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Archives of Physical Medicine and Rehabilitation

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Presentation on theme: "Archives of Physical Medicine and Rehabilitation"— Presentation transcript:

1 Archives of Physical Medicine and Rehabilitation
Neuromuscular rehabilitation and electrodiagnosis. 3. Diseases of muscles and neuromuscular junction  Jeffrey A. Strommen, MD, Jeffery S. Johns, MD, Chong-Tae Kim, MD, PhD, Faren H. Williams, MD, MS, Lyn D. Weiss, MD, Jay M. Weiss, MD, Ira G. Rashbaum, MD  Archives of Physical Medicine and Rehabilitation  Volume 86, Pages (March 2005) DOI: /j.apmr Copyright © 2005 American Academy of Physical Medicine and Rehabilitation Terms and Conditions

2 Fig 1 Two-hertz repetitive stimulation showing (A) a mild decrement with characteristic pattern; (B) a more severe defect of neuromuscular transmission; (C) a technical error (note the decrement is not smooth with the drop occurring after the second stimulus); and (D) a technical error with fourth response—it must be repeated to determine whether the apparent decrement of the previous responses is reproducible. Archives of Physical Medicine and Rehabilitation  , 18-27DOI: ( /j.apmr ) Copyright © 2005 American Academy of Physical Medicine and Rehabilitation Terms and Conditions

3 Fig 2 Two-hertz repetitive stimulation to the ulnar, spinal accessory, and facial nerves in MG. Archives of Physical Medicine and Rehabilitation  , 18-27DOI: ( /j.apmr ) Copyright © 2005 American Academy of Physical Medicine and Rehabilitation Terms and Conditions

4 Fig 3 Two-hertz repetitive stimulation showing myasthenia gravis; each tracing represents 4 superimposed responses. Note the significant decrement with proximal studies as compared with the ulnar nerve. Adapted with permission.17 Archives of Physical Medicine and Rehabilitation  , 18-27DOI: ( /j.apmr ) Copyright © 2005 American Academy of Physical Medicine and Rehabilitation Terms and Conditions

5 Fig 4 Two-hertz repetitive stimulation to the ulnar and femoral nerves in a 66-year-old patient with Eaton-Lambert myasthenic syndrome. Adapted with permission.17 Archives of Physical Medicine and Rehabilitation  , 18-27DOI: ( /j.apmr ) Copyright © 2005 American Academy of Physical Medicine and Rehabilitation Terms and Conditions

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