After the introduction by A. J. McComas of the original method for est
imating the number of motor units based on manual incremental stimulat
ion of a motor nerve, several new techniques have been developed, desi
gned to correct for some of the errors inherent in the original techni
que. These methods incorporate algorithms to adjust for alternation an
d, to a greater or lesser extent, automate the methods, rendering the
techniques less subject to operator bias and various physiological and
technical errors. This review explores the advantages and drawbacks i
n the multiple-point stimulation (MPS), spike-triggered averaging (STA
), and decomposition-enhanced STA techniques, illustrates some of the
current applications of the techniques, and explores some tantalizing
prospects for new studies of motor-unit physiology in the future.