Practice

Ever wonder what you would find if you did cervical MRIs on asymptomatic people? The results of this study from Japan alert us to the fact that interventional decisions made by judging degenerative changes on MRI alone can be mistake-ridden and dangerous, and that clinical decisions should be prudent, correlating MRI findings with clinical signs and symptoms. 
read more...

Guidelines & Quality

AANEM guidelines provide evidence based recommendations for the assessment and treatment of muscle and nerve disorders. Adherence to these guidelines will help ensure relevance, efficiency, cost effectiveness, and diagnostic accuracy in the practice of electrodiagnostic (EDX) medicine and quality patient care.

To develop the guidelines, AANEM works with physicians who specialize in neuromuscular (NM) and EDX medicine. They are developed, in part, to meet the demands of payers, accrediting bodies, and maintenance of certification and licensure programs, helping them determine the appropriate standard of care in NM medicine. If the resources you need are not listed below, please contact policy@aanem.org and our staff will help you find answers.

 

Guidelines

Neuromuscular Disorders (General)

Somatosensory Evoked Potentials: Clinical Uses
Consensus Statement: IVG in the Treatment of Neuromuscular Conditions
Consensus Criteria for the Diagnosis of Partial Conduction Block

Endorsed by AANEM
AAN Guideline on Plasmapheresis in Neurologic Disorders - 2011 
AAN Guideline on Intravenous Immunoglobulin in the Treatment of Neuromuscular Disorders - 2012 
AAN Guideline on Intraoperative Monitoring - 2012 

Amyotrophic Lateral Sclerosis (ALS)

Endorsed by AANEM
AAN Guideline on the Management of Patients with ALS - 2009
 

Carpal Tunnel Syndrome

Evidence-Based Guideline:  Neuromuscular Ultrasound for the Diagnosis of Carpal Tunnel Syndrome
EDX Studies in Carpal Tunnel Syndrome (CME Available)

Endorsed by AANEM
AAOS Carpal Tunnel Treatment Guidelines - 2008 

Laryngeal

Laryngeal Electromyography

Muscular Dystrophy

Evidence-Based Guideline: Diagnosis and Treatment of Limb-Girdle and Distal Dystrophies
Evidence-Based Guideline: Evaluation, Diagnosis, and Management of Congenital Muscular Dystrophy

Myasthenia Gravis

Practice Parameter for Repetitive Nerve Stimulation and Single Fiber EMG Evaluation of Adults with Suspected Myasthenia Gravis (CME Available)

Neuropathy

Treatment of Painful Diabetic Neuropathy
Utility of EDX Techniques in Evaluating Patients with Suspected Peroneal Neuropathy (CME Available) Practice Parameter for Electrodiagnostic Studies in Ulnar Neuropathy at the Elbow
Consensus Criteria for the Diagnosis of Multifocal Neuropathy (Consensus Statement)

Polyneuropathy

Evaluation of Distal Symmetric Polyneuropathy: The Role of Autonomic Testing, Nerve Biopsy, and Skin Biopsy (CME Available)
Evaluation of Distal Symmetric Polyneuropathy: The Role of Laboratory and Genetic Testing (Evidence-Based Review)

Pompe Disease

Consensus Treatment Recommendations for Late-Onset Pompe Disease

Radiculopathy

Cervical Radiculopathy
Utility of EDX Testing in Evaluating Patients with Lumbosacral Radiculopathy

Tarsal Tunnel Syndrome

Usefulness of EDX Techniques in the Evaluation of Suspected Tarsal Tunnel Syndrome (CME Available)



Quality Improvement

Quality Measures

Endorsed by AANEM
AAN Distal Symmetric Polyneuropathy Performance Measurement Set
 

Quality Care

The AANEM is committed to supporting the Choosing Wisely® campaign with the goal of ensuring high-quality, cost-effective care to patients. The AANEM has identified five tests and procedures that both doctors and patients should carefully consider and openly discuss before incorporating them into a treatment plan.

Choosing Wisely: Five Things Physicians and Patients Should Question

External Quality Initiatives

For information on external quality initiatives such as Physician Quality Reporting System (PQRS) and Meaningful Use, visit the Medicare page



Creation of New Guidelines

AANEM members, committees, and sections are encouraged to submit guideline topic. The Practice Issues Review Committee reviews nominated topics on the basis of the following criteria:
  • Members’ needs
  • Prevalence of condition
  • Health impact of condition for the individual and others
  • Socioeconomic impact
  • Extent of practice variation
  • Quality of available evidence
  • External constraints on practice
  • Urgency for evaluation of new practice technology

Advertisement

Nandedkar Production EMG Videos

Advertisement

Laboratory Accreditation

Advertisement

2015 AANEM Coding Guide now available