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Course Title: Neurology 207a
Subtitle: Introduction to Electrodiagnostic Medicine
Course Instructor: J. Donald Dishman, DC
CE: Four (4) Classroom Hours (8 Video Parts)
Format: Video (TeleSeminar) 2015
In order to understand definitive diagnosis in neurological disease one must understand how to use adjunctive laboratory tests. The plain film x-ray, for example, is a test embraced by most doctors of chiropractic, who tend to be very skilled in plain film radiology interpretation. Electrodiagnosis, on the other hand, represents a series of tests that the average doctor of chiropractic is not well acquainted with, yet gives us a physiologic picture of nerve and muscle activity. Electrodiagnosis has stood the test of time and is a valid tool with utility in a wide variety of neuromuscular conditions commonly seen by doctors of chiropractic.
Join Dr. J. Donald Dishman for a serious discussion of this specialty, starting with the most basic information and definitions regarding electrodiagnosis, and gradually adding detail, with the emphasis on what a chiropractor needs to know in order to properly use electrodiagnosis as an adjunct to the neurological examination. This class does not train the student to perform an electrodiagnostic examination, but is instead is a guide to understanding the variety of tests available as well as what those tests look like and what those tests can and can not do.
List several textbooks on electrodiagnostic medicine and discuss the benefits and limitations of each text.
Recite several applications of electrodiagnostic medicine and discuss the utility of each of the tests performed.
Describe the components required to perform an electrodiagnostic examination.
Compare and contrast peripheral nerve injury classifications.
Define some of the current terminology used in electrodiagnostic medicine.
Compare and contrast the different types of electrodes used in electrodiagnostic medicine.
Describe terminal motor latencies.
Describe sensory and motor conduction velocities and studies.
Discuss orthodromic and anti-dromic testing.
Define motor unit potentials and discuss the normal and abnormal phases.
Describe the varieties of evoked potentials and discuss the clinical utility of ordering each test.
Describe the varieties of late potentials and discuss the clinical utility of ordering these tests.
Identify the relevant neuroanatomy of the peripheral nervous system.
Demonstrate median and ulnar nerves and the position of the various electrodes in common motor and sensory electrodiagnostic studies of the median and ulnar nerves.
Discuss the conditions and circumstances when electrodiagnostic testing of the central nervous system may be beneficial or necessary.
Describe the various electrodiagnostic procedures for the peripheral nervous system.
Differentiate between motor unit potentials (MUP’s), fibrillations, positive sharp waves and sensory nerve action potentials (SNAP’s).
Contrast and compare electrodiagnostic tests for extremity complaints such as weakness and sensory loss.
Define the role of electrodiagnosis in clinical practice.