Assessment of peripheral nerve injury is a common task in forensic practice. As an objective assistance of inspection, electrophysiological examination is significant in the evaluation of peripheral nerve function after injury. There are currently several methods of electrophysiological examination, including I-T curve, EMG, NCV and SEP. Because electrophysiological examination can assess the injury and regeneration of peripheral nerve injury at different times, it is valuable to estimate prognosis of peripheral nerve injury in forensic medicine. Besides the electrophysiological examination, evaluation of the peripheral nerve injury needs to combine other clinical manifestations to provide an accurate appraisal.
Electrodiagnosis/methods* ; Electromyography/methods* ; Forensic Medicine ; Humans ; Neural Conduction/physiology* ; Peripheral Nerve Injuries ; Peripheral Nerves/physiopathology*

Electrogastrography (EGG) is the cutaneous recording of the myoelectrical activity of the stomach using surface electrodes and it is more and more attractive due to its noninvasiveness. It has been used in medical research and clinical diagnosis. It is evident that with the use of this noninvasive measurements of gastric electrical activity(GEA) that we can diagnose gastric dysfunction. In this article, record, analysis, application and trend of EGG are reviewed.
Electrodiagnosis ; methods ; Humans ; Signal Processing, Computer-Assisted ; Stomach ; physiology ; Stomach Diseases ; diagnosis ; physiopathology

Atrial fibrillation (AF) is a complex and dangerous arrhythmia. The treatment method is still unefficient because of its unknown mechanism. The purpose of our research is to detect the electrical activity on the atria surface and therefore find the optimal technique to characterize AF for clinical application. All kinds of maps are presented clearly and the activity of sinus or AF rhythm can be seen quite differently. The active isopotential map can display the dynamic electrical conduction of the atrium as a movie. Sequentially the vectorgraph shows the direction of depolarization at every moment. Finally statistical results are also very useful for analysis on AF. Statistics of exciting frequency and correlation area show great difference in various channels during AF. "Source" or "sink" may be estimated by interval variance statistics. This study demonstrates the flexibility of the system in AF research. The statistical results can also be adopted to clearly express the characteristics of AF.
Animals ; Atrial Fibrillation ; diagnosis ; physiopathology ; Body Surface Potential Mapping ; methods ; Dogs ; Electrocardiography, Ambulatory ; Electrodiagnosis ; methods ; Pericardium ; physiopathology ; Swine

This paper introduced the definition, structure of basis wavelet functions and wavelet lifting. Wavelet transform and wavelet lifting were applied in signal processing of EGG in our study. The characteristics of signal energy, information entropy and joint entropy were analyzed to introduce general selective method of wavelet basis functions after the signals have been filtered. In order to verify the rationality of evaluation criteria, signals of electrogastrogram (EGG) were processed and filtered with different wavelet basis functions in the experiments. Signals of EGG were filtered by wavelet transform and wavelet lifting, slow wave and spike wave of EGG were filtered. And the rationality of wavelet transform, wavelet lifting and effectiveness of EGG filter algorithm were proved by the experimental data. It provided an effective solution for the diagnosis and measurement of gastric diseases.
Electrodiagnosis ; methods ; Gastrointestinal Diseases ; diagnosis ; physiopathology ; Gastrointestinal Motility ; Humans ; Signal Processing, Computer-Assisted ; Stomach ; physiology ; Wavelet Analysis

Polarity reversal mapping for localization of the left free wall accessory pathway (AP) at the atrial insertion site has been shown to be effective for successful ablation, but this technique requires atrial septal puncture. We evaluated the safety, efficacy, and reproducibility of two dimensional polarity reversal mapping at the ventricular insertion site of the accessory pathway without atrial septal puncture in symptomatic patients with manifested left free wall AP. Polarity reversal mapping under the mitral annulus by transaortic approach was performed in 10 consecutive patients with conventional ablation catheter (6 French, 4 mm tip, 2 mm interelectrode distance), during sinus rhythm or atrial pacing. A low set high, bandpass filter (0.005-400Hz) was used. Radiofrequency (RF) ablation was performed at the site of ventricular electrocardiogram polarity reversal during sinus rhythm. Polarity reversal was identified in all patients at the ventricular side of the mitral annulus. Ablation was successful in all patients without complications. The procedure time was 86.0 +/- 21.1 min, the fluoroscopic exposure time was 16 +/- 12 min, the number of RF applications was 8 +/- 6, the power level 21 +/- 7 watts, and the time to initial AP block was 3.0 +/- 0.9 sec. Polarity reversal mapping is a safe and efficient technique at the ventricular insertion site. This technique might be complementary to the currently-utilized activation mapping technique.
Adult ; Catheter Ablation/methods* ; Electrocardiography ; Electrodiagnosis* ; Female ; Heart Conduction System/physiopathology ; Human ; Male ; Middle Age ; Radiography, Thoracic ; Tachycardia, Supraventricular/surgery* ; Tachycardia, Supraventricular/physiopathology ; Tachycardia, Supraventricular/diagnosis*

