A Proposal of Clinical Report Regarding Dynamic Emg in Gait Disorders Following Upper Motoneuron Lesion

Abstract

A report which includes patient problems, descriptions of clinical and instrumental assessment and conclusion with suggestions for decision making, is a necessary tool for an adequate approach to the patient. In this paper we tried to define those steps we believe to be useful to produce a clinical report for patients with ambulation disability submitted to dynamic gait emg: Brief description of the patient's history; Description of the deformities; Observational gait analysis; Report of the items relevant to the deformities and/or relevant for treatment proposals; List of recorded muscles; Emg timing pattern; Conclusions leading to treatment proposals. The emg timing pattern can be useful for the identification of peripheral and central impairments (contracture, paretic, spastic, co-contraction components), which can significantly interfere with the gait profile of the single patient. We can use forms and tables which include emg signals features and recording parameters, physical examination and observational gait analysis notes. Attention must be paid for an adequate support of literature.