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Nerve Conduction test and EMG

The site has a small picture of each test.

The site also has clickable links to information.

http://oso.adam.com/ency/article/003927.htm

Nerve conduction velocity

Alternative names:

NCV; stimulation myelographic study

How the test is performed:

The nerve is stimulated, usually with surface electrodes, which are

patch-like electrodes (similar to those used for ECG) placed on the skin over

the nerve at various locations. One electrode stimulates the nerve with a

very mild electrical impulse. The resulting electrical activity is recorded

by the other electrodes. The distance between electrodes and the time it

takes for electrical impulses to travel between electrodes are used to

calculate the nerve conduction velocity.

Electromyography is often done at the same time as the nerve conduction

velocity (NCV) test.

How to prepare for the test:

Normal body temperature must be maintained (low body temperature slows nerve

conduction).

Infants and children:

The physical and psychological preparation you can provide for this or any

test or procedure depends on your child's age, interests, previous

experience, and level of trust. For specific information regarding how you

can prepare your child, see the following topics as they correspond to your

child's age:

* infant test or procedure preparation (birth to 1 year)

* toddler test or procedure preparation (1 to 3 years)

* preschooler test or procedure preparation (3 to 6 years)

* schoolage test or procedure preparation (6 to 12 years)

* adolescent test or procedure preparation (12 to 18 years)

How the test will feel:

There is no discomfort. The electrical stimulus is so small that it is

usually not perceived by the person.

Why the test is performed:

This test is used to diagnose nerve damage or destruction.

================

http://oso.adam.com/ency/article/003929.htm

Electromyography

Alternative names:

EMG; myogram

How the test is performed:

A needle electrode is inserted through the skin into the muscle. The

electrical activity detected by this electrode is displayed on an

oscilloscope (and may be displayed audibly through a speaker). Because

skeletal muscles are isolated and often large units, each electrode gives

only an average picture of the activity of the selected muscle. Several

electrodes may need to be placed at various locations to obtain an accurate

study.

After placement of the electrode(s), you may be asked to contract the muscle

(for example, by bending the arm). The presence, size, and shape of the wave

form produced on the oscilloscope (the action potential) provide information

about the ability of the muscle to respond to nervous stimulation. Each

muscle fiber that contracts will produce an action potential, and the size of

the muscle fiber affects the rate (how frequently an action potential occurs)

and size (amplitude) of the action potential(s).

A nerve conduction velocity test is often done at the same time as an EMG.

How to prepare for the test:

Adults:

No special preparation is usually necessary.

Infants and children:

The physical and psychological preparation you can provide for this or any

test or procedure depends on your child's age, interests, previous

experience, and level of trust. For specific information regarding how you

can prepare your child, see the following topics as they correspond to your

child's age:

* infant test or procedure preparation (birth to 1 year)

* toddler test or procedure preparation (1 to 3 years)

* preschooler test or procedure preparation (3 to 6 years)

* schoolage test or procedure preparation (6 to 12 years)

* adolescent test or procedure preparation (12 to 18 years)

How the test will feel:

There may be some discomfort with insertion of the electrodes (similar to an

intramuscular injection). Afterward, the examined muscle may feel tender or

bruised for a few days.

Why the test is performed:

EMG is most often used when people have symptoms of weakness, and examination

shows impaired muscle strength. It can help to differentiate primary muscle

conditions from muscle weakness caused by neurologic disorders. EMG can be

used to differentiate between true weakness and reduced use because of pain

or lack of motivation.

The information provided herein should not be used for diagnosis or treatment

of any medical condition. A licensed physician should be consulted for

diagnosis and treatment of any and all medical conditions. (See disclaimer).

Copyright 1999 adam.com, Inc. Any duplication or distribution of the

information contained herein is strictly prohibited.

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In linking from the below site, I found a brief but pretty good description of

CMT. at http://oso.adam.com/ency/article/000727.htm

Re: EMG + NCV

Nerve Conduction test and EMG

The site has a small picture of each test.

The site also has clickable links to information.

http://oso.adam.com/ency/article/003927.htm

Nerve conduction velocity

Alternative names:

NCV; stimulation myelographic study

How the test is performed:

The nerve is stimulated, usually with surface electrodes, which are

patch-like electrodes (similar to those used for ECG) placed on the skin over

the nerve at various locations. One electrode stimulates the nerve with a

very mild electrical impulse. The resulting electrical activity is recorded

by the other electrodes. The distance between electrodes and the time it

takes for electrical impulses to travel between electrodes are used to

calculate the nerve conduction velocity.

Electromyography is often done at the same time as the nerve conduction

velocity (NCV) test.

How to prepare for the test:

Normal body temperature must be maintained (low body temperature slows nerve

conduction).

Infants and children:

The physical and psychological preparation you can provide for this or any

test or procedure depends on your child's age, interests, previous

experience, and level of trust. For specific information regarding how you

can prepare your child, see the following topics as they correspond to your

child's age:

* infant test or procedure preparation (birth to 1 year)

* toddler test or procedure preparation (1 to 3 years)

* preschooler test or procedure preparation (3 to 6 years)

* schoolage test or procedure preparation (6 to 12 years)

* adolescent test or procedure preparation (12 to 18 years)

How the test will feel:

There is no discomfort. The electrical stimulus is so small that it is

usually not perceived by the person.

Why the test is performed:

This test is used to diagnose nerve damage or destruction.

================

http://oso.adam.com/ency/article/003929.htm

Electromyography

Alternative names:

EMG; myogram

How the test is performed:

A needle electrode is inserted through the skin into the muscle. The

electrical activity detected by this electrode is displayed on an

oscilloscope (and may be displayed audibly through a speaker). Because

skeletal muscles are isolated and often large units, each electrode gives

only an average picture of the activity of the selected muscle. Several

electrodes may need to be placed at various locations to obtain an accurate

study.

After placement of the electrode(s), you may be asked to contract the muscle

(for example, by bending the arm). The presence, size, and shape of the wave

form produced on the oscilloscope (the action potential) provide information

about the ability of the muscle to respond to nervous stimulation. Each

muscle fiber that contracts will produce an action potential, and the size of

the muscle fiber affects the rate (how frequently an action potential occurs)

and size (amplitude) of the action potential(s).

A nerve conduction velocity test is often done at the same time as an EMG.

How to prepare for the test:

Adults:

No special preparation is usually necessary.

Infants and children:

The physical and psychological preparation you can provide for this or any

test or procedure depends on your child's age, interests, previous

experience, and level of trust. For specific information regarding how you

can prepare your child, see the following topics as they correspond to your

child's age:

* infant test or procedure preparation (birth to 1 year)

* toddler test or procedure preparation (1 to 3 years)

* preschooler test or procedure preparation (3 to 6 years)

* schoolage test or procedure preparation (6 to 12 years)

* adolescent test or procedure preparation (12 to 18 years)

How the test will feel:

There may be some discomfort with insertion of the electrodes (similar to an

intramuscular injection). Afterward, the examined muscle may feel tender or

bruised for a few days.

Why the test is performed:

EMG is most often used when people have symptoms of weakness, and examination

shows impaired muscle strength. It can help to differentiate primary muscle

conditions from muscle weakness caused by neurologic disorders. EMG can be

used to differentiate between true weakness and reduced use because of pain

or lack of motivation.

The information provided herein should not be used for diagnosis or treatment

of any medical condition. A licensed physician should be consulted for

diagnosis and treatment of any and all medical conditions. (See disclaimer).

Copyright 1999 adam.com, Inc. Any duplication or distribution of the

information contained herein is strictly prohibited.

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