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ForwardPractical Approach to Electromyography and Neuromuscular Disorders
This two-and-a-half day course will focus on the practical approach to electromyography and the diagnosis and management of neuromuscular disorders. Lectures will cover the clinical and neurophysiologic assessments of compression neuropathies, radiculopathies, plexopathies, generalized neuropathies, neuropathies secondary to systemic disorders including amyloidosis (primary amyloidosis and transthyretin amyloidosis), neuromuscular junction disorders, motor neuron diseases (including spinal muscular atrophy), myopathies (including Pompe disease), as well as the fundamentals of nerve conduction studies and needle electromyography and ultrasonographic evaluation of carpal tunnel syndrome and ulnar neuropathy. There will be live demonstrations to illustrate nerve conduction techniques, muscle identification for needle electromyography and ultrasound evaluation of median and ulnar nerves. Emphasis will be placed on the latest treatment options for patients with various types of peripheral neuropathies, especially primary AL and hereditary amyloidosis given recent availability of novel therapies
Lecturers include five directors of Electromyography Laboratory/Neuropathy Center/ Neuromuscular Fellowship training program/Neurology Residency training program, a Chair of Neurology, a Vice Chair of Neurology, and other faculty from prestigious academic medical centers (Boston University, Columbia University, Harvard University, New York University, Oakland University, and Wake Forest University).
A special two-hour session on the clinical uses of botulinum toxin in the treatment of spasticity, cervical dystonia, and other movement disorders will be presented. Participants will receive an update on the assessment and treatment of patients with neuromuscular disorders so that they may enhance their clinical practices.
This course will help physicians understand the technical aspects of EMG, as well as the clinical uses and limitations of the procedure. The presentation of each topic will be both simple and practical. It will appeal to clinicians who order and read EMG reports and to those interested in performing EMG.
We will follow state and federal COVID-19 guidelines. All attendees will be required to wear masks.
Target Audience
Neurologists, physiatrists, neurosurgeons, orthopedic surgeons, internists, peripheral nerve surgeons, nurse practitioners, physician assistants, and electromyography technologists who are interested in the field of electromyography and neuromuscular disorders.
Learning Objectives
At the conclusion of this activity, participants will be able to:
- State the basic tenets of clinical and neurophysiologic diagnosis.
- List the clinical and neurophysiologic aspects of common neuromuscular disorders.
- Describe the technical aspects as well as potential pitfalls of nerve conduction studies and needle electromyography.
- Determine the current diagnostic and therapeutic approaches in polyneuropathy, including the diagnosis of systemic diseases underlying polyneuropathy such as amyloidosis and the use of treatment modalities including intravenous immunoglobulins and plasma exchange.
- Discuss novel gene-based treatments for neuromuscular disorders such as SMN-enhancing therapy for spinal muscular atrophy
- Discuss the use of ultrasound in the evaluation of patients with carpal tunnel syndrome and ulnar neuropathy.
- Discuss the clinical uses of botulinum toxin.
- Apply the knowledge reviewed above to the discussion of selected clinical cases.
| Friday, October 1, 2021 | |
| 7:30-8:00 | Registration & Continental Breakfast |
| 8:00-8:20 | Introduction: Electromyography for Clinicians |
| Peter Siao, MD | |
| 8:20-9:30 | Motor Nerve Conduction Studies |
| Peter Siao, MD | |
| 9:30-10:15 | Sensory Nerve Conduction Studies |
| K. H. Vincent Lau, MD | |
| 10:15-10:30 | Coffee Break |
| 10:30-11:15 | Needle Electromyography: Spontaneous Activities |
| Michelle Kaku, MD | |
| 11:15-12:30 | Needle Electromyography: Evaluation of Motor Unit Action Potentials (Normal and Abnormal) |
| Peter Siao, MD | |
| 12:30-1:45 | Lunch Break |
