A practical guide to EMG Examination


EMG-Atlas is a specialized instructional resource designed for physicians to improve precision and safety during needle electromyography (EMG) for assessing muscle electrical activity.

All the images are illustrative only

EMG-Atlas is a instructional video series created by Daniel de Souza e Silva, MD and is designed exclusively for physicians and aims to demonstrate the correct technique for needle placement in various muscles during an electromyography (EMG) examination. Each video in the series presents a detailed step-by-step guide, showing the insertion of needles into different muscles of the patient.

About EMG-Atlas
Introducting EMG-Atlas

EMG-Atlas features 73 muscles across the lower limbs, upper limbs, and trunk;

Real-time synchronization with the examination equipment screen for all muscles included in EMG-Atlas;

High-definition videos showing in detail, with clear instructions, the correct placement of the needle in each muscle examined;

During the videos, in addition to the practical demonstration of needle placement, the electromyography device screen is displayed in real time, synchronized with the patient’s examination. This allows physicians to simultaneously observe the insertion technique and the results obtained on the device.

The videos cover a wide range of muscles, providing specific instructions for each one, and highlight important points such as relevant anatomy, needle insertion depth, and precautions to be taken to ensure the safety and effectiveness of the examination.

This series is a valuable tool for physicians who wish to improve their electromyography skills, offering a practical and detailed overview of the procedure.


Some EMG-Atlas screenshots:


Mechanisms of Guidance
Step-by-Step Needle Insertion Videos:

EMG-Atlas provides high-definition, real-time video demonstrations showing the insertion of needles
into specific muscles.

Each video focuses on a particular muscle and displays the correct trajectory, insertion depth, and
anatomical landmarks.

Example muscles covered include the Abductor Pollicis Brevis, Pronator Quadratus, Flexor Digitorum
Profundus, Biceps Brachialis, and many others across the upper limb, lower limb, and trunk.

Real-Time Synchronization with EMG Device:

During demonstrations, the EMG device screen is shown synchronized with the needle insertion,
allowing physicians to correlate electrical activity signals with precise needle placement.

Detailed Anatomical Guidance:

EMG-Atlas highlights surface landmarks, bony prominences, and cross-sectional anatomy, essential
for safe and precise needle location.

It emphasizes muscle depth, relative position to tendons and nerves, and variations in muscle
anatomy, aiding in targeting deep or small muscles while avoiding vascular or neural structures.

Activation and Maneuver Instructions:

Physicians are shown active maneuvers for the patient to elicit optimal muscle activation, which
helps confirm correct needle placement.

For instance, the pronation/supination of the forearm or finger flexion may be used to distinguish
amongst muscle slips innervated by different nerves.

Safety and Clinical Considerations:

EMG-Atlas educates on precautions such as avoiding excessive depth, lateral or medial misplacement, and surrounding artery or nerve injury.
Videos highlight patient positioning, insertion angles, and palpation techniques to optimize
comfort and reduce procedural complications.

Comprehensive Muscle Coverage:

The atlas covers 73 muscles in total, with specific guidance for needle insertion points,
direction, and depth.
It bridges theoretical knowledge with practical skills, enabling physicians to refine their
technique through visual and procedural reinforcement.

Specific content and Duration:

Part 1 – Upper Limbs and Trunk includes the following muscles:

  • Abductor Digiti Minimi
  • Abductor Policis Brevis
  • Adductor Pollicis
  • Biceps Brachialis
  • Brachialis
  • Brachioradialis
  • Cervical Paraspinal
  • Deltoid
  • Extensor Carpi Radialis
  • Extensor Carpi Ulnaris
  • Extensor Digitorum Comunis
  • Extensor Indicis Propius
  • Extensor Pollicis Brevis
  • Extensor Pollicis Longus
  • First Dorsal Interosseus
  • Flexor Carpi Radialis – Palmaris Longus
  • Flexor Carpi Ulnaris
  • Flexor Digirotum Profundus
  • Flexor Digitorum Sublimis
  • Flexor Pollicis Brevis
  • Flexor Pollicis Longus
  • Infraspinatus
  • Latissimus Dorsi
  • Opponens Pollicis
  • Pectoralis Major
  • Pronator Quadratus
  • Pronator Teres
  • Rhomboideus Major
  • Serratus Anterior
  • Sternocleidomastoid
  • Supinator
  • Supraspinatus
  • Teres Minor
  • Trapezius Middle
  • Trapezius Upper
  • Triceps Brachialis

