Veidlapa Nr. M-3 (8)

Course Description Status: Approved

Course Description Version: 25/26.R.1.00

Description Period: 2025./26 academic year rudens semestris

Study Course Accepted: -

Study Course Description

Sensory and Motor Neurophysiology II

Main Study Course Information

Course Code
RNZ_018
Branch of Science
Clinical medicine
ECTS
22.00
Target Audience
Medicine
LQF
Level 8

Study Course Implementer

Course Supervisor
Guntis Karelis

Residency Speciality

Speciality
Neurophysiologist
Supervisor of Medical Speciality
Guntis Karelis
Contacts

-

About Study Course

Objective

To ensure acquisition and improvement of theoretical knowledge and practical skills in understanding and evaluation of the electromyographic/neurographic examination.

Learning Outcomes

Knowledge

1.Demonstrates profound knowledge of electrophysiological mechanisms, the acquisition and interpretation of sensory and motor neurophysiology test results relevant to sub-specialty requirements. Defines electrophysiological and clinical meaning and manifestations of different diseases caused by functional disorders and comorbid conditions. Interpreting clinical and sensory and motor neurophysiology findings, is able to analyse them and draw conclusions.

Skills

1.Applies diagnostic skills of sensory and motor neurophysiology examinations for the assessment of diseases and functional disorders, performs them independently and/or under the supervision of a certified specialist, performs practical manipulations provided for in the programme. The skills to be acquired can be realized both in study course I and II, reaching the total number (the number indicated applies to both years combined).

Competences

1.Formulates and critically analyses sensory and motor neurophysiological examinations and obtained results, evaluates studies in the area of fundamental and applied neurophysiological science, conducts necessary additional analysis if a decision needs to be substantiated, demonstrates understanding and ethical responsibility for the result of neurophysiologist’s professional activity.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work
-
-
Neurophysiologist formulates and analyses aspects of clinical neurophysiology and problems in the field, is able to resolve professional issues in neurophysiology using the acquired knowledge and skills; performs the necessary additional analysis, if necessary to justify a decision, is able to use the latest research and developments in the field in practical work, understanding and respecting professional ethics.

Examination

Title
% from total grade
Grade
1.

Examination
-
-
2.

Examination
-
-
Theoretical and practical knowledge is tested by a written test answering theoretical questions. The test is passed if the medical practitioner to be certified answers at least 75% of the questions correctly. Defended research paper. The number of practical manipulations performed in full during the course.

Study Course Theme Plan

FULL-TIME
Part 1

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Lumbosacral plexopathy. Peripheral nerve damage of the lower limb. Neurophysiological investigation and clinical correlation.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Surgical treatment options for various diseases of the peripheral nervous system. Muscle biopsies.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Damage to the pudendal nerve, S2-S4 nerve roots and Onuf’s nucleus, causes, electrophysiological diagnostics. Paradoxical sphincter reaction. Sacral reflexes.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Myopathies. Neurophysiological examination, other diagnostic methods and clinical correlation. Pathophysiological classification of myopathies.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Pathology and pathophysiology of lesions of different elements of the motor unit.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Test.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Myotonia and periodic paralysis syndromes. Neurophysiological investigation and clinical correlation.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Neurophysiological examination of cranial nerves and brainstem nuclei. Facial nerve and trigeminal nerve neuropathies. Neurophysiological investigation and clinical correlation. Blink reflex. Neurophysiological methods of examination of the muscles of the larynx, diaphragma oris. Therapeutic injections of botulinum toxin under EMG control.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Neurophysiological examination of cranial nerves and brainstem nuclei. Facial nerve and trigeminal nerve neuropathies. Neurophysiological investigation and clinical correlation. Blink reflex. Neurophysiological methods of examination of the muscles of the larynx, diaphragma oris. Therapeutic injections of botulinum toxin under EMG control.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Transcranial magnetic stimulation (TMS). Pain and potential electrophysiological examination.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Neuromuscular transmission disorder syndromes. Neurophysiological investigation and clinical correlation. RNA test. Increment and decrement. Single-fiber electromyography (SFEMG).

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Intraoperative electrophysiological observation.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Tremor recording and analysis. Diagnostics of functional disorders of the autonomic nervous system. Electrophysiological diagnostics of polyneuropathies of fine fibres. Quantitative sensory tests.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Differences in sensory and motor neurophysiological methods and techniques for children. Neurography, RNS, EMG and SFEMG examination for children. Methodology and reference values. Most common indications and characteristic findings.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Evoked potentials (SEP, VEP, CHEP, BAEP, etc.).

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Test.
Total ECTS (Creditpoints):
22.00
Number of Residency Seminars:
16
Length (weeks):
16
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

Preston, David C., Shapiro, Barbara E. Electromyography and Neuromuscular Disorders. Elsevier, 2005.

2.

Kimura, Jun. Electrodiagnosis in diseases of nerve and muscle: principles and practice. Oxford University Press, 2001.

Additional Reading

1.

Biller, J., Caincross, J. Gregory, et all. Neurological Therapeutics Principles and Practice. Informa Healthcare, 2006.

Other Information Sources

1.

Uptodate

2.

Bērziņš, Juris. „Nervu sistēmas slimību diagnostika. Kļūdas un risinājumi”. 2010.

3.

Berziņš, J., Logina, I. „Neiromuskulārās slimības”. 2007.

4.

Bērziņš, J., Dumbere, R. „Lokālās neiropātijas”, 2005.