STUDY OF UPPER LIMB PERIPHERAL NERVE PATHOLOGIES WITH SPECIAL EMPHASIS ON QUICK DASH SCORE AND SELECTED ELECTROMYOGRAPHIC PARAMETERS

Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 4

Abstract

BACKGROUND Clinical disability or inability to use full function of upper limb and EMG can be a guide to assess probability of severity of pathological damage. Pathologies like neuropraxia, axonotmesis and neurotmesis have varied disability presentation and EMG findings. Hence, disability scores and EMG can correlate well with peripheral nerve pathologies. The purpose of this study is evaluation of peripheral nerve pathologies using disability score and electromyographic (EMG) findings. MATERIALS AND METHODS Study design was hospital-based cross-sectional study, which was conducted in outpatient medical and surgical department of MY Hospital, Indore, in patients of upper limb peripheral nerve pathologies with intention of identifying the selected epidemiological variables along with measurement of quick DASH (Disabilities of the Arm, Shoulder and Hand score) and analysing the electromyographic findings. Study was conducted over a period of one year from January 2015 to December 2015. RESULTS There were 51 patients (mean age 36; SD, 11.7 years) with peripheral nerve pathologies (n= 39) and traumatic injuries (n= 12). Female-to-male ratio was 2.18: 1. Mean quick DASH score was 61.35 (SD, 20.5) of 100. For traumatic patients mean quick DASH score was 83.25 (SD, 13.13) and for non-traumatic patients it was 57.41 (SD, 14.65). Electromyographic parameter of voluntary muscle activity and recruitment were absent in all of the twelve traumatic injury patients and it was present in other thirty-nine non-traumatic neuropathies. Electromyographic finding of spontaneous potential was observed in all the 51 patients. CONCLUSION High quick DASH scores are found in traumatic injury patients. In non-traumatic neuropathies, the quick DASH scores are quite disabling but not that high. Electromyographic findings in traumatic injuries are suggestive of neurotmesis. Finding of spontaneous activity in all the patients suggest active denervation (axonotmesis or neurotmesis) and it warrants aggressive treatment.

Authors and Affiliations

Archana Verma, Sachin Verma, Sonia Moses, Rajkumar Mathur, Lukesh Patil5, Siddharth Saraf, Abhishek Verma, Sharad Gova

Keywords

Related Articles

 AIRWAY ASSESSMENT FOR ANTICIPATION OF DIFFICULT INTUBATION: A DOUBLE BLIND COMPARATIVE STUDY

 BACKGROUND AND AIMS In this era of high technology, we still face an ageless problem in anaesthesia – the difficult airway. In 1997, Smarajith Sur Roy of India introduced a new airway index to predict difficult...

 PATHOLOGICAL SPECTRUM OF CONGENITAL ANOMALIES OF THE GASTROINTESTINAL TRACT- A 5 YEAR STUDY AT A PAEDIATRIC REFERRAL CENTRE

[b] INTRODUCTION[/b]: Congenital anomalies of gastrointestinal tract occur from oesophagus upto anorectum as a result of abnormal embryogenesis. Specific patterns of malformations of gastrointestinal tract inclu...

 A HISTOMORPHOLOGICAL STUDY OF PAEDIATRIC ADRENAL TUMOURS

 BACKGROUND: Tumors of the adrenal gland are extremely rare in children. Those of the adrenal cortex account for only 0.3-0.4 % of all childhood neoplasms. Its rarity has hindered the identification of meaningfu...

STUDY ON EXERCISE TOLERANCE AND POST EXERCISE DIASTOLIC FILLING PATTERN IN PATIENTS WITH RESTING GRADE 1 DIASTOLIC DYSFUNCTION

BACKGROUND Diastolic dysfunction is one of the commonly seen abnormalities in heart disease patients. It is most commonly associated with diabetes, hypertension, left ventricular hypertrophy, increasing age, coronary art...

A STUDY OF ACUTE ST ELEVATION MYOCARDIAL INFARCTION (STEMI) IN ELDERLY PATIENTS IN A TERTIARY CARE INSTITUTE IN SOUTH INDIA

BACKGROUND Coronary Artery Disease (CAD) is the leading cause of morbidity and mortality among elderly. The clinical features of Acute ST Elevation Myocardial Infarction (STEMI) in elderly are different from those in you...

Download PDF file
  • EP ID EP285824
  • DOI 10.14260/jemds/2018/111
  • Views 80
  • Downloads 0

How To Cite

Archana Verma, Sachin Verma, Sonia Moses, Rajkumar Mathur, Lukesh Patil5, Siddharth Saraf, Abhishek Verma, Sharad Gova (2018). STUDY OF UPPER LIMB PERIPHERAL NERVE PATHOLOGIES WITH SPECIAL EMPHASIS ON QUICK DASH SCORE AND SELECTED ELECTROMYOGRAPHIC PARAMETERS. Journal of Evolution of Medical and Dental Sciences, 7(4), 499-503. https://europub.co.uk/articles/-A-285824