GCMAS 2016 Pre-Conference Workshop
Kinesiological Electromyography: Fine-Wire Techniques
Date: Monday, May 16th, 2016
Time: 8 AM – 7 PM
Click Here to review some frequently asked questions about the EMG course.
Course Description:
This hands-on workshop will provide clinicians with the opportunity to learn and perform fine-wire EMG insertions. Course content will include didactic material covering the following topics: 1) gross anatomy, neuroanatomy, nerve and muscle physiology foundational concepts; 2) Electromyography – concepts; 3)pertinent anatomy and physiology fine-wire EMG general guidelines (indications, contraindication, consent, and techniques); 4) EMG instrumentation, choice of equipment, data processing and process quality assessment; 5) Hazards and complications, instrumentation and troubleshooting; and 6) Preparation, patient informed consent for procedure, and post-test care, and 7) clinical interpretation. Each participant will have the opportunity to practice fine-wire insertions for 3 – 4 muscles in small groups under the guidance of experienced kinesiological fine-wire EMG instructors.
Please Note:
- This course will take place at the University of Tennessee Health Science Center, a short distance from the Peabody Hotel. Transportation will be provided.
- Course participants must be willing to partake in the lab sessions both as subject and examiner.
- Course participants are responsible to investigate their individual state licensure requirement and practice within the scope of their state licensing board.
Course Faculty:
Sara Mulroy PT, PhD
Director, Pathokinesiology Laboratory, Rancho Los Amigos National Rehabilitation Center
Sylvia Öunpuu, PhD
Director of Research, Center for Motion Analysis, Connecticut Children's Medical Center
Jean Stout, PT, MS
Research Physical Therapist, Gillette Children’s Specialty Healthcare
Marilynn Wyatt, PT, MA
Director, Gait Analysis Laboratory, Naval Medical Center San Diego
Sherry Backus, PT, DPT, MA
Course Co-Director - sherry.backus@gcmas.org
Clinical Supervisor, Motion Analysis Laboratory, Hospital for Special Surgery
Carole Tucker, PT, PhD
Course Co-Director – carole.tucker@gcmas.org
Associate Professor of Physical Therapy & Electrical Engineering,Temple University
Course Objectives
Upon completion of this training program, participants will:
- Demonstrate understanding of the indications, precautions and contraindications, risks, post-test care involved in performing kinesiological fine-wire electromyographic studies.
- Demonstrate understanding of gross anatomy and neuroanatomy, muscle and nerve physiology,
- Demonstrate an understanding of the instrumentation, choice of instruments, hazards and complications, troubleshooting used for kinesiological EMG
- Perform fine-wire EMG insertion techniques safely and effectively for selected lower extremity a muscles.
Agenda (Tentative)
| Time | Topic & Activity | Instructor(s) |
| 7:30am | Transportation departs from Peabody Hotel to University of Tennessee Health Science Center | |
| 8:00 – 8:30 | Course Introduction & Logistics and Course Pre-test | Carole & Sherry |
| 8:30 – 9:00 | General Guidelines and Techniques for Kinesiological Fine-Wire EMG | Sylvia |
| 9:00– 9:15 | Fine-wire Insertion Techniques & Demonstration: EDL/TA* | Marilynn |
| 9:15 – 10:45 | Practice Session 1: EDL/TA* | Sherry, Sara, Jean & Marilynn |
| 10:45 – 11:15 | Lecture/Discussion: Instrumentation & Quality Assessment | Sylvia & Carole |
| 11: 15 – 12:30 | Practice Session 2: Fine-Wire Insertion Technique: Tib Post/ FHL * | Sherry, Sara, Jean & Marilynn |
| 12:30 – 1:00 | Lecture/Discussion: Data Interpretation with Boxed Lunch | Sylvia |
| 1:00 - 2:15 | Practice Session 3: Fine-Wire Insertion Technique: Thigh (Rectus/VL/TFL/Glut Medius) | Sherry, Sara, Jean & Marilynn |
| 2:15– 2:45 | Fine-wire Insertion Techniques & Demonstration: Shoulder & Scapula | Sherry |
