W02 / C, D Autonomic Testing

Objectives: This workshop is designed to familiarize participants with two quantitative tests of autonomic function. Participants will acquire the skills to perform (1) the skin sympathetic response and (2) heart-rate variability studies. These are the most useful and easiest tests to perform.

Benn E. Smith, MD

W03 / A, C, D CTS Techniques

Objectives: This workshop is designed to familiarize participants with current techniques for evaluation of carpal tunnel syndrome (CTS). Participants will acquire the skills to perform studies that evaluate (1) Median-ulnar mixed nerve latency difference to the mid-palm, (2) Median-radial sensory latency difference to the thumb, (3) Median-ulnar sensory latency difference to the ring finger, (4) Median mid-palmar sensory latency compared to wrist latency, (5) Short segment sensory stimulation across the carpal tunnel (inching), (6) Robinson cumulative summary index (CSI), and (7) Median (to lumbrical) - ulnar (to interosseous) motor latency difference (LILD) across the carpal tunnel.

Atul T. Patel, MD, (A); Randall L. Braddom, MD, MS (C, D)

W04 / A, B Chemical Neurolysis With Phenol

Objectives: This workshop is designed to review the principles of chemical neurolysis with phenol in the treatment of spasticity. Participants will learn (1) the indications for phenol injection, (2) the techniques of nerve and motor point blocks with phenol, and (3) specific localization procedures for several relevant nerves.

Ross D. Zafonte, DO

W05 / A Cranial Nerve Testing

Objectives: This workshop is designed to familiarize participants with neurophysiological testing of the cranial nerves. Participants will acquire the skills to perform (1) blink reflexes with both electrical and mechanical stimuli, (2) seventh nerve conduction studies, and (3) eleventh nerve testing.

Kathleen D. Kennelly, MD, PhD

W08 / B, C, D EMG Laryngeal

Objectives: This advanced workshop is designed to develop skills in the clinical and electrodiagnostic evaluation of vocal cord dysfunction. Participants will (1) be instructed on the skills to perform specific electrodiagnostic testing of the larynx and (2) discuss how to evaluate which tests to perform on patients presenting with hoarseness and laryngeal dysfunction. This workshop is ideally suited for physicians skilled in routine electrodiagnosis.

Michael C. Munin, MD, (B); Arthur A. Rodriquez, MD, MS (C, D)

W09 / A, B EMG Muscle ID

Objectives: This workshop provides hands-on electrodiagnostic experience in needle EMG muscle identification and selective activation, an important aspect of the electrodiagnostic consultation. Participants will learn (1) anatomic localization of common and unusual muscles, (2) methods of selective activation, and (3) how to incorporate these into the needle EMG examination.

Daniel L. Menkes, MD

W10 / A, B EMG Needle Basics

Objectives: This workshop is designed to address the fundamental techniques and knowledge essential to the needle EMG examination. Participants will learn (1) electrophysiologic techniques related to the needle examination, (2) a problem-directed approach to the study, and (3) insertional and spontaneous activity, and (4) characterization of motor unit action potential morphology and recruitment in normal and diseased states. This workshop is ideally suited for advanced residents, fellows, and practitioners who wish to reinforce fundamental skills.

Robert T. Leshner, MD

W11 / A, B, C, D EMG Respiratory

Objectives: This workshop focuses on electrodiagnostic techniques which enable a more accurate diagnosis of neuromuscular respiratory failure. Participants will acquire skills to (1) perform phrenic nerve conduction studies, (2) utilize techniques for safe needle EMG of the diaphragm, and (3) localize and perform needle EMG of chest wall muscles which are helpful in the diagnosis of respiratory failure.

Simon Podnar, MD, DSc (A,B); William J. Litchy, MD (C, D)

W13 / A, B, C Entrapment Lower Limb

Objectives: This workshop is designed to familiarize participants with techniques needed to evaluate and diagnose entrapments in lowerlimbs. Participants will learn (1) nerve conduction techniques for peroneal, tibial, medial, and lateral plantar nerves, and (2) needle placement for EMG examination of appropriate muscles evaluating lower limb nerve entrapments.

