[The electromyography of rectus abdominis muscle in the diagnosis of polyneuropathy].
OBJECTIVE
To assess the value of electromyography ( EMG) of rectus abdominis muscle in the diagnosis of polyneuropathy.


METHODS
109 patients with polyneuropathy were studied. The routine nerve conduction study was done and standard EMG was recorded from rectus abdominis muscle, first dorsal interosseous muscle and tibialis anterior muscle. The parameters studied included spontaneous activity fibrillation potentials (fib) and positive sharp waves (psw); duration, amplitude and percentage of polyphasic wave of motor unit action potential (MUAP) and pattern of recruitment. A group of controls and patients with amyotrophic lateral sclerosis (ALS) were studied at the same time. EMG parameters of rectus abdominis muscles were compared among patients with polyneuropathy, patients with ALS and the controls.


RESULTS
EMG of rectus abdominis muscle in the patients with polyneuropathy showed neurogenic change. The amplitude of motor unit potential in patients with polyneuropathy (451.67 +/- 75.01) microV was higher than that of the controls (373.78 +/- 56.46)microV(t = 2.01, P < 0.04) and lower than that of patients with ALS (537.19 +/- 159.04) microV (t = 2.32, P < 0.03).


CONCLUSIONS
EMG of rectus abdominis muscle might be used to find the lesion of intercostal nerve in polyneuropathy.
Xu
Ying-sheng
YS
Department of Neurology, Peking University Third Hospital, Beijing 100191, China.
Zheng
Ju-yang
JY
Zhang
Shuo
S
Zhang
Jun
J
Kang
De-xuan
DX
Fan
Dong-sheng
DS
D000328:Adult; D000368:Aged; D000690:Amyotrophic Lateral Sclerosis / Q000175:diagnosis / Q000503:physiopathology*; D004576:Electromyography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011115:Polyneuropathies / Q000473:pathology / Q000503:physiopathology*; D017568:Rectus Abdominis / Q000473:pathology / Q000503:physiopathology*; D055815:Young Adult