| 2:45– 4:00 | Practice Session 4: Fine-Wire Insertion Muscles TBD | Sherry, Sara, Jean & Marilynn |
| 4:00 - 4:45 | Lecture/Discussion: Basic Interpretation | Sylvia |
| 4:45 - 5:15 | Fine-wire Insertion Techniques & Demonstration: Proximal Hip (Hip Flexors) | Marilynn |
| 5:15 - 6:45 | Practice Session 5: Fine-Wire Insertion Technique: Muscles TBD | Sherry, Sara, Jean & Marilynn |
| 6:45 – 7:00 | Final Discussion & Questions and Course Post-test | Carole & Sherry |
GCMAS 2016 Pre-Conference Workshop
Kinesiological Electromyography: Fine-Wire Techniques
Date: Tuesday, May 17th, 2016
Time: 8 AM – 12 PM
Course Description:
This 4 hour course will provide individuals experienced in fine-wire EMG an opportunity to gain additional insertion practice as well as to participate in lectures and case based discussions to improve their skills in problem-solving EMG data quality issues, and to improve their understanding and skills in interpreting clinical EMG data. This course consist predominantly of case based discussion, short lectures, with additional opportunity to practice insertions. Each participant will have the opportunity to practice a limited number of fine-wire insertions in small groups under the guidance of experienced kinesiological fine-wire EMG instructors. Participants should have attended the full-day FWEMG course or have equivalent content knowledge and experience. If a participant has limited fine wire insertion experience, the full-day course is the more appropriate course. If you have any questions, please email the course directors.
Please Note:
- Course participants must be willing to partake in the lab sessions both as subject and examiner.
- Course participants are responsible to investigate their individual state licensure requirement and practice within the scope of their state licensing board.
Course Faculty:
Sara Mulroy PT, PhD
Director, Pathokinesiology Laboratory, Rancho Los Amigos National Rehabilitation Center
Sylvia Öunpuu, MSc
Director of Research and Education, Center for Motion Analysis, Connecticut Children's Medical Center
Jean Stout, PT, MS
Research Physical Therapist, Gillette Children’s Specialty Healthcare
Marilynn Wyatt, PT, MA
Director, Gait Analysis Laboratory, Naval Medical Center San Diego
Sherry Backus, PT, DPT, MA
Course Co-Director - sherry.backus@gcmas.org
Clinical Supervisor, Motion Analysis Laboratory, Hospital for Special Surgery
Carole Tucker, PT, PhD
Course Co-Director – carole.tucker@gcmas.org
Associate Professor of Physical Therapy & Electrical Engineering, Temple University
Course Objectives
Upon completion of this training program, participants will:
- Be able to identify poor quality EMG data (surface primarily – principles apply to fine wire)
- Be able to interpret EMG within context of clinical cases
- Demonstrate an understanding of the instrumentation, choice of instruments, hazards and complications, troubleshooting used for kinesiological EMG
- Describe the emerging EMG instrumentation and analyses
- Perform fine-wire EMG insertion techniques safely and effectively for selected muscles.
Agenda (Tentative)
| Time | Topic & Activity | Instructor(s) |
| 7:30am | Transportation departs from Peabody Hotel to University of Tennessee Health Science Center | |
| 8:00 – 8:15 | Course Introduction & Logistics and Course Pre-test | Carole |
| 8:15 – 8:45 | EMG data collection – instrumentation and signal quality testing, | Sylvia |
| 8:45 – 9:15 | New hardware and software approaches | Carole |
| 9:15– 10:00 | EMG Data Advanced Interpretation Case Discussion 1 | Sylvia & All |
| 10:00– 10:45 | EMG Data Advanced Interpretation Case Discussion 2 | Sara & All |
| 10:45 – 11:45 | Insertion Practice Session | Marilynn, Jean, Sherry, Sara & Carole |
| 11:45 – 12:00 | Final Discussion & Questions and Course Post-test | Carole & Sherry |
Frequently Asked Questions
Can I take the full day and half day course the same year?
