DATE AND NAME OF DIAGNOSTIC TEST

Nerve Conduction Velocity Test

May 11, 2022

ABNORMAL FINDINGS SIGNIFICANCE

The amplitudes of the Compound Muscle Action
Potential (CMAP) elicited upon stimulation of the
left median and both tibial and peroneal nerves are
severely decreased.
The amplitude of the Sensory Nerve Action
Potential (SNAP) of the left superficial peroneal
nerve is decreased.
The left peroneal F-wave latency is prolonged
Reduction of CMAP amplitude reflects loss of
motor axons
Reduction of SNAP amplitude generally indicates a
loss of motor axons.
Indicate a radicular rather than a peripheral nerve
lesion

BEFORE DURING AFTER

1. Validated the physician’s
order regarding the procedure.
2. Ensured specific instructions
from the Department are
carried out for all hospital
patients.
3. Informed patient to remove
any clothing, jewelry, hairpins,
eyeglasses, hearing aids, or
other metal objects that may
interfere with the procedure.
4. Informed patient that he/she
may experience minor
discomfort for a few seconds.
5. Obtained baseline data in
vital signs and assessment
procedures. Noted any
abnormalities.
1. Validated patient’s identity. 1. Documented the procedure.
2. Explained the procedure in order 2. Assisted the patient back to
to reduce patient’s anxiety. the room.
3. Ensured the patient wears simple, 3. Instructed to report any
loose clothing to gain access to that unusual symptoms.
part of the body under examination. 4. Took patient’s vital signs and
4. Asked patient to sit or lie down for conducted assessment
the test. procedures.
5. Informed patient that a neurologist
will locate the nerves to be studied.
6. Informed patient that a healthcare
provider will attach a recording
electrode to the skin over his/her
nerve, using a special paste. He or
she will then place a stimulating
electrode away from the recording
electrode, at a known distance.
7. Informed patient that a mild and
brief electrical shock, given through
the stimulating electrode, will
stimulate the nerve.

DATE AND NAME OF DIAGNOSTIC TEST

Electromyography
May 11, 2022

ABNORMAL FINDINGS SIGNIFICANCE

Monopolar needle examination of the cervical,
thoracic and lumbar paraspinal muscles showed
increased insertional activities.
Selected muscles of the lower limbs showed
increased insertional activities and presence of
spontaneous potentials (positive sharp waves).
There is reduced recruitment and interference
patterns of the lower limb muscles tested.
Insertional activity may be increased in various
neuromuscular disorders in which there is
irritability of the muscle fiber membrane.
Insertional activity may be increased in various
neuromuscular disorders in which there is
irritability of the muscle fiber membrane.
This pattern of decreased recruitment and
interference patterns may occur whenever a lesion
results in a reduced number of functionally intact
motor neurons and axons, whether it is the result
 of actual motor unit loss or temporary conduction
block as in neurapraxia. It is an early finding after
acute nerve injury (eg, radiculopathy from disk
herniation or nerve trauma) and may precede other
evidence of denervation in the EMG study.

BEFORE DURING AFTER

1. Validated the physician’s
order regarding the procedure.
2. Ensured specific instructions
from the Department are
carried out for all hospital
patients.
3. Informed patient that pain
and discomfort are associated
with insertion of needles.
4. Checked for and noted
drugs that may interfere with
test results such as
cholinergics, anticholinergics,
anticoagulants, and skeletal
muscle relaxants.
5. Told the patient he/she need
not to restrict food and fluids
before the test but that it may
be necessary to restrict
cigarettes, coffee, tea, and cola
for 2 to 3 hours beforehand.
4. Obtained baseline data in
vital signs and assessment
procedures. Noted any
abnormalities.
1. Validated patient’s identity.
2. Explained the procedure in order
to reduce patient’s anxiety.
3. Ensured the patient wears simple,
loose clothing to gain access to that
part of the body under examination.
4. Informed patient that he/she is
positioned in a way that relaxes the
muscle to be rested.
5. Informed patient that needle
electrodes are quickly inserted into
the selected muscle.
6. Told patient that a metal plate lies
under the patient to serve as a
reference electrode.
7. Informed patient that the resulting
electrical signal is recorded during
rest and contraction, amplified 1
million times, and displayed on an
oscilloscope or computer screen.
8. Informed patient that lead wires
are usually attached to an audio-
amplifier so that voltage fluctuations
within the muscle are audible.
1. Documented the procedure.
2. Assisted the patient back to
the room.
3. Assessed the patient’s pain
level. Applied warm
compresses and administered
prescribed analgesics if the
patient experiences residual
pain.
4. Told the patient that he/she
may resume his usual
medications as ordered.
5. Monitored the patient for
signs and symptoms of
infection at the needle
electrode sites.