The NDTF selected only those studies that met all quality criteria and were considered suitable as a clinical resource for NCS metrics. The literature is, however, limited and these findings should be confirmed by larger, multicenter collaborative efforts. Muscle Nerve 54: 371-377, 2016.

3. Maynard AJ, Aitken RJ, Butz T, et al: Safe handling of nanotechnology. Nature 2006;444:267-9 4. Hardman RA: A toxicological review of quantum dots: toxicity depends on physico-chemical and environmental factors. Environ Health Perspect 2006;114:165-72 5. 2. Marchant GE, Sylvester DJ: Transnational models for regulation of nanotechnology. J Law Med Ethics 2006;34:714-25 3. Renn O, Roco MC: Nanotechnology and the need for risk governance.The Authors Respond: We highly appreciate the comments by Shah et al. We also regret that we have not cited their paper 1 as one of the references in our article. 2 Both their work 1 and ours 2 have definitely contributed substantially to increasing the credibility of myofascial trigger point (MTrPs). The former has further confirmed the energy crisis hypothesis, 3 and the latter has proven the correlation between MTrP and endplate noise.

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Rigorous criteria enable identification of high-quality studies dealing with nerve conduction reference values. This represents the first step toward the overarching goal of recommending NCS techniques and reference values for electrodiagnostic medicine. Muscle Nerve 54: 366-370, 2016.