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Electromyogram

What does this exam correspond to?

 

The electromyogram (often noted EMG), is a functional exploration, which allows to assess the functioning of nerves and muscles.

 

It consists in applying a weak electric current to the nerve fibers, sensitive or motor, of the peripheral nervous system. This weak current (a few thousandths of an Ampere [1] ) applied for a very short time (from one thousandth to one tenth of a second) causes an artificial nerve impulse and therefore the transmission of a message along the nerve fiber.

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The response to nerve impulses is recorded by sensors placed on the skin, in the form of nerve or muscle potentials (electrical currents in the nerves or muscles), transmitted to a computer.

 

[1] 'unit of measurement of the International System of Units for the Strength of Electric Current.

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What is an EMG for?

 

The electromyogram is a very useful examination for the diagnosis of various diseases, including:

 

  • Nerve damage associated with an accident or trauma, to precisely determine the location, nature and extent of the damage.

 

  • Peripheral neuropathies, to define the type of neuropathy and direct towards the cause. Neuropathies can indeed have multiple origins, such as an infection, a systemic disease, nutritional deficiencies, diabetes , exposure to toxic substances, a genetic disease (Charcot disease) or even an autoimmune origin. In neuropathies, the speed of conduction of nerve impulses is reduced in the areas concerned.

 

  • Diseases affecting the motor neurons (motor nerve cells in the spinal cord).

 

  • Myasthenia gravis is characterized by a decrease in muscle response during repetitive stimulation tests.

 

  • Myopathies (muscle dysfunction).

 

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