Ernest W. Johnson, MD (A, B); Shin J. Oh, MD (C)

W14 / B Magnetic Stimulation

Objectives: This workshop is designed to address the application and use of magnetic stimulation. Participants will develop an understanding of the (1) physiology of magnetic stimulation, (2) clinical indications for magnetic stimulation, and (3) findings in different diseases.

Paul J. Maccabee, MD

W15 / A, B MUNE Techniques

Objectives: This hands-on workshop is designed to familiarize participants with techniques developed to perform motor unit number estimates (MUNE). Participants will develop an understanding of 1) the original manual incremental stimulation technique, 2) multiple point stimulation, 3) statistical technique, 4) spike-triggered averaging and 5) decomposition-enhanced spike-triggered averaging.

Mark B. Bromberg, MD, PhD

W16 / A, B, C, D MUAP Quantitation

Objectives: This workshop is designed to familiarize perticipants with analysis of motor unit action potential (MUAP) features. Participants will acquire the skills to analyze amplitude, duration, firing rate, etc., and perform different methods of analysis by manual, trigger/delay, and automated methods. Basic skills in needle electrode examination are assumed.

Tulio E. Bertorini, MD (A,B); Paul E. Barkhaus, MD (C, D)

W18 / A, B, C, D Neuromuscular Ultrasound

Objectives: At the completion of this session the participant will be able to (1) create ultrasound device settings necessary to image and measure nerves and muscles (2) image and measure the following nerves: median, ulnar, radial, brachial plexus, sciatic, tibial, peroneal, and sural (3) image and assess muscles in the upper and lower extremities; (4) assess the ultrasonographic changes that occur in common nerve and muscle diseases.

Francis O. Walker, MD (A, B); Michael S. Cartwright, MD (C, D)

W19 / C Near NCSs

Objectives: This workshop will familiarize participants with techniques and indications for near-nerve conduction studies (NCSs). Participants will (1) discuss the advantages of and specific indications for performing NCSs over surface recordings of sensory action potentials, and (2) achieve the technical knowledge necessary to develop the skills required in performing NCSs.

Jeremy M. Shefner, MD, PhD

W20 / A NCS Basics

Objectives: This workshop is designed to address techniques of performing nerve conduction studies (NCS) of commonly-studied nerves. Participants will gain proficiency in (1) placing stimulating and recording electrodes for optimal recordings, (2) optimally adjusting the stimulation intensity and duration, and (3) adjusting machine settings for appropriate recordings. This basic workshop is designed for individuals who have performed electrodiagnostic examinations on fewer than 500 patients, while the uncommon workshop is designed for the more experienced practitioner.

Anthony E. Chiodo, MD

W21 / C, D NCS Pitfalls

Objectives: This workshop is designed to address specific and common errors likely to be encountered by the electrodiagnostic medicine consultant during the performance of routine motor and sensory nerve conduction studies (NCSs). Participants will acquire the skills to (1) identify common instrumentation, physiologic, and operator errors, (2) alter recording electrode montages and use the instrument’s filters to help optimize the recording of motor and sensory potentials, and (3) minimize stimulus artifact interference with waveform recording.

Mohammad A. Saeed, MD, MS

W22 / C NCS Special

Objectives: This workshop is designed to address the physiologic mechanisms responsible for several special nerve conduction studies. Participants will acquire the skills to (1) identify the mixed nerve silent period and the cutaneous silent period, (2) perform collision techniques, (3) record the long-loop response, and (4) measure the refractory period. Clinical and research applications of these techniques will be discussed.

