Injection Guidance References

Myoguide References

Myoguide Cited In the Literature


Latest Articles Supporting Injection Guidance

Grigoriu AI, Dinomais M, Rémy-Néris O, Brochard S.  Impact of Injection-Guiding Techniques on the Effectiveness of Botulinum Toxin for the Treatment of Focal Spasticity and Dystonia: A Systematic Review. Arch Phys Med Rehabil. 2015 Nov;96(11):2067-78.e1.doi: 10.1016/j.apmr.2015.05.002. Epub 2015 May 14.PMID: 25982240

The review article by Grigoriu et al., showed strong evidence that instrumented guided injections (Ultrasound, EMG, STIM) were more effective than manual needle placement for the treatment of Spasmodic Torticollis, and both upper and lower limb spasticity.

Alex Schnitzler, MD, Nicolas Roche, MD, Philippe Denormandie, MD,  Christine Lautridou , MD,  Bernard Parratte , MD, PhD, and Franc, Ois Genet, MD.  Manual Needle Placement: Accuracy of Botulinum Toxin A Injections ; October 2012; Muscle and Nerve 46 531-534;

Findings show a poor success rate, regardless of injector experience.  Muscle palpation and anatomical landmarks are insufficient to ensure the accuracy of BoNt-A injections, even for large, superficial muscles. 

Both novice and expert injector groups did significantly better with EMG guidance 

Injection Guidance References

Literature by Title

Myoguide System package contents

Renovate your medical treatments

Discover More About Our Products and Technologies