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  1. Book ; Online ; E-Book: Buschbacher's manual of nerve conduction studies

    Kumbhare, Dinesh / Robinson, Lawrence R. / Buschbacher, Ralph M.

    2016  

    Title variant Manual of nerve conduction studies
    Author's details Dinesh Kumbhare ; Lawrence Robinson ; Ralph Buschbacher
    Keywords Neural Conduction ; Electrodiagnosis / methods ; Muscle, Skeletal / innervation ; Reference Values
    Language English
    Size X, 299 S. : Ill.
    Edition 3. ed.
    Publisher Demos Med. Publ
    Publishing place New York, NY
    Publishing country United States
    Document type Book ; Online ; E-Book
    Note Includes bibliographical references and index
    Old title 2. Aufl. u.d.T. Buschbacher, Ralph M.: Manual of nerve conduction studies
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    HBZ-ID HT018826166
    ISBN 9781617052637 ; 978-1620700-87-7 ; 1617052639 ; 1620700-87-5
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article ; Online: Provocative changes in nerve conductions: Fact or fiction?

    Robinson, Lawrence R

    Muscle & nerve

    2023  Volume 69, Issue 1, Page(s) 29–31

    Abstract: At times electrodiagnostic medical consultants (EMCs) are asked to perform studies in both a neutral position, and then again after the patient is in a provocative position that exacerbates symptoms, to assess for measurable electrophysiologic changes. ... ...

    Abstract At times electrodiagnostic medical consultants (EMCs) are asked to perform studies in both a neutral position, and then again after the patient is in a provocative position that exacerbates symptoms, to assess for measurable electrophysiologic changes. While this approach might seem initially appealing, particularly when standard studies are not effective at diagnosis, empiric studies in several conditions have been unimpressive. Studies in median neuropathy at the wrist, thoracic outlet syndrome, piriformis syndrome, and radial tunnel syndrome have failed to demonstrate reproducible changes in nerve conduction studies in positions that exacerbate symptoms. Furthermore, there is lack of a plausible pathophysiologic mechanism for producing both measurable and rapidly reversible electrophysiologic changes after just a few minutes, or less, of compression. Axon loss and demyelination would not be rapidly reversible, and positional changes of 2 min or less (the durations generally studied) would be insufficient to produce measurable nerve ischemia. Last, we have gained a greater appreciation for how much nerves move within limbs with changes in joint position; this movement can lead to misleading changes in nerve conduction studies. It is thus appropriate to conclude that testing nerve conduction in provocative or symptomatic positions adds no value to electrodiagnostic testing.
    MeSH term(s) Humans ; Median Neuropathy ; Thoracic Outlet Syndrome/diagnosis ; Neural Conduction/physiology ; Wrist Joint ; Upper Extremity ; Median Nerve ; Carpal Tunnel Syndrome
    Language English
    Publishing date 2023-10-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 438353-9
    ISSN 1097-4598 ; 0148-639X
    ISSN (online) 1097-4598
    ISSN 0148-639X
    DOI 10.1002/mus.27993
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  3. Article ; Online: Pain versus anxiety during electrodiagnostic studies.

    Robinson, Lawrence R

    Muscle & nerve

    2023  Volume 67, Issue 4, Page(s) E9–E10

    MeSH term(s) Humans ; Pain/diagnosis ; Pain/etiology ; Electromyography ; Anxiety/diagnosis ; Anxiety/etiology ; Electrodiagnosis ; Carpal Tunnel Syndrome/diagnosis
    Language English
    Publishing date 2023-02-20
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 438353-9
    ISSN 1097-4598 ; 0148-639X
    ISSN (online) 1097-4598
    ISSN 0148-639X
    DOI 10.1002/mus.27796
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  4. Article ; Online: Training factors that influence electrodiagnostic medicine knowledge.

    Robinson, Lawrence R

    Muscle & nerve

    2023  Volume 69, Issue 3, Page(s) 313–317

    Abstract: Introduction/aims: Self-assessment examinations (SAEs) help trainees assess their progress in education. SAEs also provide feedback to training programs as to how factors in training influence examination performance. This study's goal was to examine ... ...

