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This current study demonstrated a relative rostral-caudal descending gradient of lower motor neuron dysfunction in patients with BO-ALS. These results suggest that follow-up EMG might be necessary for a proportion of patients. This current study demonstrated a relative rostral-caudal descending gradient of lower motor neuron dysfunction in patients with BO-ALS. These results suggest that follow-up EMG might be necessary for a proportion of patients.Introduction Few studies have examined the ergonomic hazards to endourologists during endos