Utility of electrodiagnostic testing in evaluating patients with lumbosacral radiculopathy

An evidence-based review

S. Charles Cho, Mark Ferrante, Kerry H. Levin, Robert L. Harmon, Yuen T. So, J. Vavricek

Research output: Contribution to journalReview article

37 Citations (Scopus)

Abstract

This is an evidence-based review of electrodiagnostic (EDX) testing of patients with suspected lumbosacral radiculopathy to determine its utility in diagnosis and prognosis. Literature searches were performed to identify articles applying EDX techniques to patients with suspected lumbosacral radiculopathy. From the 355 articles initially discovered, 119 articles describing nerve conduction studies, electromyography (EMG), or evoked potentials in adequate detail were reviewed further. Fifty-three studies met inclusion criteria and were graded using predetermined criteria for classification of evidence for diagnostic studies. Two class II, 7 class III, and 34 class IV studies described the diagnostic use of EDX. One class II and three class III articles described H-reflexes with acceptable statistical significance for use in the diagnosis and confirmation of suspected S1 lumbosacral radiculopathy. Two class II and two class III studies demonstrated a range of sensitivities for use of muscle paraspinal mapping. Two class II studies demonstrated the utility of peripheral myotomal limb electromyography in radiculopathies.

Original languageEnglish (US)
Pages (from-to)276-282
Number of pages7
JournalMuscle and Nerve
Volume42
Issue number2
DOIs
StatePublished - Aug 1 2010
Externally publishedYes

Fingerprint

Radiculopathy
Electromyography
Paraspinal Muscles
H-Reflex
Neural Conduction
Evoked Potentials
Extremities

All Science Journal Classification (ASJC) codes

  • Physiology
  • Clinical Neurology
  • Cellular and Molecular Neuroscience
  • Physiology (medical)

Cite this

Utility of electrodiagnostic testing in evaluating patients with lumbosacral radiculopathy : An evidence-based review. / Cho, S. Charles; Ferrante, Mark; Levin, Kerry H.; Harmon, Robert L.; So, Yuen T.; Vavricek, J.

In: Muscle and Nerve, Vol. 42, No. 2, 01.08.2010, p. 276-282.

Research output: Contribution to journalReview article

Cho, S. Charles ; Ferrante, Mark ; Levin, Kerry H. ; Harmon, Robert L. ; So, Yuen T. ; Vavricek, J. / Utility of electrodiagnostic testing in evaluating patients with lumbosacral radiculopathy : An evidence-based review. In: Muscle and Nerve. 2010 ; Vol. 42, No. 2. pp. 276-282.
@article{3c55c0a7710b4b9888edb9b610538760,
title = "Utility of electrodiagnostic testing in evaluating patients with lumbosacral radiculopathy: An evidence-based review",
abstract = "This is an evidence-based review of electrodiagnostic (EDX) testing of patients with suspected lumbosacral radiculopathy to determine its utility in diagnosis and prognosis. Literature searches were performed to identify articles applying EDX techniques to patients with suspected lumbosacral radiculopathy. From the 355 articles initially discovered, 119 articles describing nerve conduction studies, electromyography (EMG), or evoked potentials in adequate detail were reviewed further. Fifty-three studies met inclusion criteria and were graded using predetermined criteria for classification of evidence for diagnostic studies. Two class II, 7 class III, and 34 class IV studies described the diagnostic use of EDX. One class II and three class III articles described H-reflexes with acceptable statistical significance for use in the diagnosis and confirmation of suspected S1 lumbosacral radiculopathy. Two class II and two class III studies demonstrated a range of sensitivities for use of muscle paraspinal mapping. Two class II studies demonstrated the utility of peripheral myotomal limb electromyography in radiculopathies.",
author = "Cho, {S. Charles} and Mark Ferrante and Levin, {Kerry H.} and Harmon, {Robert L.} and So, {Yuen T.} and J. Vavricek",
year = "2010",
month = "8",
day = "1",
doi = "10.1002/mus.21759",
language = "English (US)",
volume = "42",
pages = "276--282",
journal = "Muscle and Nerve",
issn = "0148-639X",
publisher = "John Wiley and Sons Inc.",
number = "2",

}

TY - JOUR

T1 - Utility of electrodiagnostic testing in evaluating patients with lumbosacral radiculopathy

T2 - An evidence-based review

AU - Cho, S. Charles

AU - Ferrante, Mark

AU - Levin, Kerry H.

AU - Harmon, Robert L.

AU - So, Yuen T.

AU - Vavricek, J.

PY - 2010/8/1

Y1 - 2010/8/1

N2 - This is an evidence-based review of electrodiagnostic (EDX) testing of patients with suspected lumbosacral radiculopathy to determine its utility in diagnosis and prognosis. Literature searches were performed to identify articles applying EDX techniques to patients with suspected lumbosacral radiculopathy. From the 355 articles initially discovered, 119 articles describing nerve conduction studies, electromyography (EMG), or evoked potentials in adequate detail were reviewed further. Fifty-three studies met inclusion criteria and were graded using predetermined criteria for classification of evidence for diagnostic studies. Two class II, 7 class III, and 34 class IV studies described the diagnostic use of EDX. One class II and three class III articles described H-reflexes with acceptable statistical significance for use in the diagnosis and confirmation of suspected S1 lumbosacral radiculopathy. Two class II and two class III studies demonstrated a range of sensitivities for use of muscle paraspinal mapping. Two class II studies demonstrated the utility of peripheral myotomal limb electromyography in radiculopathies.

AB - This is an evidence-based review of electrodiagnostic (EDX) testing of patients with suspected lumbosacral radiculopathy to determine its utility in diagnosis and prognosis. Literature searches were performed to identify articles applying EDX techniques to patients with suspected lumbosacral radiculopathy. From the 355 articles initially discovered, 119 articles describing nerve conduction studies, electromyography (EMG), or evoked potentials in adequate detail were reviewed further. Fifty-three studies met inclusion criteria and were graded using predetermined criteria for classification of evidence for diagnostic studies. Two class II, 7 class III, and 34 class IV studies described the diagnostic use of EDX. One class II and three class III articles described H-reflexes with acceptable statistical significance for use in the diagnosis and confirmation of suspected S1 lumbosacral radiculopathy. Two class II and two class III studies demonstrated a range of sensitivities for use of muscle paraspinal mapping. Two class II studies demonstrated the utility of peripheral myotomal limb electromyography in radiculopathies.

UR - http://www.scopus.com/inward/record.url?scp=77955126826&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77955126826&partnerID=8YFLogxK

U2 - 10.1002/mus.21759

DO - 10.1002/mus.21759

M3 - Review article

VL - 42

SP - 276

EP - 282

JO - Muscle and Nerve

JF - Muscle and Nerve

SN - 0148-639X

IS - 2

ER -