| Code | Name of the Course Unit | Semester | In-Class Hours (T+P) | Credit | ECTS Credit |
|---|---|---|---|---|---|
| ENP152 | ELECTRONEUROPHYSIOLOGY II | 2 | 4 | 2 | 8 |
GENERAL INFORMATION |
|
|---|---|
| Language of Instruction : | Turkish |
| Level of the Course Unit : | ASSOCIATE DEGREE, TYY: + 5.Level, EQF-LLL: 5.Level, QF-EHEA: Short Cycle |
| Type of the Course : | Compulsory |
| Mode of Delivery of the Course Unit | - |
| Coordinator of the Course Unit | Lecturer MURAT KARA |
| Instructor(s) of the Course Unit | Assist.Prof. MEHMET SABRİ ERDÖL |
| Course Prerequisite | No |
OBJECTIVES AND CONTENTS |
|
|---|---|
| Objectives of the Course Unit: | The aim of this course is to teach the fundamental principles of intraoperative neuromonitoring (IONM) and electromyography (EMG) applications, with a particular focus on late responses and repetitive nerve stimulation, and to develop skills in the electrophysiological evaluation of peripheral nerves and plexuses. |
| Contents of the Course Unit: | Within the scope of the course, applications of late responses and repetitive nerve stimulation, the definition, scope, and techniques of IONM, EMG devices and imaging systems, artifacts and sources of error, as well as applications involving the femoral, radial, musculocutaneous, and common peroneal nerves, along with the brachial and lumbar plexuses, are addressed in line with the anatomy, physiology, and pathologies of peripheral nerves. |
KEY LEARNING OUTCOMES OF THE COURSE UNIT (On successful completion of this course unit, students/learners will or will be able to) |
|---|
| Applies late responses and repetitive nerve stimulation techniques in accordance with appropriate protocols. |
| Explains and applies the definition, scope, and fundamental techniques of intraoperative neuromonitoring (IONM). |
| Analyzes IONM methodologies by relating them to the surgical process. |
| Evaluates the effects of EMG devices, imaging systems, and technical factors on recording quality. |
| Identifies, distinguishes, and corrects artifacts and sources of error in EMG recordings. |
| Relates the anatomical and physiological characteristics of peripheral nerves to pathological processes. |
| Applies and interprets femoral, radial, musculocutaneous, and common peroneal nerve stimulations within a clinical context. |
| Analyzes nerve entrapment sites and brachial and lumbar plexus pathologies using electrophysiological findings. |
WEEKLY COURSE CONTENTS AND STUDY MATERIALS FOR PRELIMINARY & FURTHER STUDY |
|||
|---|---|---|---|
| Week | Preparatory | Topics(Subjects) | Method |
| 1 | Presentation Review | Late Response Applications | Practical Session – Question & Answer |
| 2 | Presentation Review | Repetitive Nerve Stimulation and Its Application | Practical Session – Question & Answer |
| 3 | Presentation Review | Definition and Scope of Intraoperative Neuromonitoring (IONM) | Practical Session – Question & Answer |
| 4 | Presentation Review | IONM Applications and Techniques | Practical Session – Question & Answer |
| 5 | Presentation Review | EMG Devices, Imaging Systems, Artifacts, and Technical Factors | Practical Session – Question & Answer |
| 6 | Presentation Review | Sources of Error and Pitfalls in EMG | Practical Session – Question & Answer |
| 7 | Presentation Review | Anatomy, Physiology, and Pathological Processes of Peripheral Nerves | Practical Session – Question & Answer |
| 8 | Presentation Review | Femoral Nerve: Applications and Pathologies | Practical Session – Question & Answer |
| 9 | Presentation Review | Nerve Entrapment Sites | Practical Session – Question & Answer |
| 10 | - | MID-TERM EXAM | - |
| 11 | Presentation Review | Brachial Plexus and Lumbar Plexus | Practical Session – Question & Answer |
| 12 | Presentation Review | Definition and Scope of the Radial Nerve | Practical Session – Question & Answer |
| 13 | Presentation Review | Radial Nerve Pathologies | Practical Session – Question & Answer |
| 14 | Presentation Review | Musculocutaneous Nerve Stimulation | Practical Session – Question & Answer |
| 15 | Presentation Review | Common Peroneal Nerve Applications | Practical Session – Question & Answer |
| 16 | - | FINAL EXAM | - |
| 17 | - | FINAL EXAM | - |
SOURCE MATERIALS & RECOMMENDED READING |
|---|
| Öge, A. E. (2019). Klinik elektromiyografi (3. baskı). Ankara: Güneş Tıp Kitabevleri. |
| Başlo, M. B., & Ertaş, M. (2016). Elektromiyografi ve sinir ileti çalışmaları. İstanbul: Nobel Tıp Kitabevleri. |
| Preston, D. C., & Shapiro, B. E. (2021). Electromyography and neuromuscular disorders: Clinical–electrophysiologic correlations (4th ed.). Philadelphia, PA: Elsevier. |
| Nuwer, M. R. (Ed.). (2018). Intraoperative neuromonitoring (2nd ed.). Cambridge: Cambridge University Press. |
ASSESSMENT |
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|---|---|---|---|---|
| Assessment & Grading of In-Term Activities | Number of Activities | Degree of Contribution (%) | Description | Examination Method |
| Level of Contribution | |||||
|---|---|---|---|---|---|
| 0 | 1 | 2 | 3 | 4 | 5 |
KNOWLEDGE |
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|---|---|---|---|---|---|---|---|
Theoretical |
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| Programme Learning Outcomes | Level of Contribution | ||||||
| 0 | 1 | 2 | 3 | 4 | 5 | ||
| 1 |
Defines fundamental, current, and applied theoretical knowledge related to the field of electroneurophysiology and relates this knowledge to practical processes.
