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Klinische Neurophysiologie 2017; 48(03): 138-143
DOI: 10.1055/s-0043-112663
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© Georg Thieme Verlag KG Stuttgart · New York

Elektromyografie: Analyse von Entladungsfrequenz und -rhythmus

Electromyography: Analysis of discharge rate and rhythm
Wilhelm Schulte-Mattler
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Publication History

Publication Date:
08 September 2017 (online)

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In der diagnostischen Elektromyographie werden Aktionspotenziale von einzelnen Muskelfasern (pathologische Spontanaktivität) oder Potenziale motorischer Einheiten beurteilt. Die diagnostische Reichweite der Methode wird verbessert, wenn Entladungsfrequenz und -Rhythmus der Aktionspotenziale analysiert werden. Damit lässt sich zuverlässig Spontanaktivität als pathologisch erkennen, und zentrale von peripherer Lähmung unterscheiden.

Abstract

In diagnostic electromyography properties of single muscle fibers (pathologic spontaneous activity) and of motor unit action potentials are assessed. The diagnostic yield of this method is improved bythe analysis of the rate and the rhythm of the action potentials. Thereby, spontaneous activity reliably can be identified as pathologic, and weakness can be classified as of central or peripheral origin.

Schlüsselwörter

elektromyografie - entladungsrate - entladungsmuster - spontanaktivität

Key words

electromyography - discharge rate - discharge pattern - spontaneous activity
 

  • Literatur

  • 1 Kimura J. Electrodiagnosis in diseases of nerve and muscle: Principles and practice. 4 Aufl Oxford, New York: Oxford University Press; 2013
    Google Scholar
  • 2 Buchthal F. An introduction to electromyography. København, Stockholm, Oslo: Scandinavian University Books; 1957
    Google Scholar
  • 3 Conrad B, Sindermann F, Prochazka VJ. Interval analysis of repetitive denervation potentials of human skeletal muscle. J. Neurol. Neurosurg. Psychiatr 1972; 35: 834-840
    CrossrefPubMedGoogle Scholar
  • 4 Schulte-Mattler WJ, Georgiadis D, Zierz S. Discharge patterns of spontaneous activity and motor units on concentric needle electromyography. Muscle and Nerve 2001; 24: 123-126
    CrossrefPubMedGoogle Scholar
  • 5 Schulte-Mattler WJ, Georgiadis D, Tietze K. et al. Relation between maximum discharge rates on electromyography and motor unit number estimates. Muscle and Nerve 2000; 23: 231-238
    CrossrefPubMedGoogle Scholar
  • 6 Schulte-Mattler WJ. Diagnostische Bedeutung von Entladungsraten motorischer Einheiten. Klin Neurophysiol 2005; 36: 110-115
    Article in Thieme ConnectPubMedGoogle Scholar
  • 7 Jürgens TP, Puchner C, Schulte-Mattler WJ. Discharge rates in electromyography distinguish early between peripheral and central paresis. Muscle Nerve 2012; 46: 591-593
    CrossrefPubMedGoogle Scholar
  • 8 Bischoff C, Schulte-Mattler W. Das EMG-Buch: EMG und periphere Neurologie in Frage und Antwort. 4 Aufl Stuttgart: Thieme; 2015
    Google Scholar