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04, 95% confidence interval = 1.81-2.3. Tizanidine was the most frequently initiated muscle relaxant. Conclusions The incidence of muscle relaxant use starts increasing years before the diagnosis of Parkinson's disease but declines after that. It is important to identify the causes of muscle symptoms to avoid unnecessary muscle relaxant use and consequent adverse effects and events.The two studies reported in the article provide normative measures for 120 novel nominal metaphors, 120 novel similes, 120 literal sentences, and 120 anom