Abstract

Improved methods of treatment of hemiparesis resulting from upper motor neuron lesions must be grounded in a firm understanding of the altered neurophysiology and firing of the motor units. The slowly responsive, poorly functioning, impersistent motor unit characteristic of upper motor neuron lesions is gradually being understood, and on the basis of that understanding therapeutic interventions are being developed and evaluated. This article reviews current research on the altered firing pattern of motor units in upper motor neuron disorders. New methods of evaluation and treatment are discussed.

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