{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T20:40:51Z","timestamp":1765485651527},"reference-count":13,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,3,20]],"date-time":"2013-03-20T00:00:00Z","timestamp":1363737600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Muscle and Nerve"],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>The repetitive nerve stimulation (RNS) test in the trapezius muscle is used widely for the evaluation of myasthenia gravis. However, pseudofacilitation is often difficult to avoid in this muscle and may compromise the detection of small decremental responses. We have devised a new maneuver to reduce pseudofacilitation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using our maneuver, the shoulder of a supine subject is elevated passively and is held firmly by the examiner. Four conventional maneuvers as well as ours were compared with regard to pseudofacilitation that was maximal at the second wave in 14 control subjects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Pseudofacilitation at the second and fourth waves was the smallest using our maneuver. Up to 15% pseudofacilitation was observed using the other maneuvers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Pseudofacilitation in the trapezius muscle is mainly due to shortening of the muscle belly. It can be reduced greatly by shortening the muscle in advance. Muscle Nerve 47: 668\u2013672, 2013<\/jats:p><\/jats:sec>","DOI":"10.1002\/mus.23664","type":"journal-article","created":{"date-parts":[[2012,8,30]],"date-time":"2012-08-30T08:13:56Z","timestamp":1346314436000},"page":"668-672","source":"Crossref","is-referenced-by-count":14,"title":["A new maneuver for repetitive nerve stimulation testing in the trapezius muscle"],"prefix":"10.1002","volume":"47","author":[{"given":"Go","family":"Ogawa","sequence":"first","affiliation":[{"name":"Department of Neurology Teikyo University School of Medicine Tokyo Japan"},{"name":"Division of Neurology Department of Internal Medicine 3 National Defense Medical College Namiki 3\u20102, Tokorozawa\u2010shi Saitama 3598513 Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiro","family":"Sonoo","sequence":"additional","affiliation":[{"name":"Department of Neurology Teikyo University School of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuki","family":"Hatanaka","sequence":"additional","affiliation":[{"name":"Department of Neurology Teikyo University School of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken\u2010Ichi","family":"Kaida","sequence":"additional","affiliation":[{"name":"Division of Neurology Department of Internal Medicine 3 National Defense Medical College Namiki 3\u20102, Tokorozawa\u2010shi Saitama 3598513 Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiko","family":"Kamakura","sequence":"additional","affiliation":[{"name":"Division of Neurology Department of Internal Medicine 3 National Defense Medical College Namiki 3\u20102, Tokorozawa\u2010shi Saitama 3598513 Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,3,20]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinph.2004.05.024"},{"key":"e_1_2_7_3_1","first-page":"337","article-title":"A study of diagnostic yield, technical ease and patient discomfort of low rate repetitive nerve stimulation test in patients with myasthenia gravis","volume":"46","author":"Misra UK","year":"2006","journal-title":"Electromyogr Clin Neurophysiol"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinph.2011.05.019"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.880070211"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1331.1995.tb00162.x"},{"key":"e_1_2_7_7_1","first-page":"71","volume-title":"Electromyography and neuromuscular disorders: clinical\u2013electrophysiologic correlations","author":"Preston DC","year":"2005"},{"key":"e_1_2_7_8_1","series-title":"Handbook of clinical neurology, 3rd series","first-page":"153","author":"Engel AG","year":"2008"},{"key":"e_1_2_7_9_1","first-page":"143","volume-title":"For those who learn nerve conduction studies and electromyography","author":"Kimura J","year":"2010"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-510X(94)90005-1"},{"key":"e_1_2_7_11_1","first-page":"342","volume-title":"Electrodiagnosis in cinical neurology","author":"Aminoff MJ","year":"2005"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1388-2457(00)00331-X"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.10339"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.20037"}],"container-title":["Muscle &amp; Nerve"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmus.23664","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mus.23664","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T03:49:16Z","timestamp":1698637756000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/mus.23664"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,3,20]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2013,5]]}},"alternative-id":["10.1002\/mus.23664"],"URL":"https:\/\/doi.org\/10.1002\/mus.23664","archive":["Portico"],"relation":{},"ISSN":["0148-639X","1097-4598"],"issn-type":[{"value":"0148-639X","type":"print"},{"value":"1097-4598","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,3,20]]}}}