| 1:45-2:45 | Approach to Carpal Tunnel Syndrome |
| Peter Siao, MD | |
| 2:45-3:45 | Approach to Ulnar, Radial, Peroneal Neuropathy, and Tarsal Tunnel Syndrome |
| Johnny Salameh, MD, FANA | |
| 3:45-4:00 | Coffee Break |
| 4:00-5:00 | Cervical Radiculopathy, Brachial Plexopathy, Motor Neuron Diseases, Neuralgic Amyotrophy, Neurogenic Thoracic Outlet Syndrome |
| Peter Siao, MD | |
| 5:00-6:00 | Lumbosacral Radiculopathy and Plexopathy |
| Johnny Salameh, MD | |
| 6:00-7:00 | Repetitive Nerve Stimulation and Single Fiber EMG |
| Peter Siao, MD | |
| Saturday, October 2, 2021 | |
| 7:30-8:00 | Registration & Continental Breakfast |
| 8:00-8:45 | Approach to Myopathy |
| Lan Zhou, MD | |
| 8:45-9:30 | Myasthenia Gravis |
| Lan Zhou, MD | |
| 9:30-10:15 | Approach to Polyneuropathy |
| K. H. Vincent Lau, MD | |
| 10:15-10:30 | Coffee Break |
| 10:30-11:15 | Spinal Muscular Atrophy: Recent Advances in Gene Therapies |
| Mary Lynn Chu, MD | |
| 11:15-11:45 | Early Diagnosis of Amyloid Neuropathy |
| Michelle Kaku, MD | |
| 11:45-12:15 | Novel Treatments for Amyloid Neuropathy |
| K. H. Vincent Lau, MD | |
| 12:15-1:15 | Lunch Break |
| 1:15-2:00 | Guillain-Barre Syndrome |
| Daniel L. Menkes, MD | |
| 2:00-2:45 | Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) |
| Thomas H. Brannagan III, MD | |
| 2:45-3:30 | CIDP Variants |
| Thomas H. Brannagan III, MD | |
| 3:30-4:30 | Ultrasonographic Evaluation of Carpal Tunnel Syndrome and Ulnar Neuropathy |
| Michael Cartwright, MD, MS | |
| 4:30-4:45 | Coffee Break |
| 4:45-7:15 | Live demonstration: Nerve Conduction Studies (median, ulnar, tibial, peroneal, sural, superficial peroneal, lateral femoral cutaneous, dorsal ulnar cutaneous, medial antebrachial, lateral antebrachial, blink reflex, phrenic, repetitive nerve stimulation studies of facial, spinal accessory, ulnar), Muscle Identification for Needle EMG, Ultrasound evaluation of median and ulnar nerves. |
| Thomas H. Brannagan III, MD; Michael Cartwright, MD, MS; Michelle Kaku, MD; K. H. Vincent Lau, MD; Daniel L. Menkes, MD; Johnny Salameh, MD, FANA; Peter Siao, MD | |
| Sunday, October 3, 2021 | |
| 7:30-8:00 | Registration & Continental Breakfast |
| 8:00-10:00 | EMG Case Discussions |
| Thomas H. Brannagan III, MD; Michelle Kaku, MD; K. H. Vincent Lau, MD; Daniel L. Menkes, MD; Johnny Salameh, MD, FANA; Peter Siao, MD | |
| 10:00-10:15 | Coffee Break |
| 10:15-11:15 | Clinical Uses of Botulinum Toxin |
| Samuel Frank, MD | |
| 11:15-12:15 | Botulinum Toxin Injection in the Treatment of Spasticity, Cervical Dystonia, and Other Movement Disorders |
| Samuel Frank, MD | |
| 12:15-12:30 | Evaluation and Closing Remarks |
| Peter Siao, MD | |
*This program is subject to change
Reservations
The room block is full but there are rooms available at the hotel.
Please contact the Revere Hotel at 617-482-1800 or visit https://www.reverehotel.com/ to make a reservation.
Transportation
Logan International Airport (BOS) is 6 miles from the Westin Copley Place (15 – 30 minutes driving, depending on traffic).
Logan Airport offers passengers a variety of transportation options ranging from taxi and limousine services to rental cars and shuttle buses plus connections to local bus and train stations. Visit http://www.massport.com/logan-airport/to-from-logan/transportation-options/ for more information.
Taxi Service
There are a number of taxi services available at Logan International Airport. The estimated fare to the Revere Hotel Boston Common is $35 – $50.
Subway Service (MBTA Green and Orange Lines)
Subway service is available from Logan International Airport to the Revere Hotel Boston Common via the Blue Line to either the Green or Orange Line. The cost is $2.75. Visit http://www.mbta.com for a schedule and details.
Note: Fares are subject to change.
Travel
Tourist Information
Boston's history recalls revolution and transformation, and today the city is still among the country’s most forward-thinking and barrier-breaking cities. It is rich with history, culture and art. Visit https://www.boston.gov/visiting-boston for more information.
Climate in October
Temperatures range from 53° to 73°F.
Since everyone has a different level of comfort, we suggest you dress in layers.