    Abstract Introduction/aims: Self-assessment examinations (SAEs) help trainees assess their progress in education. SAEs also provide feedback to training programs as to how factors in training influence examination performance. This study's goal was to examine the relationship between the number of months of training in electrodiagnostic (EDx) medicine, the number of EDx studies during training, and scores on the American Association of Neuromuscular and Electrodiagnostic Medicine SAE.
    Methods: This was a retrospective study of the 2023 AANEM-SAE results. In addition to the examination score, participants were asked approximately how many EDx studies they performed in training and how many months of training they had completed. Analysis included correlation of the examination scores with months of training as well as number of EDx studies. In addition, a multivariate linear regression model was developed.
    Results: A total of 756 participants completed the proctored examination in May 2023. Examination score was moderately and positively correlated with the number of months of training (Pearson r = .5; p < .001) as well as the number of EDx studies during training (Pearson r = .55; p < .001). Scores steadily improved with additional months of training, but leveled off after 300-400 EDx studies. Regression analysis indicated that higher numbers of EDx studies were correlated with a higher examination score even after accounting for the number of months of study.
    Discussion: We believe that a greater number of months of training is associated with better performance on the AANEM-SAE and that greatest improvement in examination performance occurs during the first 300-400 EDx studies.
    MeSH term(s) Humans ; United States ; Retrospective Studies ; Electrodiagnosis/methods ; Physical and Rehabilitation Medicine ; Internship and Residency ; Causality
    Language English
    Publishing date 2023-12-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 438353-9
    ISSN 1097-4598 ; 0148-639X
    ISSN (online) 1097-4598
    ISSN 0148-639X
    DOI 10.1002/mus.28022
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  5. Book: Trauma rehabilitation

    Robinson, Lawrence R.

    2006  

    Author's details Lawrence R. Robinson
    Keywords Wounds and Injuries / rehabilitation ; Wounds and injuries/Patients/Rehabilitation
    Subject code 617.103
    Language English
    Size XIII, 332 S. : Ill., graph. Darst., 28 cm
    Publisher Lippincott Williams & Wilkins
    Publishing place Philadelphia u.a.
    Publishing country United States
    Document type Book
    HBZ-ID HT014457516
    ISBN 0-7817-6284-7 ; 978-0-7817-6284-7
    Database Catalogue ZB MED Medicine, Health

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    Shelf markLoan statusLocation
    2005 A 4810 order for loan Magazin

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  6. Article ; Online: Traumatic injury to peripheral nerves.

    Robinson, Lawrence R

    Muscle & nerve

    2022  Volume 66, Issue 6, Page(s) 661–670

    Abstract: This article reviews the epidemiology, classification, localization, prognosis, and mechanisms of recovery of traumatic peripheral nerve injuries (PNIs). Electrodiagnostic (EDx) assessments are critical components of treating patients with PNIs. In ... ...

    Abstract This article reviews the epidemiology, classification, localization, prognosis, and mechanisms of recovery of traumatic peripheral nerve injuries (PNIs). Electrodiagnostic (EDx) assessments are critical components of treating patients with PNIs. In particular, motor and sensory nerve conduction studies, needle electromyography, and other electrophysiological methods are useful for localizing peripheral nerve injuries, detecting and quantifying the degree of axon loss, and contributing toward treatment decisions as well as prognostication. It is critical that EDx medical consultants are aware of the timing of these changes as well as limitations in interpretations. Mechanisms of recovery may include recovery from conduction block, muscle fiber hypertrophy, distal axonal sprouting, and axon regrowth from the site of injury. Motor recovery generally reaches a plateau at 18 to 24 months postinjury. When patients have complete or severe nerve injuries they should be referred to surgical colleagues early after injury, as outcomes are best when nerve transfers are performed within the first 3 to 6 months after onset.
    MeSH term(s) Humans ; Peripheral Nerve Injuries/diagnosis ; Peripheral Nerves ; Electromyography ; Prognosis ; Nerve Transfer ; Neural Conduction/physiology ; Electrodiagnosis
    Language English
    Publishing date 2022-09-07
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 438353-9
    ISSN 1097-4598 ; 0148-639X
    ISSN (online) 1097-4598
    ISSN 0148-639X
    DOI 10.1002/mus.27706
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  7. Article: Piriformis syndrome.

