The utility of lumbar paraspinal mapping in the diagnosis of lumbar spinal stenosis

American Journal of Physical Medicine and Rehabilitation

Volumn 88, Issue 10, 2009, Pages 843-851

  Yagci, Ilker ^a,c   Gunduz, Osman Hakan ^a   Ekinci, Gazenfer ^a   Diracoglu, Demirhan ^b   Us, Onder ^a   Akyuz, Gulseren ^a  

^a MARMARA UNIVERSITY SCHOOL OF MEDICINE   (Turkey)

^b ISTANBUL UNIVERSITY   (Turkey)

^c NONE   (Turkey)

Author keywords

Electromyography; Lumbar spinal stenosis; Magnetic resonance imaging; Paraspinal mapping

Indexed keywords

ACUTE MONORADICULOPATHY; ADULT; AGED; ARTICLE; BRAIN ELECTROPHYSIOLOGY; CLINICAL ASSESSMENT; CLINICAL EVALUATION; CLINICAL FEATURE; CLINICAL PROTOCOL; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DIAGNOSTIC IMAGING; DOUBLE BLIND PROCEDURE; ELECTROMYOGRAPHY; HUMAN; INTERVERTEBRAL DISK HERNIA; LEG; LIMB NEEDLE ELETROMYOGRAPHY; LUMBAR PARASPINAL MAPPING; LUMBAR SPINAL STENOSIS; LUMBAR SPINE; MAJOR CLINICAL STUDY; MEDICAL DECISION MAKING; NERVE CONDUCTION; NUCLEAR MAGNETIC RESONANCE IMAGING; POLYNEUROPATHY; RADICULOPATHY; RADIOLOGIST; SCORING SYSTEM; SPINE RADIOGRAPHY; VERTEBRAL CANAL STENOSIS;

ELECTROMYOGRAPHY; HUMANS; LUMBAR VERTEBRAE; MAGNETIC RESONANCE IMAGING; POLYRADICULOPATHY; PROSPECTIVE STUDIES; RADICULOPATHY; SENSITIVITY AND SPECIFICITY; SPINAL STENOSIS;

EID: 70349732061     PISSN: 08949115     EISSN: None     Source Type: Journal    
DOI: 10.1097/PHM.0b013e3181b333a9     Document Type: Article

References (25)

1. Watters WC III, Baisden J, Gilbert TJ, et al; North American Spine Society: Degenerative lumbar spinal stenosis: An evidence-based clinical guideline for the diagnosis and treatment of degenerative lumbar spinal stenosis. Spine 2008;8:305-310
2. Fanuele JC, Birkmeyer NJO, Abdu WA, et al: The impact of spinal problems on the health status of patients: Have we underestimated the effect? Spine 2000;25:1509-1514
3. Whitman JM, Flynn TW, Fritz JM: Nonsurgical management of patients with lumbar spinal stenosis: A literature review and a case series of three patients managed with physical therapy. Phys Med Rehabil Clin N Am 2003;14:77-101
4. Jönsson B, Annertz M, Sjöberg C, et al: A prospective and consecutive study of surgically treated lumbar spinal stenosis. Part II. Five-year follow-up by an independent observer. Spine 1997;22:2938-2944 (Pubitemid 28070639)
5. Geisser ME, Haig AJ, Tong HC, et al: Spinal canal size and clinical symptoms among persons diagnosed with lumbar spinal stenosis. Clin J Pain 2007; 23:780-785 (Pubitemid 351339414)
6. Borenstein DG, O'Mara JW Jr, Boden SD, et al: The value of magnetic resonance imaging of the lumbar spine to predict low-back pain in asymptomatic subjects: A seven-year follow-up study. J Bone Joint Surg Am 2001;83:1306-1311
7. Kent DL, Haynor DR, Larson EB, et al: Diagnosis of lumbar spinal stenosis in adults: A metaanalysis of the accuracy of CT, MR, and myelography. AJR Am J Roentgenol 1992;158:1135-1144
8. Chiodo A, Haig AJ, Yamakawa KS, et al: Needle EMG has a lower false-positive rate than MRI in asymptomatic older adults being evaluated for lumbar spinal stenosis. Clin Neurophysiol 2007;118:751-756 (Pubitemid 46349826)
9. Jacobson RE: Lumbar stenosis: An electromyographic evaluation. Clin Orthop 1976;115:68-71
10. Seppalainen AM, Alaranta H, Soini J: Electromyography in the diagnosis of lumbar spinal stenosis. Electromyogr Clin Neurophysiol 1981;21:55-66 (Pubitemid 11109982)
11. Leionnen V, Maatta S, Taimela S, et al: Paraspinal muscle denervation, paradoxically good lumbar endurance, and an abnormal flexion-extension cycle in lumbar spinal stenosis. Spine 2003;28.324-31 (Pubitemid 36232611)
12. Thomas SA: Spinal stenosis: History and physical examination. Phys Med Rehabil Clin N Am 2003;14: 29-39 (Pubitemid 36255407)
13. Haig AJ: Clinical experience with paraspinal mapping. II. A simplified technique that eliminates three fourths of needle insertions. Arch Phys Med Rehabil 1997;78:1185-1190
14. Bogduk N, Macintosh JE, Pearcy MJ: A universal model of the lumbar back muscles in the upright position. Spine 1992;17:897-913
15. Haig AJ, Moffroid M, Henry S, et al: A technique for needle localization in the paraspinal muscle with cadaveric confirmation. Muscle Nerve 1991;14: 521-526
16. Haig AJ, Talley C, Grobler LJ, et al: Paraspinal mapping: Quantified needle electromyography in lumbar radiculopathy. Muscle Nerve 1993;16: 477-484 (Pubitemid 23138094)
17. Haig AJ: Clinical experience with paraspinal mapping. I. Neurophysiology of the paraspinal muscles in various spinal disorders. Arch Phys Med Rehabil 1997;78:1177-1184
18. Haig AJ, Tong HC, Yamakawa KS, et al: The sensitivity and specificity of electrodiagnostic testing for the clinical syndrome of lumbar spinal stenosis. Spine 2005;30:2667-2676
19. Dumitru D, Diaz CA, King JC: Prevalence of denervation in paraspinal and foot intrinsic musculature. Am J Phys Med Rehabil 2001;80:482-490 (Pubitemid 32574607)
20. Date ES, Mar EY, Bugola MR, et al: The prevalence of lumbar paraspinal spontaneous activity in asymptomatic subjects. Muscle Nerve 1996;19:350-354
21. Nardin RA, Raynor EM, Rutkove SB: Fibrillations in lumbosacral paraspinal muscles of normal subjects. Muscle Nerve 1998;21:1347-1349
22. Dumitru D: Electrodiagnostic medicine. I. Fundamental principles, in DeLisa JA (ed): Physical Medicine and Rehabilitation. Philadelphia, PA, Saunders Elsevier, 2006, pp 177-200
23. Dillingham TR, Lauder TD, Andary M, et al: Identifying lumbosacral radiculopathies: An optimal electromyographic screen. Am J Phys Med Rehabil 2000; 79:496-503 (Pubitemid 30839748)
24. Tong HC, Young IA, Koch J, et al: Paraspinal electromyography that compares concentric with monopolar needles: A blinded study. Am J Phys Med Rehabil 2003;82:917-924 (Pubitemid 37486305)
25. Plastaras CT: Electrodiagnostic challenges in the evaluation of lumbar spinal stenosis. Phys Med Rehabil Clin N Am 2003;14:57-69 (Pubitemid 36255409)