|
5 | |||||
| 2 |
It explains the principles of occupational health and safety, environmental awareness, and quality management processes and observes them in professional practice.
|
4 | |||||
KNOWLEDGE |
|||||||
|---|---|---|---|---|---|---|---|
Factual |
|||||||
| Programme Learning Outcomes | Level of Contribution | ||||||
| 0 | 1 | 2 | 3 | 4 | 5 | ||
| 1 |
Understands the anatomical and physiological functioning of the central and peripheral nervous systems, distinguishes between normal and pathological signal waveforms.
|
5 | |||||
| 2 |
Monitors scientific developments and new applications in the professional field; effectively applies this knowledge in the clinical setting.
|
5 | |||||
SKILLS |
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|---|---|---|---|---|---|---|---|
Cognitive |
|||||||
| Programme Learning Outcomes | Level of Contribution | ||||||
| 0 | 1 | 2 | 3 | 4 | 5 | ||
| 1 |
Uses the necessary information technologies, medical record software, and simulation programs related to the field at a competent level.
|
5 | |||||
SKILLS |
|||||||
|---|---|---|---|---|---|---|---|
Practical |
|||||||
| Programme Learning Outcomes | Level of Contribution | ||||||
| 0 | 1 | 2 | 3 | 4 | 5 | ||
| 1 |
Analyzes professional problems with an analytical and critical approach; develops independent solutions based on data.
|
5 | |||||
| 2 |
It sets up electrophysiological devices such as EEG, EMG, and PSG (Polysomnography) in accordance with international standards (10-20 system, etc.) and acquires artifact-free recordings.
|
4 | |||||
| 3 |
It instantly detects any technical or biological artifacts that may occur during imaging and eliminates them with the necessary technical interventions.
|
5 | |||||
OCCUPATIONAL |
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|---|---|---|---|---|---|---|---|
Autonomy & Responsibility |
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| Programme Learning Outcomes | Level of Contribution | ||||||
| 0 | 1 | 2 | 3 | 4 | 5 | ||
| 1 |
Presents professional knowledge and ideas clearly, understandably, and effectively using written and verbal communication techniques.
|
5 | |||||
| 2 |
Takes initiative and assumes responsibility as a team member to resolve complex and unforeseen issues encountered during implementation processes.
|
5 | |||||
OCCUPATIONAL |
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|---|---|---|---|---|---|---|---|
Learning to Learn |
|||||||
| Programme Learning Outcomes | Level of Contribution | ||||||
| 0 | 1 | 2 | 3 | 4 | 5 | ||
| 1 |
Plans career goals; manages professional and personal development in a sustainable manner with a lifelong learning mindset.
|
5 | |||||
| 2 |
It acts in accordance with social, scientific, and ethical values during the stages of data collection, implementation, and dissemination of results.
|
5 | |||||
OCCUPATIONAL |
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|---|---|---|---|---|---|---|---|
Communication & Social |
|||||||
| Programme Learning Outcomes | Level of Contribution | ||||||
| 0 | 1 | 2 | 3 | 4 | 5 | ||
| 1 |
Uses foreign language skills at a level sufficient to follow international literature in their field and communicate with foreign colleagues.
|
0 | |||||
| 2 |
During patient preparation, they ensure patient privacy and safety; they professionally manage the process by informing the patient about the imaging procedures.
|
5 | |||||
OCCUPATIONAL |
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|---|---|---|---|---|---|---|---|
Occupational and/or Vocational |
|||||||
| Programme Learning Outcomes | Level of Contribution | ||||||
| 0 | 1 | 2 | 3 | 4 | 5 | ||
| 1 |
Patients under the supervision of specialist physicians required to make appropriate technique electroneurophysiological applications, can provide patient-doctor communication.
|
5 | |||||
WORKLOAD & ECTS CREDITS OF THE COURSE UNIT |
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|---|---|---|---|
Workload for Learning & Teaching Activities |
|||
| Type of the Learning Activites | Learning Activities (# of week) | Duration (hours, h) | Workload (h) |
| Lecture & In-Class Activities | 0 | 0 | 0 |
| Preliminary & Further Study | 0 | 0 | 0 |
| Land Surveying | 0 | 0 | 0 |
| Group Work | 0 | 0 | 0 |
| Laboratory | 0 | 0 | 0 |
| Reading | 0 | 0 | 0 |
| Assignment (Homework) | 0 | 0 | 0 |
| Project Work | 0 | 0 | 0 |
| Seminar | 0 | 0 | 0 |
| Internship | 0 | 0 | 0 |
| Technical Visit | 0 | 0 | 0 |
| Web Based Learning | 0 | 0 | 0 |
| Implementation/Application/Practice | 0 | 0 | 0 |
| Practice at a workplace | 0 | 0 | 0 |
| Occupational Activity | 0 | 0 | 0 |
| Social Activity | 0 | 0 | 0 |
| Thesis Work | 0 | 0 | 0 |
| Field Study | 0 | 0 | 0 |
| Report Writing | 0 | 0 | 0 |
| Final Exam | 0 | 0 | 0 |
| Preparation for the Final Exam | 0 | 0 | 0 |
| Mid-Term Exam | 0 | 0 | 0 |
| Preparation for the Mid-Term Exam | 0 | 0 | 0 |
| Short Exam | 0 | 0 | 0 |
| Preparation for the Short Exam | 0 | 0 | 0 |
| TOTAL | 0 | 0 | 0 |
| Total Workload of the Course Unit | 0 | ||
| Workload (h) / 25.5 | 0 | ||
| ECTS Credits allocated for the Course Unit | 0,0 |