The influence of dynamic polyelectromyography in formulating a surgical plan in treatment of spastic XXXX .

@entity1 @entity85 @entity131 @entity16
OBJECTIVE: To determine the influence of motor-control analysis with dynamic electromyography on surgical planning in @entity1 with spastic @entity85 . DESIGN: Prospective observational design. SETTING: A @entity131 Model Systems-affiliated specialty referral center for the evaluation and treatment of mobility problems associated with @entity16 and disease. @entity1 : Twenty-one @entity1 with spastic @entity85 . INTERVENTIONS: Two surgeons each formulated a detailed surgical plan for each individual muscle-tendon unit. @entity1 then underwent motor-control analysis in which kinetic and polyelectromyographic data were collected by using a standard protocol. Each surgeon formulated another surgical plan after independently reviewing the laboratory study. MAIN OUTCOME MEASURES: The frequency of change and degree of agreement in the surgical plans after review of the laboratory data were used as measures of the effect of the laboratory studies. RESULTS: Fifty-seven percent of the surgical plans were changed after the motor-control study. The frequency of change did not differ by clinical experience. There was a trend toward higher agreement between surgeons after the study than before. CONCLUSIONS: Detailed electromyographic motor-control analysis alters surgical planning for @entity1 with spastic @entity85 . Clinical assessment alone does not accurately identify the muscles responsible for the @entity85 . More clinical experience does not result in greater accuracy. Motor-control analysis produces higher agreement between surgeons in planning surgery.
