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State, Not Scar · claim VASO-C034 · Observation rung · The neural signature

Endplate noise on needle EMG occurs at some endplate-zone sites that are outside any trigger point, at lower prevalence than at trigger-point sites.

Not featured in the current editionAI-extractedorigin: report 2026-09-09-report-vasocomputation-023157

source anchor

Abstract, Results, via Ovid landing page at doi:10.1097/00002060-200203000-00010

“in four muscles at endplate zone sites outside of trigger points”

Evidence

Supports· moderateVASO-E032

Simons, Hong & Simons 2002: prevalence of endplate noise at trigger-point, endplate-zone and off-zone taut-band sites

what the source states
The source states that endplate noise occurred at all 11 trigger-point sites, "in four muscles at endplate zone sites outside of trigger points", and "did not occur in taut band sites outside of an endplate zone"; it describes the study as "This nonrandomized, unblinded needle examination of myofascial trigger points".
what we infer
Direct anchor for the two observation claims: endplate noise occurs outside trigger points when the site is in the endplate zone, and not in taut bands off the zone. Together they imply the electrical signature tracks the endplate zone first and the trigger point second, which is the conventional skeletal-endplate reading.
limitations
  • Abstract only; unblinded; small sample.
David G. Simons (2002)AI-verified citation

an honest empty state

This claim is in the ledger but not in the current edition's featured set. Nothing here has been assessed — that absence is information, not an oversight.

Still missing: plain-language gloss, credibility assessment, diagnosticity assessment, strongest objection, what would change our mind. A claim gains them when an edition features it and the edition's adopted assessment supplies the full treatment — a decision the panel reviews, not a field anyone flips.