Boston University School of Medicine asks all individuals involved in the development and presentation of Accredited Continuing Education activities to disclose all financial relationships with ineligible companies. This information is disclosed to all activity participants prior to the start of the educational activity. Boston University School of Medicine has procedures to mitigate all relevant financial relationships with ineligible companies. In addition, faculty members are asked to disclose when any unapproved use of pharmaceuticals and devices is being discussed.
Peter Siao, MD (Co-Course Director)
Director, Neuromuscular Unit and
Electromyography Laboratory
Associate Professor of Neurology
Boston University School of Medicine
Thomas H. Brannagan III, MD
Professor of Neurology
Director, Peripheral Neuropathy Center
Columbia University, College of Physicians and Surgeons Co-director, Electromyography Lab
New York-Presybyterian Hospital
Michael Cartwright, MD
Professor of Neurology
Wake Forest School of Medicine
Mary Lynn Y. Chu, MD
Clinical Professor of Neurology
Director, Pediatric Services, Orthopedic Hospital
New York University Grossman School of Medicine
Samuel Frank, MD
Associate Professor of Neurology
Harvard Medical School
Beth Israel Deaconess Medical Center
Michelle Kaku, MD (Co-Course Director)
Assistant Professor of Neurology
Program Director, Neurology Residency
Boston University School of Medicine
Vincent Lau, MD (Co-Course Director)
Assistant Professor of Neurology
Assistant Program Director, Neurology Residency
Program Director, Neuromuscular Fellowship
Boston University School of Medicine
Daniel L. Menkes, MD
Professor and Chairman of Neurology
Oakland University William Beaumont School of Medicine
Johnny Salameh, MD, FANA
Program Director, Neurology Residency
Director, ALS Clinic
Associate Professor, Department of Neurology
American University of Beirut Medical Center
Lan Zhou, MD, PhD
Vice-Chair in Research
Professor of Neurology and Pathology
Boston University School of Medicine
CME Program Manager - Naomi Moeller
Boston University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Boston University School of Medicine designates this live activity for a maximum of 23.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The American Nurses Credentialing Center (ANCC) and the American Academy of Nurse Practitioners (AANP) accept AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.
The Royal College of Physicians and Surgeons of Canada recognizes live conferences or live courses held outside of Canada can be reported as accredited group learning activities under Section 1 of the MOC Program if they are developed by a university, academy, college, academic institution or physician organization.
AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credits™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 23.0 hours of Category I credit for completing this program.
Available Credit
- 23.00 AMA PRA Category 1 Credit™
Boston University Chobanian & Avedisian School of Medicine designates this Live activity for a maximum of 23.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 23.00 Participation
Educational Grants
This activity is supported in part by educational grants from:
- AbbVie Inc.
- Alexion
- CSL Behring
- Grifols
- Merz North America
- Pfizer Inc.
- Sanofi Genzyme
- Supported by an educational grant from Takeda Pharmaceuticals U.S.A., Inc.
Exhibits
This activity is supported in part by exhibit fees from:
- Allergan
- Alnylam Pharmaceuticals, Inc
- Argenx
- Cadwell Industries, Inc.
- Catalyst
- CSL Behring
- Grifols, USA
- Sanofi
In-Kind Support
This activity is supported in part by in-kind support from:
- Allergan
- Cadwell Industries, Inc.
- Esaote North America, Inc.
- NATUS Medical, Inc.
Product Theater
- Alnylam Pharmaceuticals, Inc
Price
Registration Fees:
MD/DO - $795
Allied Health Professions/Technicians - $550
Fellows/Residents - $395
BUSM/BMC Alumni and Faculty/Staff discounts are available
BUSM CME complies with the ADA and the rules and regulations thereof to make reasonable accommodations for our educational activities. If any participant in this educational activity is in need of accommodations, please contact BUSM CME at cme@bu.edu.
The CME office will work to accommodate dietary requests (including, but not limited to: vegetarian, kosher, low cholesterol, and low-sodium meals) received, in writing, at least two weeks prior to the start of the conference.
Cancellation Policy:
Substitutions may be made at any time without an additional charge. Refunds, less an administrative fee of $75, will be issued for all cancellations received two weeks prior to the start of the conference. Should cancellation occur within the two-week window, a credit will be issued, not a refund. Credits will be honored for up to two years. “No shows” are subject to the full course fee. Cancellations/substitution(s) must be made in writing. Refunds or credits will not be issued once the conference has started. This course is subject to change or cancellation.
If you need to cancel your registration, please click here.
We will follow state and federal COVID-19 guidelines. All attendees will be required to wear masks.