OBJECTIVE: To determine the prevalence and related characteristics of carpal tunnel syndrome (CTS) in orchardists and to investigate the association between electrodiagnostic severity and physical examinations. METHODS: Between July 2013 and September 2014, 377 subjects (174 men and 203 women) visited the Gyeongsang National University Hospital's Center for Farmer's Safety and Health. All the subjects underwent electrodiagnostic tests and physical examination, including Phalen's test, Tinel's sign, and Durkan's carpal compression test (CCT). The subjects were classified into 2 groups, the normal group and the CTS group, according to electrodiagnostic test results. To determine the related characteristics of CTS, potential variables, including age, sex, drinking, smoking, body mass index, waist circumference, and total work time, were compared between the 2 groups. The association between electrodiagnostic severity and physical examinations was analyzed. RESULTS: CTS was diagnosed in 194 subjects based only on electrodiagnostic test results, corresponding to a prevalence of 51.5%. Among the variables, mean age (p=0.001) and total work time (p=0.007) were significantly correlated with CTS. With respect to the physical examinations, low specificities were observed for Tinel's sign, Phalen's test, and Durkan's CCT (38.4%, 36.1%, and 40.9%, respectively) in the subjects aged ≥65 years. In addition, Phalen's test (p=0.003) and Tinel's sign (p=0.032) in men and Durkan's CCT (p=0.047) in women showed statistically significant differences with increasing CTS severity. The odds ratio was 2.066 for Durkan's CCT in women according to the multivariate logistic regression analysis. CONCLUSION: CTS prevalence among orchardists was high, and Durkan's CCT result was significantly quantitatively correlated with the electrodiagnostic test results. Therefore, Durkan's CCT is another reliable examination method for CTS.
Body Mass Index ; Carpal Tunnel Syndrome* ; Drinking ; Electrodiagnosis ; Female ; Gyeongsangnam-do* ; Humans ; Logistic Models ; Male ; Methods ; Odds Ratio ; Physical Examination ; Prevalence* ; Smoke ; Smoking ; Waist Circumference

OBJECTIVETo study the role of proximal nerve stimulation at Erb point in the early diagnosis of Guillain-Barré syndrome (GBS) in children.

METHODSThirty-two children who were diagnosed with GBS between October 2013 and December 2014 received neurophysiological examination. Thirty healthy children were used as controls. Compound muscle action potentials and distal motor latency of the median and ulnar nerves were determined and analyzed after nerve stimulation at the wrist, elbow, and Erb point in the two groups. Moreover, F-wave latency of the median nerve and H-reflex latency of the tibial nerve were measured and analyzed in the two groups.

RESULTSThe F-wave and H-reflex latencies were significantly longer in the patient group than in the control group (P<0.05). In thirty-two patients, the numbers of patients with abnormal amplitude, abnormal latency, and conduction block at Erb's point were 24 (75%), 22 (69%), and 20 (62%), respectively. The patient group had significantly lower amplitudes but significantly longer latencies of the ulnar and median nerves at Erb point than the control group (P<0.05). There were no significant differences in the amplitudes and latencies at the wrist and elbow between the two groups (P>0.05).

CONCLUSIONSThe nerve stimulation at Erb point holds promise as a routine examination for the early diagnosis of GBS.

Adolescent ; Child ; Early Diagnosis ; Electrodiagnosis ; methods ; Female ; Guillain-Barre Syndrome ; diagnosis ; physiopathology ; H-Reflex ; Humans ; Male ; Neural Conduction ; physiology ; Reaction Time

OBJECTIVETo investigate the electrosonography character of sounds emanating from anterior disc displacement with reduction of TMJ and the value of it in clinical diagnosis.

METHODSThe sounds from healthy TMJ, anterior disc displacement with or without reduction of TMJ, and osteoarthritis of TMJ were recorded and analyzed by K6-I system, then the data was used for diagnosis of anterior disc displacement with reduction in clinic.

