Journal of Electrodiagnosis and Neuromuscular Diseases (대한근전도전기진단의학회지)

Korean Association of EMG Electrodiagnostic Medicine (대한근전도전기진단의학회)
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Correlation between Surface Electromyography and Conventional Electromyography in Facial Nerve Palsy

안면마비 환자에서 표면 근전도 검사와 통상적 근전도 검사간 상관관계

  • Jang, Haneul (Department of Physical Medicine & Rehabilitation, KyungHee University Medical Center) ;
  • Yoo, Seung Don (Department of Physical Medicine & Rehabilitation, Kyung Hee University Hospital at Gangdong) ;
  • Lee, Jong Ha (Department of Physical Medicine & Rehabilitation, KyungHee University Medical Center) ;
  • Soh, Yunsoo (Department of Physical Medicine & Rehabilitation, KyungHee University Medical Center) ;
  • Kim, Dong Hwan (Department of Physical Medicine & Rehabilitation, Kyung Hee University Hospital at Gangdong) ;
  • Chon, Jinmann (Department of Physical Medicine & Rehabilitation, KyungHee University Medical Center) ;
  • Lee, Seung Ah (Department of Physical Medicine & Rehabilitation, Kyung Hee University Hospital at Gangdong) ;
  • Kim, Hee-Sang (Department of Physical Medicine & Rehabilitation, KyungHee University Medical Center) ;
  • Yun, Dong Hwan (Department of Physical Medicine & Rehabilitation, KyungHee University Medical Center) ;
  • Kwon, Jung Ho (Department of Physical Medicine & Rehabilitation, KyungHee University Medical Center)
  • 장하늘 (경희의료원 재활의학과) ;
  • 유승돈 (강동경희대학교병원 재활의학과) ;
  • 이종하 (경희의료원 재활의학과) ;
  • 소윤수 (경희의료원 재활의학과) ;
  • 김동환 (강동경희대학교병원 재활의학과) ;
  • 전진만 (경희의료원 재활의학과) ;
  • 이승아 (강동경희대학교병원 재활의학과) ;
  • 김희상 (경희의료원 재활의학과) ;
  • 윤동환 (경희의료원 재활의학과) ;
  • 권정호 (경희의료원 재활의학과)
  • Received : 2018.04.09
  • Accepted : 2018.09.04
  • Published : 2018.12.31
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Abstract

Objective: To assess the correlation between surface electromyography (SEMG) and conventional EMG in patients with facial nerve palsy. Additionally, compare the discomfort and the time required by the patients in two methods. Method: 36 patients with facial palsy were given nerve conduction studies (NCS) via conventional EMG. Then, the peak root mean square (RMS) values were obtained from the SEMG. We also recorded visual analogue scale (VAS), House-Brackmann scale, and the time required for the examination. Results: Pearson's correlation coefficient between the amplitude loss ratio of the RMS values obtained by SEMG compared to the unaffected side (RSEMG) and the amplitude loss ratio of CMAP amplitudes compared to the unaffected side (RCMAP) was 0.567 at the frontalis, 0.456 at the orbicularis oculi, 0.393 at the nasalis, and 0.437 at the orbicularis oris. An increase in RSEMG is positively correlated with an increase in RCMAP. The mean VAS score with conventional EMG was $3.55{\pm}1.42$, whereas that experienced when using SEMG was $0.11{\pm}0.52$ and the mean time required for conventional EMG was $610{\pm}103.84$ seconds, while that required for SEMG was $420{\pm}86.32$ seconds. Conclusion: This study demonstrated a significant positive correlation between facial muscle activities as measured by SEMG and conventional EMG in patients with facial nerve palsy. SEMG has the benefits of being more comfortable and faster when diagnosing facial palsy.

Keywords

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