ELECTRODIAGNOSTICS: ELECTROMYOGRAM/NERVE CONDUCTION VELOCITY (EMG/NCV) DIAGNOSIS & INTERPRETATION

10 Credit Hours

 *CE Credits are for Doctors of Chiropractic.

 **CME Credits are for Medical Doctors and Doctors of Chiropractic

***Please Note: This course is not approved in the state of OK.

Module 1: Anatomy and Physiology of Electrodiagnostics:.  This section is an in-depth review of basic neuro-anatomy and physiology dermatomes and myotomes to both the upper and lower extremities. It covers the neurophysiology of axons and dendrites along with the myelin and function of saltatory for conduction. This section goes into depth into explaining the sodium and potassium pump’s function in action potentials.

Module 2: Nerve Conduction Velocity (NCV) Part 1: This section discusses nerve conduction velocity testing, the equipment required and the specifics of motor and sensory testing. This section covers the motor and sensory NCV procedures and interpretation including latency, amplitude (CMAP) physiology and interpretation including the understanding of the various nuances of the wave forms.

Module 3: Nerve Conduction Velocity (NCV) Part 2: This section covers a continuation of compound motor action potentials (CMAP) and sensory nerve action potentials (SNAP) testing and interpretation including the analysis and diagnosis of the wave forms. It also covers compressive neuropathies of the median, ulnar and posterior tibial nerves; known as carpal tunnel, cubital tunnel and tarsal tunnel syndromes. This section offers interpretation algorithms to help understand the neurodiagnostic conclusions 

Module 4: Needle Electromyogram (EMG) Studies: This section covers what  EMG do inclusive of how the test is performed and the steps required in planning and electromyographic study. This covers the spontaneous activity of a motor unit action potential, positive sharp waves and fibrillations. It covers insertional activity (both normal and abnormal), recruitment activity in a broad polyphasic presentation and satellite potentials. This covers the diagnosing of patterns of motor unit abnormalities including neuropathic demyelinated neuropathies along with acute myopathic neuropathies. This section also covers the ruling out of false positive and false negative results.

Module 5: Electrodiagnostic (EMG/NCV) Overview and Clinical Grand Rounds: This module a complete overview of what EMG and NCV procedures, results, diagnoses and documentation. It covers the clinical incorporation of electrodiagnostic studies as part of a care plan where neuropathology is suspected. It also covers how to use electrodiagnostics in a collaborative environment between the chiropractor as the primary spine care provider and the surgeon, when clinically indicated. This section covers sample cases and health conclude and accurate treatment plans based upon electro-neurodiagnostic findings when clinically indicated.

 FEE: $325.00

Course Objective: For the doctor to understand the clinical necessity for electrodiagnostic testing, how testing is performed, how to interpret the results.

Instructors:

Anthony Inglese DC, FIANC, DABCE, DIBCN, DIBE

Mark Studin DC, FASBE(C), DAAPM, DAAMLP

John Edwards MD, Neurosurgery

Michael Barone DC, DISCN, DIBE

 Troubleshooting Suggestions: 

1. This course is supported by PC's and Mac devices
2. Minimum 20mbs download speed
3. Mobile device are not ideal as tracking is automated and often not mobilized

This course is Pace approved by the Federation of Chiropractic Licensing Boards.

ACCREDITATION

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University at Buffalo Jacobs School of Medicine and Biomedical Sciences and Cleveland University Kansas City, College of Chiropractic, Post-Graduate Department.

The University at Buffalo Jacobs School of Medicine and Biomedical Sciences is accredited by the ACCME to provide continuing medical education for physicians.

CERTIFICATION

The University at Buffalo Jacobs School of Medicine and Biomedical Sciences designates this live activity for a maximum of 10.0 AMA PRA Category 1 Credit(s)TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

PLANNING COMMITTEE & SPEAKER DECLARATIONS

The Accreditation Council for Continuing Medical Education (ACCME) and the University at Buffalo Jacobs School of Medicine and Biomedical Sciences Standards for Commercial Support require that presentations are free of commercial bias and that any information regarding commercial products/services be based on scientific methods generally accepted by the medical community. The following planners and presenter(s) have disclosed financial interest/arrangements or affiliations with organization(s) that could be perceived as a real or apparent conflict of interest in the context of the subject of their presentation(s). Only the current arrangements/interests are included. *Planning Committee

Activity Director and Instructor:

Mark Studin DC, FASBE(C), DAAPM  – Nothing to Report

Anthony Inglese DC, FIANC, DABCE, DIBCN, DIBE - Nothing to Report

John Edwards MD, Neurosurgery - Nothing to Report

ACCME Standards of Commercial Support of CME require that presentations be free of commercial bias and that any information regarding commercial products/services be based on scientific methods generally accepted by the medical community. When discussing therapeutic options, faculty are requested to use only generic names. If they use a trade name, then those of several companies should be used. If a presentation includes discussion of any unlabeled or investigational use of a commercial product, faculty are required to disclose this to the participants.

ACCME Original Launch Date: June 18, 2022 Termination Date: June 18, 2025