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abduction abnormal action potentials activity amyotrophic lateral sclerosis associated atrophy brain cause cerebral cervical chart clinical contraction cranial nerves defects denervated diagnosis disease disorders distal disturbance dorsiflexion electromyography elicited Extensor facial nerve fasciculations finger flexed flexion Flexor forearm gait head headache Hollinshead homonymous hemianopsia indicate innervated involved knee lateral lesions Limbs and Back lobe longus lower extremities lower motor neuron lumbar medial motor unit movement muscle fibers muscular myasthenia gravis needle nervous system neurologic examination neurologic record normal nucleus nystagmus occipital lobes occur pain palpated palsy papilledema paralysis Participating Muscles pathways patient peripheral nerves phalanx plexus pollicis portion position posterior present pressure produce pupil radial rectus reflex relaxation resistance response result retina rotation scapula scotomas sensation sensory side spasm spasticity spinal cord stimulation strength supine syndrome tendon thigh thumb tion tongue tremor tumor ulnar ulnar nerve upper extremities usually vestibular visual field weakness wrist