Learning
Points:
- The patient must be relaxed and
positioned properly before starting.
- Reflex response depends on the
force of your stimulus.
Use no more force than you need to provoke a definite response.
- Reflexes can be reinforced by
having the patient perform isometric contraction of other muscles
(Jendrassik's manouevre or clenched teeth).
- Reflexes should be graded on a
0 to 4 "plus" scale:
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Examination or
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Tendon
Reflex Grading Scale |
Grade |
Description |
0
|
Absent |
1+ or +
|
Hypoactive |
2+ or ++
|
"Normal" |
3+ or +++
|
Hyperactive without clonus |
4+ or ++++
|
Hyperactive with clonus |
|
|