Mark Alfred Ross, MD

W23 / B, C, D NCS Uncommon

Objectives: This workshop is designed to address techniques of performing nerve conduction studies (NCSs) of nerves which are less commonly studied, but are of clinical value in the electrodiagnostic examination. Participants will gain proficiency in (1) placing stimulating and recording electrodes for optimal recordings, (2) optimally adjusting the stimulation intensity and duration, and (3) adjusting machine settings for appropriate recordings. This workshop is designed for the more experienced practitioner.

Eric J. Sorenson, MD (B); Susan L. Hubbell, MD, MS (C, D)

W25 / C, D Proximal Nerve Late Response

Objectives: This workshop is designed to familiarize participants in the assessment of proximal nerve segments. Participants will acquire the skills to perform (1) H-reflexes, F-waves, and blink reflexes, (2) proximal nerve conduction studies of facial, axillary, musculocutaneous, suprascapular to supraspinatus and infraspinatus femoral nerves, and (3) nerve root stimulation to C8 and S1 nerves.

Brian L. Bowyer, MD

W27 / A, B Repetitive Nerve Stimulation

Objectives: This workshop is designed to familiarize participants with techniques of repetitive nerve stimulation. Participants will (1) acquire the skills to perform repetitive nerve stimulation to shoulder, upper arm, hand, and facial muscles, and (2) discuss sequential examination for detecting neuromuscular transmission defects through discussion. Emphasis will be placed on identifying artifacts and technical problems commonly encountered.

James F. Howard, Jr., MD (A); Pushpa Narayanaswami, MBBS, DM (B)

W30 / C, D SFEMG Basics

Objectives: This basic workshop is designed to demonstrate the recording of SFEMG potentials in muscles during voluntary activation. Participants will learn the principles of measuring neuromuscular jitter and fiber density. This session will offer the opportunity for a demonstration experience.

Janice M. Massey, MD

W31 / D SFEMG Advanced

Objectives: Participants in this advanced workshop will discuss and participate in single fiber EMG (SFEMG) recordings using volitional and axonal microstimulation techniques. Registrants are expected to be familiar with the basic concepts of SFEMG techniques.

James M. Gilchrist, MD

W32 / A, B, C, D Ulnar Techniques

Objectives: This workshop is designed to offer hands-on training in the clinical/electrophysiologic evaluation of the ulnar nerve. Participants will learn a problem-solving approach in the work-up of possible ulnar neuropathies, as well as to identify all of the muscles required for an ulnar nerve work-up. In addition, participants will (1) learn antidromic ulnar digital sensory responses, (2) discuss motor conduction studies to hypothenar, deep ulnar-innervated musculature, (3) learn stimulation/recording techniques for dorsal ulnar cutaneous, first dorsal interosseous, and medial antebrachial cutaneous, and (4) learn mid-palm and inching techniques.

Robert A. Werner, MD, MS (A, B); Kevin T. White, MD (C,D)

W34 / A, B Paraspinal Mapping

Objectives: This workshop is designed to familiarize participants with quantitative techniques for studying lumbar paraspinal muscles. The participant will learn to perform (1) paraspinal mapping, (2) quantified EMG of the paraspinal muscles, (3) interpret findings in persons with back pain and radiculopathy, and (4) understand the clinical advantages of a quantified, standardized approach to paraspinal EMG.

Andrew J. Haig, MD

W35 / A, B, C, D Needle EMG Exam of the Foot

Objectives: This workshop is designed to teach needle EMG techniques that are essential for the diagnosis of nerve entrapments in the foot. The participant will learn about (1) the anatomy of the tibial and deep peroneal nerve branches in the foot, (2) the potential entrapment sites for these nerve branches, (3) the anatomic basis for needle placement, (4) special considerations for the technique in each muscle, and (5) how to develop a meaningful interpretation of findings.

