Cargando…

EMG indications and findings in a sub-Saharan African neurorehabilitation center

OBJECTIVE: This study aims to assess the frequency and indication for electrodiagnostic referrals as well as to summarize the findings from the procedure at a neurorehabilitation center in Ibadan, Nigeria. METHODS: This is a retrospective cross-sectional study. Data from referrals to Blossom Medical...

Descripción completa

Detalles Bibliográficos
Autores principales: Adebayo, Philip B., Taiwo, Funmilola T., Owolabi, Mayowa O.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133910/
https://www.ncbi.nlm.nih.gov/pubmed/30215017
http://dx.doi.org/10.1016/j.cnp.2018.02.006
_version_ 1783354568881471488
author Adebayo, Philip B.
Taiwo, Funmilola T.
Owolabi, Mayowa O.
author_facet Adebayo, Philip B.
Taiwo, Funmilola T.
Owolabi, Mayowa O.
author_sort Adebayo, Philip B.
collection PubMed
description OBJECTIVE: This study aims to assess the frequency and indication for electrodiagnostic referrals as well as to summarize the findings from the procedure at a neurorehabilitation center in Ibadan, Nigeria. METHODS: This is a retrospective cross-sectional study. Data from referrals to Blossom Medical Centre/World Federation for Neurorehabilitation (BMC/WFNR) center, Ibadan, Nigeria, from April 2014 to December 2016 were collated and analyzed. RESULTS: Sixty referrals were received during the period of evaluation. Neurologists referred most of the patients (47; 71.7%). Disorders of the peripheral nerves were the most frequent reasons for electromyography (EMG), and they were the most common electrodiagnosis with better classified into axonal and demyelinating types. The overall congruence between the suspected diagnosis and final diagnosis was 58.3%. Requests by neurologists were significantly more appropriate than those by other specialists (p value = 0.02). CONCLUSION: Polyneuropathy, entrapment neuropathy, and disorders of the motor nerve root and plexus were the most common reasons for electrodiagnostic requests, and the majority of the referrals were from neurologists. SIGNIFICANCE: EMG has changed the approach towards the diagnosis and management of neuromuscular disorders in Nigeria. It is hoped that with more neurophysiology education in this environment, neurophysiological practice will become widely available.
format Online
Article
Text
id pubmed-6133910
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-61339102018-09-13 EMG indications and findings in a sub-Saharan African neurorehabilitation center Adebayo, Philip B. Taiwo, Funmilola T. Owolabi, Mayowa O. Clin Neurophysiol Pract Clinical and Research Article OBJECTIVE: This study aims to assess the frequency and indication for electrodiagnostic referrals as well as to summarize the findings from the procedure at a neurorehabilitation center in Ibadan, Nigeria. METHODS: This is a retrospective cross-sectional study. Data from referrals to Blossom Medical Centre/World Federation for Neurorehabilitation (BMC/WFNR) center, Ibadan, Nigeria, from April 2014 to December 2016 were collated and analyzed. RESULTS: Sixty referrals were received during the period of evaluation. Neurologists referred most of the patients (47; 71.7%). Disorders of the peripheral nerves were the most frequent reasons for electromyography (EMG), and they were the most common electrodiagnosis with better classified into axonal and demyelinating types. The overall congruence between the suspected diagnosis and final diagnosis was 58.3%. Requests by neurologists were significantly more appropriate than those by other specialists (p value = 0.02). CONCLUSION: Polyneuropathy, entrapment neuropathy, and disorders of the motor nerve root and plexus were the most common reasons for electrodiagnostic requests, and the majority of the referrals were from neurologists. SIGNIFICANCE: EMG has changed the approach towards the diagnosis and management of neuromuscular disorders in Nigeria. It is hoped that with more neurophysiology education in this environment, neurophysiological practice will become widely available. Elsevier 2018-04-07 /pmc/articles/PMC6133910/ /pubmed/30215017 http://dx.doi.org/10.1016/j.cnp.2018.02.006 Text en © 2018 International Federation of Clinical Neurophysiology. Published by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Clinical and Research Article
Adebayo, Philip B.
Taiwo, Funmilola T.
Owolabi, Mayowa O.
EMG indications and findings in a sub-Saharan African neurorehabilitation center
title EMG indications and findings in a sub-Saharan African neurorehabilitation center
title_full EMG indications and findings in a sub-Saharan African neurorehabilitation center
title_fullStr EMG indications and findings in a sub-Saharan African neurorehabilitation center
title_full_unstemmed EMG indications and findings in a sub-Saharan African neurorehabilitation center
title_short EMG indications and findings in a sub-Saharan African neurorehabilitation center
title_sort emg indications and findings in a sub-saharan african neurorehabilitation center
topic Clinical and Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133910/
https://www.ncbi.nlm.nih.gov/pubmed/30215017
http://dx.doi.org/10.1016/j.cnp.2018.02.006
work_keys_str_mv AT adebayophilipb emgindicationsandfindingsinasubsaharanafricanneurorehabilitationcenter
AT taiwofunmilolat emgindicationsandfindingsinasubsaharanafricanneurorehabilitationcenter
AT owolabimayowao emgindicationsandfindingsinasubsaharanafricanneurorehabilitationcenter