Dr. Gordon D. Ko, MD, CCFP(EM), FRCPC, FABPMR, FABPM, has published two articles citing Myoguide in his clinical work:
Ko G,D. Platelet-rich Plasma Prolotherapy for Low Back Pain Caused by Sacroiliac Joint Laxity. Practical Pain Management 2010;10(7):55-68. This article states: “EMG guided injections (into muscle) can be done incorporating the handheld Myoguide portable unit that provides both visual and auditory feedback. It also allows for E-stim to accurately localize muscles, motor points and peripheral nerves.”
Ko G,D. Fibromyalgia Disability: Is There Any Hope?, Can J Diagnosis, March 2011; pp 58-62. This article references Myoguide in a figure showing: Figure 3: BTX-A injection into Pec minor muscle (Myoguide EMG guidance used in Cervical dystonia)
This Blog entry covers Myoguide use to support Spasmodic Dysphonia (vocal chord injections)
Jay KARRI, MD, MPH, Manuel F. MAS, MD, Gerard E. FRANCISCO, MD and Sheng LI, MD, PhD, PRACTICE PATTERNS FOR SPASTICITY MANAGEMENT WITH PHENOL NEUROLYSIS From the Department of Physical Medicine and Rehabilitation, University of Texas Health Science Center at Houston (UTHealth) McGovernMedical School and The NeuroRecovery Research Center at TIRRMemorial Hermann, Houston, TX, USAJ Rehabil Med 2017; 49: 482–488
Samotus O, Lee J, Jog M. Personalized Bilateral Upper Limb Essential Tremor Therapy with Botulinum Toxin Using Kinematics. Toxins. 2019; 11(2):125. https://doi.org/10.3390/toxins11020125
Samotus O, Lee J, Jog M. Developing a Consistent, Reproducible Botulinum Toxin Type A Dosing Method for Upper Limb Tremor by Kinematic Analysis. Toxins. 2021; 13(4):264. https://doi.org/10.3390/toxins13040264
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
This review article 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.
Botulinum toxin in cervical dystonia: low dosage with electromyographic guidance. J. W. M. Brans1 , I. P. de Boer1, M. Aramideh1, J. D. Speelman1and B. W. Ongerboer de Visser2Journal of Neurology, Volume 242, Number 8 / August, 1995
Secondary nonresponsiveness to botulinum toxin A in cervical dystonia: the role of electromyogram-guided injections, botulinum toxin A antibody assay, and the extensor digitorum brevis test. Cordivari C, Misra VP, Vincent A, Catania S, Bhatia KP, Lees AJ. Mov Disord. 2006 Oct;21(10):1737-41
Feasibility of electromyography (sEMG) in measuring muscular activity during spinal anaesthesia in patients undergoing knee arthroplasty. L. Niemi-Murola1* and M. Paloheimo. Acta Anaesthesiologica Scandinavica Volume 49 Issue 4 Page 558 – April 2005
Treatment of bruxism in Huntington’s disease with botulinum toxin. Nash MC, Ferrell RB, Lombardo MA, Williams RB. Neuropsychiatry Clin Neurosci. 2004 Summer;16(3):381-2.
Low-Dose Treatment of Cervical Dystonia, Blepharospasm and Facial Hemispasm with Albumin-Diluted Botulinum Toxin Type A under EMG Guidance
An Open Label Study. Jens D. Rollnika, Mike Matzkea, Kai Wohlfartha, Reinhard Denglera, Hans Bigalke European Neurology 2000;43:9-12
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
Shows 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.