Faculty Collaboration Database

"Guided" intramuscular fine wire electrode placement. A new technique. Am J Phys Med Rehabil 1996;75(3):232-4

Date

05/01/1996

Pubmed ID

8663932

DOI

10.1097/00002060-199605000-00018

Scopus ID

2-s2.0-0030152495 (requires institutional sign-in at Scopus site)   11 Citations

Abstract

This report describes a new technique for placing intramuscular fine wire electrodes into muscles for kinesiologic electromyographic (EMG) studies. Currently, a pair of fine wire electrodes (one active, one reference) within a hypodermic needle is inserted into the selected muscle. The needle is then withdrawn, leaving the two fine wires positioned within the muscle. Electrical stimulation of the muscle through these fine wire electrodes confirms their correct placement. However, if positioning is incorrect, additional pairs of wires are inserted within needles until correct placement is achieved. Our "guided" method combines this "blind" technique with diagnostic needle EMG techniques. Using a conventional EMG machine and selective activation of the desired muscle, the electromyographer inserts the hypodermic needle while monitoring the muscle's electrical signal through the advancing fine wire electrodes. This signal is used to "guide" the needle into the proper muscle. Once correct positioning of the wires is confirmed by the EMG signal, the needle is removed. With this techniques additional needle insertions are avoided, electrical stimulation is seldom needed, and rarely studied muscles are accessed as easily as commonly studied ones. We have used this technique with pediatric and adult patients as well as in kinesiologic EMG research and have found it to be well tolerated and reliable.

Author List

Park TA, Harris GF

Authors

Gerald F. Harris Emeritus Professor in the Orthopaedic Surgery department at Medical College of Wisconsin
Gerald Harris PhD Director in the Orthopaedic Research Engineering Center (OREC) department at Marquette University

MESH terms used to index this publication - Major topics in bold

Adult
Child
Electrodes
Electromyography
Humans