THE ROLE OF ELECTRONEUROMYOGRAPHY IN DIFFERENTIAL DIAGNOSIS AND EVALUATION OF THE EFFECTIVENESS OF COMPLEX THERAPY
Keywords:
Electroneuromyography , peripheral neuropathy , neuromuscular conduction, differential diagnosis, rehabilitation, complex therapy.Abstract
This article examines the results of a study aimed at assessing the informative value and clinical significance of electroneuromyography (ENMG) in the differential diagnosis of peripheral neuropathies and in monitoring the effectiveness of combination therapy. The study included 60 patients divided into a study (n=40) and control (n=20) group. Patients in the study group received comprehensive treatment, including medication, physiotherapy, and rehabilitation. The assessment was conducted using clinical scales (VAS, MRC, NDS) and ENMG parameters before and after treatment.
The analysis showed that combination therapy significantly improved neuromuscular conduction parameters, including increased conduction velocity along motor and sensory fibers, M-response amplitude, and F-wave frequency, as well as a reduction in distal latency ( p < 0.01). Clinically, a reduction in pain severity, a reduction in neuropathic deficit, and an increase in muscle strength were observed. Correlation analysis revealed statistically significant relationships between ENMG parameters and clinical improvement, confirming the pathogenetic relationship between electrophysiological and functional changes. Thus, electroneuromyography serves not only as a highly informative diagnostic method but also as an objective tool for monitoring the dynamics of neuromuscular function recovery and assessing the effectiveness of combination treatment in patients with peripheral neuropathies ..
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