Abstract
Assessing phrenic nerve function in the setting of diaphragmatic paralysis in diaphragm pacing candidates can be challenging. Traditional imaging modalities and electrodiagnostic evaluations are technically difficult. Either modality alone is not a direct measure of the function of the phrenic nerve and diaphragm unit. In this article, the authors present their method for evaluating phrenic nerve function and the resulting diaphragm function. Stimulating the phrenic nerve with transcutaneous stimulation and directly observing the resulting movement of the hemidiaphragm with M-mode ultrasonography provides quantitative data for predicting the success of advancing technologies such as phrenic nerve pacing and diaphragm pacing.
Original language | English (US) |
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Pages (from-to) | 133-143 |
Number of pages | 11 |
Journal | Physical Medicine and Rehabilitation Clinics of North America |
Volume | 26 |
Issue number | 1 |
DOIs | |
State | Published - Feb 1 2015 |
Keywords
- Diaphragm pacing
- Pediatric
- Phrenic nerve pacing
- Spinal cord injury
- Ultrasonography
ASJC Scopus subject areas
- Rehabilitation
- Physical Therapy, Sports Therapy and Rehabilitation