phenomenon heralds onset of grade 5 twitches as a couple of twitches/pulse instead of normal single-twitch/pulse. On continuing KNEE AND SPINE LASER CENTER stimulation, unexpected boom in twitch-rate, rhythm and force takes place earlier than erupting into self sustaining fatigable twitches. While the twitch-cascade ends, dtps may be re-carried out time and again for 1-5 minutes at this motor end plate sector until the entire muscle becomes refractory at which time any other patient role is used for stimuli to reach other mtrps with ds inside identical muscle. Pathophysiology of self sufficient twitches is just like cardiac dysrhythmias. Deep .