David R. Del Toro, MD (A,B); Tracy A. Park, MD (C,D)

W37 / D Instrumentation

Objectives: This workshop is designed to improve participants’ understanding of electrodiagnostic instrumentation. Participants will learn (1) the effect of instrument settings and electrode issues on the recording of neurophysiologic potentials in EMG and nerve conduction studies (NCSs), (2) sources of noise and tips for noise reduction during clinical studies, and (3) how to identify potential pitfalls related to instrumentation errors during EMG and NCSs.

Michael T. Andary, MD, MS

W38 / C, D Physical Exam of the Athlete: Cervical

Objectives: This workshop is designed so participants will be able to examine an individual and determine if the pain is from the cervical spine, shoulder, or a muscle. Participants will learn (1) which structure of the cervical spine is the pain generator, i.e., nerve root, facet joint, or muscle, (2) what shoulder structures can be pain generators, (3) to determine a diagnostic and therapeutic plan, and (4) typical athletic injuries to these regions.

Francis P. Lagattuta, MD

W39 / B Physical Exam of the Athlete: Lumbar

Objectives: This workshop is designed to teach appropriate considerations in the examination of the lumbar spine in an athlete. After completing this workshop, participants will be able to devise a differential diagnosis for low back pain in an athlete and to perform a physical exam that aids in diagnosis and treatment

TBD

W41 / C, D Gait Analysis

Objectives: This workshop is designed for participants to be able to (1) predict the abnormal gait pattern that will result for a specific electrodiagnostic finding and (2) identify strategies that help compensate for the underlying biomechanical deficit.

James K. Richardson, MD

W42 / A Physical Exam Upper Extremity

Objectives: This workshop will review the anatomy of the cervical spine and upper extremity as it relates to neurological and musculoskeletal complaints. It will review techniques of physical examination that are helpful in reaching a diagnosis, especially in distinguishing musculoskeletal from neurological pathology. Common physical examination techniques used for assessment of the cervical spine, shoulder, elbow, wrist and hand will be described and demonstrated. Physical examination maneuvers useful in the diagnosis of radicuopathy and common nerve entrapment syndromes will be demonstrated.

William W. Campbell, MD

W45 / C, D Cervical Radiculopathy / Brachial Plexopathy

Objectives: This workshop is designed to familiarize participants with techniques routinely used to diagnose cervical radiculopathy and brachial plexopathy. Participants will learn (1) the uses and limitations of nerve conduction studies, (2) the uses and limitations of late responses, (3) the uses and limitations of needle electromyography, and (4) specific localization procedures for relevant nerves and muscles.

Channarayapatna R. Sridhara, MD

W46 / A, B Lumbar Radiculopathy / Plexopathy

Objectives: Participants will be able to establish a clinical and electrodiagnostic approach to identify and distinguish between lumbar radiculopathies and disorders affecting the lumbo-sacral plexus.

James K. Richardson, MD

W49 / C Cranial EMG

Objectives: Participants will (1) review basic anatomy the cranial musculature (2) demonstrate needle electromyography techniques of commonly studied as well as unusual cranial muscles.The workshop is designed for advanced residents, fellows and practitioners who are familiar with basic principles and techniques of electromyography.

Bashar Katirji, MD

W50 / B Advanced Autonomic Testing

Objectives: This workshop is designed to familiarize participants with three specialized quantative tests of autonomic function. Participants will acquire the skills to perform (1) quantitative sweat testing via sudometer axon reflex testing; (2) cardiovagal testing with hear-rate response to deep breathing, and (3) Valsalva maneuver testing. These tests will be demonstrated using specialized equipment designed for routine autonomic reflex function testing in a clinical autonomic laboratory.

Caroline M. Klein, MD, PhD

W52 / C Novel Approaches To Evaluate CTS

Objectives: Participants will (1) learn EDX use to diagnose, estimate severity and prognosis of CTS, (2) learn how to stimulate median nerve proximal and distal to CT ligament and with a monopolar needle, (3) learn physical exam techniques to screen for likelihood of CTS.

Ernest W. Johnson, MD