TOTAL: (24:31s)

Part 2 (Lower Limbs and Trunk) includes the following muscles:

  • Abductor Digiti Quinti
  • Abductor Hallucis
  • Adductor Brevis
  • Aductor Longus
  • Adductor Magnus
  • Biceps Femoris Long Head
  • Biceps Femoris Short Head
  • Extensor Digitorum Brevis
  • Extensor Digitorum Longus
  • Extensor Hallucis Longus
  • External Oblique
  • Flexor Digitorum Brevis
  • Flexor Digitorum Longus
  • Flexor Hallucis Brevis
  • Flexor Hallucis Longus
  • Gastrocnemius Lateral Head
  • Gastrocnemius Medial head
  • Gluteus Maximus
  • Gluteus Medius
  • Gluteus Minimus
  • Iliopsoas
  • Lumbar Paraspinal
  • Peroneus Brevis
  • Peroneus Longus
  • Quadratus Plantae
  • Rectus Abdominis
  • Rectus Femoris
  • Semimembranosus
  • Semitendinosus
  • Soleus
  • Tensa Fascia Lata
  • Thoracic Paraspinal
  • Tibialis Anterior
  • Tibialis Posterior
  • Vastus Intermedius
  • Vastus Lateralis
  • Vastus Medialis

TOTAL: (28:43s)

*In addition to the new modules being produced, new tests will also be added to the existing modules.


About the author:

Daniel de Souza e Silva

Graduated in Medicine from the State University of Rio de Janeiro (1988). Specialization in Neurology from the Postgraduate Medical School of PUC-RJ (1991). Medical Residency in Neurology at the Pedro Ernesto University Hospital – UERJ (1995). Master’s degree in Clinical Research Applied to Child and Women’s Health – Fernandes Figueira Institute – FIOCRUZ (2013). PhD candidate in Clinical Research Applied to Child and Women’s Health – Fernandes Figueira Institute – Fiocruz (2024).

Coordinator and Professor of the Specialization Courses in Electroneuromyography and EAD extension courses in Electroneuromyography and Motor Evoked Potentials at MED PUC Rio de Janeiro.

Coordinator at the Innovation and Technology in Health Center (NITES) of PUC – Rio de Janeiro.

Area of ​​expertise: Clinical Neurophysiology (Electroneuromyography, Evoked Potentials and Intraoperative Neurophysiological Monitoring) and Neurology (use of botulinum toxin in movement disorders and spasticity). Full Member of the Brazilian Academy of Neurology (ABN) and the Brazilian Society of Clinical Neurophysiology (SBNC).

CEO of Cybmind – Soluções Tecnológicas LTDA.


Frequently Asked Questions:

– Who is this product for?

EMG-Atlas is a series of instructional videos designed exclusively for physicians who wish to improve their electromyography skills. Learn the correct technique for inserting needles into different muscles, observe the results in real time, and refine your technique for examining muscle electrical activity.

How do I access the product?

You will receive access via email. The content can be accessed or downloaded through a computer, cell phone, tablet, or other digital device. You can also access the purchased product on this page:

01 – Log in to Hotmart by clicking ‘Log in’
02 – Access the side menu, click on ‘My account’
03 – Click on ‘My purchases’

How do I buy it?

To buy this course, click the “Buy now” button. Remember that not all courses will always be available for purchase. It is possible that the producer is preparing a new class that is not yet open for enrollment.


Summary:

EMG-Atlas functions as a virtual mentor, guiding physicians with visual, anatomical, and
electrophysiological cues during needle EMG.

By integrating:
stepwise insertion techniques, synchronized EMG feedback, detailed anatomy maps, and safety
precautions.

It enhances accuracy, reduces patient discomfort, and improves diagnostic reliability.

Reference:

EMG-Atlas Official Description: Eletroneuro EMG Atlas
Daniel de Souza e Silva, MD, creator of EMG-Atlas instructional videos for clinical EMG