Korean EMG Electrodiagn Med, 3, pp.64~68 (2001)
  19. Han TR, "Optimal sampling of muscle to detect lumbosacral radiculopathy", Kor Acad Rehab Med, 27, pp.63~69 (2003)
  20. Pezzin LE, "Cervical radiculopathies: relationship between symptom duration and spontaneous EMG activity", Muscle Nerve, 22, pp.1412~1418 (1999)
  21. Tong HC, "Specificity of needle electromyography for lumbar radiculopathy in 55 to 79-yr-old subjects with low back pain and sciatica without stenosis", Am J Phys Med Rehabil, 90, pp.233~238 (2011)
  22. Levin KH, "Electrodiagnostic approach to the patient with suspected radiculopathy", Neurol Clin, 20, pp.397~421 (2002)
  23. Ho YH, "Sensory nerve conduction studies of the superficial peroneal nerve in L5 radiculopathy", Acta Neurol Taiwan, 13, pp.114~119 (2004)
  24. 이정수, "제 5 요수 신경근병증에서 천비골 감각 전도검사와 후근신경절의 위치", Annals of Rehabilitation Medicine, 33(3), pp.309~315 (2009), 대한재활의학회
  25. Fisher MA, "H reflexes and F waves. Fundamentals, normal and abnormal patterns", Neurol Clin, 20, pp.339~360 (2002)
  26. Magladery JW, "Electrophysiological studies of nerve and reflex activity in normal man. IV. The two-neurone reflex and identification of certain action potentials from spinal roots and cord", Bull Johns Hopkins Hosp, 88, pp.499~519 (1951)
  27. Eliaspour D, "Utility of flexor carpi radialis H-reflex in diagnosis of cervical radiculopathy", J Clin Neurophysiol, 26, pp.458~460 (2009)
  28. Albeck MJ, "Diagnostic value of electrophysiological tests in patients with sciatica", Acta Neurol Scand, 101, pp.249~254 (2000)
  29. Marin R, "Extensor digitorum brevis reflex in normals and patients with radiculopathies", Muscle Nerve, 18, pp.52~59 (1995)
  30. 우경봉, "제7 경수 신경근병변에서 요측 수근굴근 H반사의 임상적 효용성", Annals of Rehabilitation Medicine, 31(6), pp.683~688 (2007), 대한재활의학회
  31. Lee SJ, "The diagnostic significance of H reflex and somatosensory evoked potential in S1 radiculopathy", J Korean Acad Rehabil Med, 22, pp.658~664 (1998)
  32. Sung DH, "Diagnostic value of H reflex in the S1 radiculopathy", J Korean EMG Electrodiagn Med, 1, pp.49~54 (1999)
  33. 김윤기, "단일 편측 제5 요수 신경근 병변에서 전경골근 H반사의 진단적 가치", Annals of Rehabilitation Medicine, 27(5), pp.12~716 (2003), 대한재활의학회
  34. Panayiotopoulos CP, "F-waves in clinical neurophysiology: a review, methodological issues and overall value in peripheral neuropathies", Electroencephalogr Clin Neurophysiol, 101, pp.365~374 (1996)
  35. Tang LM, "Postural effects on F wave parameters in lumbosacral root compression and canal stenosis", Brain, 111, pp.207~213 (1988)
  36. Eisen A, "An electrophysiological method for examining lumbosacral root compression", Can J Neurol Sci, 4, pp.117~123 (1977)
  37. Kang KJ, "Comparative study of different diagnostic methods in patients with lumbosacral herniated intervertebral disc", J Korean EMG Electrodiagn Med, 1, pp.42~48 (1999)
  38. Snowden ML, "Dermatomal somatosensory evoked potentials in the diagnosis of lumbosacral spinal stenosis: comparison with imaging studies", Muscle Nerve, 15, pp.1036~1044 (1992)
  39. Dumitru D, "Dermatomal", segmental somatosensory evoked potential evaluation of L5, unilevel radiculopathies, pp.Muscle Nerve, 1996[DOI]
  40. Shon SI, "Segmental and dermatomal somatosensory evoked potentials in lumbosacral radiculopathy", J Korean Neurol Assoc, 13, pp.519~527 (1995)
  41. Seo JH, "Change of diagnostic sensitivity in dermatomal somatosensory evoked potentials according to stimulation intensity in lumbosacral radiculopathy", J Korean EMG Electrodiagn Med, 7, pp.1~7 (2005)
  42. Tabaraud F, "Motor evoked responses after lumbar spinal stimulation in patients with L5 or S1 radicular involvement", Electroencephalogr Clin Neurophysiol, 72, pp.334~339 (1989)
  43. Bono CM, "North American Spine Society: An evidence-based clinical guideline for the diagnosis and treatment of cervical radiculopathy from degenerative disorders", Spine J, 11, pp.64~72 (2011)
  44. Kendall R, "Interrater reliability of the needle examination in lumbosacral radiculopathy", Muscle Nerve, 34, pp.238~241 (2006)

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