Utility of neuromuscular ultrasound in the investigation of common mononeuropathies in everyday neurophysiology practice

Pelosi, Luciana; Leadbetter, Ruth; Mulroy, Eoin

doi:10.1002/mus.27124

Cited by 15 publications

(11 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our study has confirmed the findings of the earlier studies, 59,60 expands the results further to a larger and more diffuse cohort of neuromuscular disorders beyond mononeuropathies, and reviews how HRUS influences subsequent treatment. HRUS frequently has a decisive role in guiding subsequent management, which then, in some patients, likely influences outcomes.…”

supporting

confidence: 88%

“…Previous work has primarily focused on assessing the value of HRUS in mononeuropathies, especially those secondary to trauma. [58][59][60] In those studies, HRUS improved patient-reported outcomes and changed the diagnostic and therapeutic management in a substantial number of patients, including making a correct diagnosis that could not have been made without HRUS.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Neuromuscular ultrasound: Impact on diagnosis and management

Gasemaltayeb,

Wannarong,

Ticku

et al. 2023

Muscle and Nerve

View full text Add to dashboard Cite

Introduction/AimHigh‐resolution ultrasound (HRUS) is increasingly used in evaluating neuromuscular conditions. Its potential advantages include its ability to discern anatomic information and make specific etiological diagnoses. Although many studies have demonstrated HRUS effectiveness, especially in mononeuropathies, more information is needed to better determine how often and to what extent useful information is obtained; how it influences diagnosis, clinical decision‐making, and patient management; and how it is used with electrodiagnostic (EDx) studies.MethodsA retrospective cohort study was performed on patients referred for HRUS at a university laboratory during 2021. Demographic information, referral diagnoses, clinical information, HRUS findings, and follow‐up patient management were analyzed. For patients who had EDx, results were compared with HRUS. Determinations were made whether HRUS did or did not aid in the diagnosis. For patients in whom HRUS resulted in a diagnosis, determination was made whether it confirmed the diagnosis made clinically or by EDx but did not change management; added additional important information; and/or made a decisive impact on subsequent management.ResultsFive hundred two patients were analyzed, most referred for mononeuropathy, brachial plexopathy, and polyneuropathy. HRUS was abnormal in 81.7% of patients. HRUS added additional useful information in 79.0% and was decisive in management in 62.7%. In patients who also had abnormal EDx, HRUS resulted in decisive management in 49.5%.DiscussionHRUS is an effective diagnostic tool that frequently adds localizing and structural information that is otherwise not obtainable by clinical and EDx evaluation. In a substantial number of patients selected for HRUS, it is decisive in guiding further management.

show abstract

supporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Neuromuscular ultrasound: Impact on diagnosis and management

Gasemaltayeb,

Wannarong,

Ticku

et al. 2023

Muscle and Nerve

View full text Add to dashboard Cite

show abstract

“…Several studies have shown the overall contribution of NMUS when evaluating focal mononeuropathies. Two showed that the findings nearly always confirmed or contributed new information to EDX 81,91 . One well-designed double-blinded randomized controlled trial comparing outcomes of patients in the EDX laboratory with and without the addition of NMUS showed trends toward improvement in most measures, although most did not reach statistical significance 1 .…”

Section: Specific Conditionsmentioning

confidence: 98%

“…Two showed that the findings nearly always confirmed or contributed new information to EDX. 81,91 One well-designed double-blinded randomized controlled trial comparing outcomes of patients in the EDX laboratory with and without the addition of NMUS showed trends toward improvement in most measures, although most did not reach statistical significance. 1 These multiple converging trends are unlikely because of chance and may have reached statistical significance in a larger trial.…”

Section: General Focal Mononeuropathiesmentioning

confidence: 99%

Neuromuscular Ultrasound

Jorgensen

Cartwright

Norbury

2021

Am J Phys Med Rehabil

View full text Add to dashboard Cite

Accurate assessment of neuromuscular disorders is critical to facilitate timely treatment and achieve the best outcomes. Historically, electrodiagnostic studies have filled this role, but recently, neuromuscular ultrasound is being used in the electrodiagnostic laboratory. This review discusses the uses of neuromuscular ultrasound in the electrodiagnostic laboratory that have strong evidence, emphasizing those that could be adopted in a typical electrodiagnostic laboratory with a reasonable level of equipment and training. The evidence currently supports using neuromuscular ultrasound to diagnose carpal tunnel syndrome and ulnar neuropathies at the elbow and as a supplementary test when electrodiagnostic studies are suspected to be falsely negative or in axonal nonlocalizing lesions. Neuromuscular ultrasound can identify the causes of focal mononeuropathies, which can change treatment in specific cases. It is sensitive at identifying fasciculations and providing complementary evidence of autoimmune demyelinating polyneuropathies. It is particularly helpful in assessing nerves after trauma. Neuromuscular ultrasound is likely to prove even more useful in the electrodiagnostic laboratory as the technology continues to advance.

show abstract

“…Neuromuscular ultrasound is becoming increasingly helpful in the diagnostic evaluation of neuromuscular disorders 1–4 . As a result, the need for neuromuscular ultrasound training is also increasing.…”

Section: Introductionmentioning

confidence: 99%

Short‐term educational value of online neuromuscular ultrasound courses

et al. 2022

View full text Add to dashboard Cite

Introduction/Aims We have previously reported that online neuromuscular ultrasound courses are feasible and were found to be useful by most survey respondents. However, our previous report lacked objective assessment of the educational value of the courses. Therefore, we aimed in this study to evaluate the learning outcomes of online neuromuscular ultrasound courses. Methods Each of the basic and advanced courses featured one pre‐ and two post‐course online knowledge tests. The percentage of corrected answers and the participants' scores in the three tests were calculated and compared. Results A total of 153 out of 277 course participants answered the course test. The mean percentage of correct answers were significantly higher in the second and first post‐course tests compared to the pre‐course test (Basic course test: 80.2 ± 14.8%, 75.5 ± 15.9%, 64.3 ± 19.1%, respectively; Advanced course test: 80.9 ± 20.1, 78.9 ± 15.2%, 69.5 ± 20.2%, respectively). The mean scores of the participants in the basic course test significantly improved in the first and second post‐course tests (from 66.6% to 77.5% and from 67.2% to 80.2%, respectively) whereas those of the participants in the advanced course test significantly improved in the first post‐course test only (from 76.3% to 85.4%). Discussion This report demonstrates the capability of online neuromuscular ultrasound courses, particularly the basic‐level courses, to enhance knowledge. This information can further help integrate virtual neuromuscular ultrasound teaching as a standard complementary educational format together with supervised in‐person or remote hands‐on training.

show abstract

Utility of neuromuscular ultrasound in the investigation of common mononeuropathies in everyday neurophysiology practice

Cited by 15 publications

References 12 publications

Neuromuscular ultrasound: Impact on diagnosis and management

Neuromuscular ultrasound: Impact on diagnosis and management

Neuromuscular Ultrasound

Short‐term educational value of online neuromuscular ultrasound courses

Contact Info

Product

Resources

About