Veidlapa Nr. M-3 (8)
Study Course Description
Sensory and Motor Neurophysiology I
Course Code
RNZ_013
Branch of Science
Clinical medicine
ECTS
23.00
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.
Skills
1.Applies the 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. 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
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Normal anatomy of the lower limbs and pelvic girdle.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Normal anatomy of the lower limbs and shoulder girdle.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Normal anatomy of the trunk, head and neck.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
The role of neurophysiological examinations in the diagnosis of PNS pathologies and in determining the location, degree, and type of damage. Basic principles of neurophysiological investigation. General description of the structure of the PNS. Types of nerve fibres in the PNS. Basic principles of formation and registration of action potentials. Determination of motor, sensory, mixed transmission, late reflexes: characteristic curves, their parameters, basic principles of stimulation, peculiariti
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Neurography and EMG machines. Patient safety and contraindications. Artifacts and technical issues. Factors influencing the results of neurophysiological examination. Anatomical variants of normal nerve course and their role in EMG.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Stimulation of different nerves in neurography - practical test work.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Basic principles of electromyography. Analysis of spontaneous and voluntary activity. Quantitative and qualitative methods of analysis, Macro-EMG, SFEMG, surface EMG.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Clinical and neurophysiological correlations. Common types of damage and their location. Normal values in neurography and electromyography. Investigation algorithms in electromyography and neurography.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Test.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
N. medianus neuropathies. Neurophysiological investigation and clinical correlation.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
N. ulnaris and n. radialis neuropathies. Neurophysiological investigation and clinical correlation.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Polyneuropatia. Neurophysiological investigation and clinical correlation.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Electrophysiological diagnosis of neuropathy and myopathy in critical conditions. Direct muscle stimulation. Patient examination in the ITP setting.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Spinal cord motoneuron lesion syndromes. Diagnostic criteria for LAS syndrome in neurophysiology. Myelopathy. Neurophysiological investigation and clinical correlation.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Radiculopathy syndromes. Brachial plexopathy. Nerve damage to the shoulder girdle and upper arm. Neurophysiological investigation and clinical correlation I.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Radiculopathy syndromes. Brachial plexopathy. Nerve damage to the shoulder girdle and upper arm. Neurophysiological investigation and clinical correlation II.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Lumbosacral plexopathy. Peripheral nerve damage of the lower limb. Neurophysiological investigation and clinical correlation I.
|
Total ECTS (Creditpoints):
23.00
Number of Residency Seminars:
17
Length (weeks):
17
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Preston, David C., Shapiro, Barbara E. Electromyography and Neuromuscular Disorders. Elsevier, 2005.
Additional Reading
1.
Kimura, Jun. Electrodiagnosis in diseases of nerve and muscle: principles and practice. Oxford University Press, 2001.
2.
Biller, J., Caincross, J. Gregory, et all. Neurological Therapeutics Principles and Practice. Informa Healthcare, 2006.
Other Information Sources
1.
www.uptodate.com
2.
www.usra.ca
3.
www.neuraxiom.com