    Lo, Julian K / Robinson, Lawrence R

    Handbook of clinical neurology

    2024  Volume 201, Page(s) 203–226

    Abstract: Piriformis syndrome is a condition that is proposed to result from compression of the sciatic nerve, either in whole or in part, in the deep gluteal space by the piriformis muscle. The prevalence of piriformis syndrome depends upon the diagnostic ... ...

    Abstract Piriformis syndrome is a condition that is proposed to result from compression of the sciatic nerve, either in whole or in part, in the deep gluteal space by the piriformis muscle. The prevalence of piriformis syndrome depends upon the diagnostic criteria being used and the population studied but is estimated by some to be 5%-6% in all cases of low back, buttock, and leg pain and up to 17% of patients with chronic low back pain. While the sciatic nerve may pierce the piriformis muscle in about 16% of healthy individuals, this frequency is no different in those with the syndrome; thus, the relationship to this anatomic finding is unclear. The most common symptoms are buttock pain, external tenderness over the greater sciatic notch, and aggravation of the pain through sitting. Many clinical signs are reported for piriformis syndrome, but the sensitivity and specificity are unclear, in part because of the lack of a uniformly accepted case definition. In the majority of cases in the literature, it appears that the diagnosis is more ascribed to a myofascial condition rather than a focal neuropathy. Electrodiagnostic studies can be useful to exclude other causes of symptoms, but there is no well-accepted test to confirm the presence of piriformis syndrome. Ultrasound imaging may show thickening of the piriformis muscle, but further research is required to confirm that this is correlated with the clinical diagnosis. Magnetic resonance imaging and neurography may hold promise in the future, but there are not yet sufficient data to support adopting these methods as a standard diagnostic tool. The initial treatment of piriformis syndrome is typically conservative management with the general rehabilitation principles similar to other soft tissue musculoskeletal conditions. Local anesthetic, botulinum toxin, and/or corticosteroid injections have been reported by some to be beneficial for diagnostic or treatment purposes. Surgical interventions have also been used with variable success.
    MeSH term(s) Humans ; Piriformis Muscle Syndrome/therapy ; Piriformis Muscle Syndrome/diagnosis ; Piriformis Muscle Syndrome/epidemiology
    Language English
    Publishing date 2024-04-19
    Publishing country Netherlands
    Document type Journal Article ; Review
    ISSN 0072-9752
    ISSN 0072-9752
    DOI 10.1016/B978-0-323-90108-6.00002-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Understanding the role of the lower motor neuron in spinal cord injury and its impact on electrodiagnostic assessment.

    Robinson, Lawrence R / Dengler, Jana

    Muscle & nerve

    2024  

    Language English
    Publishing date 2024-05-07
    Publishing country United States
    Document type Editorial
    ZDB-ID 438353-9
    ISSN 1097-4598 ; 0148-639X
    ISSN (online) 1097-4598
    ISSN 0148-639X
    DOI 10.1002/mus.28108
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  9. Book ; Online: Trauma rehabilitation

    Robinson, Lawrence R., 1956-

    2006  

    Author's details [edited by] Lawrence R. Robinson
    Keywords Wounds and injuries - rehabilitation
    Language English
    Size 1 Online-Ressource (xiii, 332 Seiten), Illustrationen
    Publisher Lippincott Williams & Wilkins
    Publishing place Philadelphia
    Document type Book ; Online
    Note Includes bibliographical references and index
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    ISBN 978-0-7817-6284-7 ; 0-7817-6284-7
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  10. Article ; Online: Combining multiple measures into a summary index: A step toward more reliable measurement.

    Robinson, Lawrence R

    Muscle & nerve

    2021  Volume 65, Issue 2, Page(s) 135–136

    MeSH term(s) Neural Conduction ; Ulnar Nerve
    Language English
    Publishing date 2021-11-26
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 438353-9
    ISSN 1097-4598 ; 0148-639X
    ISSN (online) 1097-4598
    ISSN 0148-639X
    DOI 10.1002/mus.27456
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