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Electrodiagnostic medicine is the medical subspecialty
that applies neurophysiologic techniques to diagnose, evaluate, and
treat patients with impairments of the neurologic, neuromuscular, and/or
muscular systems.
An electrodiagnostic examination is a medical consultation
in the specialized area of neuromuscular diseases using electrophysiologic
techniques. The electrodiagnostic medicine consultant must be able to
elicit the pertinent history and perform the necessary physical examination
to define the clinical problem and differential diagnoses. The electrodiagnostic
medicine consultant must then be able to select and perform a logical
sequence of electrophysiologic tests and interpret the data to arrive
at the probable diagnosis. Because the electrodiagnostic evaluation
often must be modified during the procedure as findings unfold, a set
protocol for all patients is inappropriate.
Qualified practitioners require knowledge in anatomy,
physiology, kinesiology, histology, and pathology of the brain, spinal
cord, autonomic nerves, cranial nerves, peripheral nerves, neuromuscular
junction, and muscles. They must know clinical features and treatment
of diseases of the central, peripheral, and autonomic nervous systems,
as well as those of neuromuscular junction and muscle. Practitioners
also require special knowledge about electric signal processing, including
waveform analysis, electronics and instrumentation, stimulation and
recording equipment, and statistics.
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