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The Journal of the Canadian Chiropractic Association logoLink to The Journal of the Canadian Chiropractic Association
. 1998 Mar;42(1):21–34.

The integration of surface electromyography in the clinical decision making process: a case report

W Reg Nicholson
PMCID: PMC2485337

Abstract

Objective:

To demonstrate how the findings of surface electromyography (S.E.M.G.) were integrated into the clinical decision-making process.

Clinical Features:

This is a retrospective review of the file of a 27-year-old male suffering from mechanical low back pain. He was evaluated on 3 separate occasions over a 3 year period. History, radiography, functional outcome studies, visual-numerical pain score, pain drawing, physical examination and surface electromyography were utilized in evaluating this patient.

Intervention and Outcome:

The two clinical interventions of spinal manipulative therapy (S.M.T.) had positive results in that the patient achieved an asymptomatic state and returned to his position of employment. The S.E.M.G. data collected during the industrial assessment, did not provide the outcome that the patient had anticipated.

Conclusion:

Surface electromyography is a useful clinical tool in the author’s decision-making process for the treatment of mechanical lower back pain. Therapeutic intervention by S.M.T., therapeutic exercises and rating risk factors were influenced by the S.E.M.G. findings.

Keywords: surface electromyography, clinical decision-making, mechanical low back pain

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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