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fasciculation |
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Gawne (40) and Halstead (44) cautioned against exercising severely weakened muscles (manual muscle test [MMT] grades of <3/5) muscles or those demonstrating unstable new weakness or fasciculations. Neurologic signs included head pressing, agitation and biting at bars, tetanic spasms, trembling, and muscle fasciculations (7,8). In a minority of cases, it is impossible to gain a satisfactory estimate because of background EMG activity, as in those subjects who are unable to relax or who have prominent F-waves or H-reflexes; in some patients, tremor or fasciculations can disrupt the estimating process. |
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