Absolutely
I do insertions and work with EMG routinely and/or have years of experience. Can I take the half day if I have not done the companion full-day course?
In most cases, yes. We encourage you to contact one of the course directors before registering to ensure that you have the appropriate experience to reap the most benefit from the course.
Please refer to the Full-Day course FAQ’s or contact the course directors:
Carole A Tucker - tuckerc@temple.edu
Sherry Backus – backuss@hss.edu
Frequently Asked Questions
Will this course credential or certify me in fine –wire EMG?
There currently is not a national body that credentials kinesiological EMG; however the Physical Therapy Board of California does Kinesiological Electromyography Certification. The requirements are rigorous and detailed at www.ptbc.ca.gov/forms/139963_kemg.pdf The certification requirements cannot be addressed in a single-‐day course as they require extensive clock hours (200) or kinesiological examinations (50) to be eligible to be examined by the board. Our course faculty includes instructors with California Certification and will supervise those course participants from California.
This course will specifically address the following requirements listed for certification in California;
1399.63 Training in Tissue Penetration under supervision by a licensed physician or physical therapist certified to perform electromyography:
Pertinent anatomy and physiology, choice of equipment, proper technique, hazards and complications, post-‐test care and satisfactory training in technical skills of tissue penetration
This course will review the relevant gross anatomy, neuroanatomy, nerve and muscle physiology.
How many “sticks” will I actually get to do?
In large part this will depend on you learning rate. We are planning on providing opportunity for participants to perform 3 – 8 insertions in lower extremity muscles as part of the course.
Can I insert in someone else, but not have anyone practice on me?
No, its equal exchange for this course. We also think it’s a good idea to understand the sensations involved from the patient perspective.
Can I just register or come to the lecture parts only of the day long course?
Please contact Sherry or Carole to discuss
Can I just sit in on the laboratory sessions?
No – the didactic material and the laboratory content is inter-‐woven. You cannot really do one without the other, it is a complete package.
Will I get continuing education credit?
Yes, this course, as will the GCMAS conference, is expected to have CME/CEUs approved.
Will I be tested on the course material?
Yes, you will take short pre-‐ and post course exams that cover each of the course content areas. Your insertions skills will also be supervised and observed by a faculty member. Rest easy, this is not really at all like your “lab practicals” in college, but tend to be enhanced learning opportunities – think warmer and fuzzier J We will also ask you for course feedback and evaluations so we can improve this
offering.
Why is it such a long day? Will I have breaks?
We wanted to maximize our time without making people stay an extra night. We do have food and bio breaks of course, we may choose to have “working” lunches and breaks to discuss concepts, or provide you didactic content. So the participants certainly get breaks, though the instructors may not!
Do I have to be a licensed PT or MD? I do not have an entry-‐level PT degree, but I am student or new graduate of a PT Program… Can I register? I am a non-‐US licensed clinician… Can I register? I am a non-‐PT, PhD student who uses FWEMG for research purposes only. Can I register?
Most individuals that do clinical kinesiological EMG are PTs or MDs. In the State of California you must be a PT (or MD). As noted in the course description, each participant must decide if the course content is within and allowed by their specific practice act. If you are not a PT, we recommend that you are a graduate of a 4 year program, and have extensive motion analysis laboratory experience (or similar setting). Graduates of technology or professional 2 year programs (non BS degree) are discouraged.
If you are not a licensed PT, MD or other clinician who is governed by a practice act that allows your profession to perform kinesiologic FWEMG, please contact the Course Leaders who can help determine if you are eligible to participate in the course:
Carole A Tucker -‐ tuckerc@temple.edu Sherry Backus – backuss@hss.edu
What other pre-‐requisites are needed?
You will get the most out of this course if you have had the following college-‐level course content and a working knowledge of: gross anatomy with a laboratory component, neuroanatomy, physiology (muscle and nerve), and basic electrophysiological and instrumentation principles. We will share a reading list prior to the start of the course and you again will maximize your experience if you
complete the suggested pre-‐workshop activities.
