Quote:
Originally Posted by Anacrusis
Can you say more about what you mean by this?
When my SFEMG practitioner had to refer to the manual during deltoid RNS I was a little surprised - but yet I did trust the results of her SFEMG by all the other signals that were given off during our 4 hours together.
Everyone has to perform their first SFEMG and it shouldn´t be impossible to get it right! (I think she had done a number of them)
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what I mean by this is that this is a very operator dependent test. you can very easily get wrong results (either positive or negative) if you don't do it correctly/ don't interpret it correctly.
I found it unreasonable that after my neurologist tested me numerous times and always got no jitter, this person (who I could see was less proficient) got impressive numbers in every muscle she tested.
At some point I thought that maybe my NMJ is sensitive to pain. (he did it in a very gentle way, which was at the most slightly uncomfortable and she did it quite the opposite). But, this didn't make much sense either.
I eventually showed it to an EMGist in a large MG center and he just nodded his head. My neurologist said to me about her (in his very gentle way)-well, I think she is a very good and nice person, but I think it is better than people don't do what they don't know much about. (translated to less gentle language-her results are crap).