The reflex exam is fundamental to the neurological exam and important to locating upper versus lower motor neuron lesions. There are five deep tendon reflexes and a number of superficial …

Whether the 1 + and 3 + responses are normal depends on what they were previously, that is, the patient's reflex history; what the other reflexes are; and analysis of associated findings such as …

Common scale for tendon reflex assessment 0+ No response or absent reflex 1+ Trace or Decreased response 2+ Normal response 3+ Exaggerated or brisk response 4+ Sustained …

Nov 28, 2025 · Eliciting an accurate reflex requires the patient to be completely relaxed, as muscle tension can diminish the response. The appropriate limb must be positioned and …

Abnormal reflex response will show a combination of diminished or absent superficial reflexes with deep reflexes and pathological reflexes indicates upper motor neuron level (UMNL) involvement.

Dec 15, 2025 · Lookup how to assess the deep tendon reflexes, their arcs, and how to interpret expected and abnormal responses

How To Assess Reflexes - Etiology, pathophysiology, symptoms, signs, diagnosis & prognosis from the MSD Manuals - Medical Professional Version.

Nov 29, 2025 · Deep Tendon Reflexes (DTRs) are involuntary muscle contractions that occur in response to a sudden external stimulus, such as a tap on a tendon with a reflex hammer. This …

Reflexes are graded on a scale of 0 to 4. A grade of 2 indicates normal reflexes. A grade of 3 indicates hyperreflexia; 4 indicates hyperreflexia with clonus. Decreased relexes are indicated …

Jul 26, 2025 · A standardized grading system, such as the commonly used 0-4+ scale, provides a universal language for healthcare professionals to describe reflex responses, allowing for clear …