RESULTSA special kind of waveform was found in the electrosonography of sounds from anterior disc displacement with reduction repeatedly, and seldom or not in sounds from healthy joints, anterior disc displacement without reduction or osteoarthritis of TMJ. The diagnostic sensitivity of anterior disc displacement with reduction by using electrosonography analysis was 77.2% and specificity was 93.3% when compared with the clinical diagnosis based on clinical appearance and radiography evidence.

CONCLUSIONSThe special kind of waveform may be characteristic wave of sounds from anterior disc displacement with reduction of TMJ, which is useful for assistant diagnosis of anterior disc displacement with reduction in clinic.

Adolescent ; Adult ; Aged ; Electrodiagnosis ; methods ; Female ; Humans ; Male ; Middle Aged ; Sensitivity and Specificity ; Signal Processing, Computer-Assisted ; Sound Spectrography ; Temporomandibular Joint Disc ; pathology ; Temporomandibular Joint Disorders ; diagnosis ; Young Adult

This study was designed to investigate the incidence of lateral root of the ulnar nerve through cadaveric dissection and to analyze its impact on myotomes corresponding to the flexor carpi ulnaris (FCU) assessed by electrodiagnostic study. Dissection of the brachial plexus (BP) was performed in 38 arms from 19 cadavers, and the connecting branches between the lateral cord and medial cord (or between lateral cord and ulnar nerve) were investigated. We also reviewed electrodiagnostic reports from January 2006 to May 2008 and selected 106 cases of single-level radiculopathy at C6, C7, and C8. The proportion of abnormal needle electromyographic findings in the FCU was analyzed in these patients. In the cadaver study, branches from the lateral cord to the ulnar nerve or to the medial cord were observed in 5 (13.1%) of 38 arms. The incidences of abnormal electromyographic findings in the FCU were 46.2% (36/78) in C7 radiculopathy, 76.5% (13/17) in C8 radiculopathy and 0% (0/11) in C6 radiculopathy. In conclusion, the lateral root of the ulnar nerve is not an uncommon anatomical variation of the BP and the FCU commonly has the C7 myotome. Needle EMG of the FCU may provide more information for the electrodiagnosis of cervical radiculopathy and brachial plexopathy.
Brachial Plexus/anatomy & histology/physiology ; Brachial Plexus Neuropathies/diagnosis ; Cadaver ; Electrodiagnosis/methods ; Electrophysiology/*methods ; Female ; Forearm/*anatomy & histology ; Humans ; Male ; Muscle, Skeletal/*innervation/physiology ; Radiculopathy/diagnosis ; Ulnar Nerve/*anatomy & histology/physiology

OBJECTIVE: The purpose of this study is to evaluate the usefulness of infrared thermography in patients with carpal tunnel syndrome by comparing with electrodiagnostic and ultrasonographic findings.METHOD: From January 2014 to October 2017, electrodiagnosis, ultrasound, and digital infrared thermal image (DITI) of unilateral carpal tunnel syndrome diagnosed in a single hospital were retrospectively analyzed. The subjects with bilateral symptoms of carpal tunnel syndrome, peripheral vascular disease, diabetes, thyroid disease, fibromyalgia, rheumatic disease, systemic infection, inflammation, malignant tumor, and other musculoskeletal disorders such as finger osteoarthritis, peripheral neuropathy, cervical radiculopathy, and the previous history of surgery were excluded.RESULTS: Of 53 patients diagnosed with carpal tunnel syndrome, 11 were male and 42 were female. The visual analogue scale was 4.9 ± 1.9, and the duration of symptom was 11.8 ± 12.5 months. There was no statistically significant difference in the body surface temperature between the unaffected and affected sides. The severity of symptoms, electrodiagnostic findings, and cross-sectional area of the median nerve significantly correlates to each other. The temperature difference between the second fingers of the affected and unaffected sides showed a weak correlation with the amplitude of sensory nerve action potential and onset latency of compound muscle action potential, when there was no significant correlation with the other parameters.CONCLUSION: The difference in temperature on the surface of the body, which can be confirmed by DITI, is little diagnostic value when DITI is performed in unilateral carpal tunnel syndrome patients, especially when compared with ultrasonography.
Action Potentials ; Carpal Tunnel Syndrome ; Electrodiagnosis ; Female ; Fibromyalgia ; Fingers ; Humans ; Inflammation ; Male ; Median Nerve ; Methods ; Osteoarthritis ; Peripheral Nervous System Diseases ; Peripheral Vascular Diseases ; Radiculopathy ; Retrospective Studies ; Rheumatic Diseases ; Thermography ; Thyroid Diseases ; Ultrasonography