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J Strempel

Publications and source records attributed to J Strempel.

4 recordsLinked to original sources

Computer-aided EMG-analysis in patients with neurogenic lesions.

A new system for computer aided EMG-analysis was tested in 3 groups of patients with neurogenic lesions (ALS, ulnar nerve lesions, diabetic polyneuropathy). The system entails automatic segmentation and parametrization of the single MUAP as well as the automatic classification of the MUAP into motor units. Emphasis was placed on its practicability in an everyday clinical setting. All patient groups differed significantly from normal groups in most of the computed parameters of the motor units. Moreover, on the basis of the computer-aided analysis of the MUAP up to 90% of individual patients in the ALS and ulnar nerve lesion groups and up to 40% in the diabetic polyneuropathy group, who did not have any pathological spontaneous activity or paris, could be classified as pathological. It is concluded, that computer-aided EMG-analysis has become a practical tool for routine use in the clinical laboratory simplifying early diagnosis of subtle EMG-changes, and aiding the less experienced examiner.

Action Potentials

[Experience with computer-assisted EMG analysis: reference values for four muscles].

The characteristics of a newly developed computerized EMG-analysis system are lined out. The analysis steps include segmentation and parametrization of digitized EMG segments followed by automatic classification of single potentials into motor units. Comparison of parameters is used rather than a template matching algorithm for classification. For each motor unit a set of parameters can be computed in addition to duration and amplitude. Normative data are given for four muscles. 60 normal volunteers (50% female, 50% below age 50) were recorded from for each muscle. The recording conditions required to move the electrode until a motor unit could be recorded with its individual maximum. Furthermore, it was attempted to attain the maximum discharge rate of a particular motor unit. A highly significant correlation of the amplitude of the motor unit potentials with age was found for all four muscles. For the duration of the potentials a correlation with age was found only for the M. ext. digitorum brevis. Significant sex differences were found for nearly all parameters and all muscles. Pairwise comparisons of the muscles revealed significant differences of all muscles. The analysis showed, that a muscle can be regarded pathological if more than two of a total of seven recorded motor units show pathological parameters.

Age Factors