Practice

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Guidelines

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

AANEM Nerve Conduction Techniques

NEW!  Establishing High-Quality Reference Values for Nerve Conduction Studies:  A Report from the Normative Data Task Force of the American Association of Neuromuscular & Electrodiagnostic Medicine
NEW!  Electrodiagnostic Reference Values for Upper and Lower Limb Nerve Conduction Studies in Adult Populations
 

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 
AAN Guideline on Botulinum Neurotoxin - 2016
 

Amyotrophic Lateral Sclerosis (ALS)

Endorsed by AANEM
AAN Guideline on the Care of the Patient with ALS: Multidisciplinary Care, Symptom Management, and Cognitive/Behavioral Impairment - 2009 (Reaffirmed 2014)
AAN Guideline on the Care of the Patient with ALS: Drug, Nutritional, and Respiratory Therapies - 2009 (Reaffirmed 2014)
 

Carpal Tunnel Syndrome

Evidence-Based Guideline:  Neuromuscular Ultrasound for the Diagnosis of Carpal Tunnel Syndrome
Practice Parameter for Electrodiagnostic Studies in Carpal Tunnel Syndrome: Summary Statement (includes literature review)

Endorsed by AANEM
AAOS Carpal Tunnel Treatment Guidelines - 2008 
 

Laryngeal

NEW!  Consensus Statement:  Using Laryngeal Electromyography for the Diagnosis and Treatment of Vocal Cord Paralysis
 

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
Evidence-Based Guideline: Evaluation, Diagnosis, and Management of Facioscapulohumeral Muscular Dystrophy
 

Myasthenia Gravis

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

Endorsed by AANEM
International Consensus Guidance for Management of Myasthenia Gravis
 

Neuropathy

Treatment of Painful Diabetic Neuropathy
Utility of EDX Techniques in Evaluating Patients with Suspected Peroneal Neuropathy 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
Evaluation of Distal Symmetric Polyneuropathy: The Role of Laboratory and Genetic Testing (Evidence-Based Review)
 

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  
 

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

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