Ofcourse! This is something known as "Jendrassik Maneuver" and is a method of eliciting a larger deep-tender reflex response in patients who otherwise have none/very little. It may also be done by having the patient clamp down the jaw harder, or cross their ankles with tension. This is useful to confirm whether a patient's hyporeflexia ("less-reflexes") are suggesting an actual issue, or "normal" for them. Part of it is distraction - a patient who is more relaxed in the area we're targeting will have a better response. However, there is research to suggest that the maneuver actually increases the sensitivity of the "muscle spindle cells" (which are prevalent in tendons, and the mechanisms behind our reflexes). As for how that is, unfortunately we would need to rely on someone smarter than myself to explain it. Hope that helps!
Another wonderful gem from you! Thanks for sharing! Good luck, Mia!
Thank you Janae 🙏🏼 I’ll be sure to pass your good luck along!
You're the only chiro I see doing the reflex testing, very cool!
You know, I oftentimes do my neuro off camera lately because I doubted anybody actually watched it. But happy to be wrong!
That chair she's sitting in at the beginning looks hella comfy. I need it lol
I definitely sit in that chair between patients if I need a rest.
Can I ask why you had her pull her fingers apart while doing the neuro exam on her knees? Was that just a distraction technique?
Ofcourse! This is something known as "Jendrassik Maneuver" and is a method of eliciting a larger deep-tender reflex response in patients who otherwise have none/very little. It may also be done by having the patient clamp down the jaw harder, or cross their ankles with tension. This is useful to confirm whether a patient's hyporeflexia ("less-reflexes") are suggesting an actual issue, or "normal" for them.
Part of it is distraction - a patient who is more relaxed in the area we're targeting will have a better response. However, there is research to suggest that the maneuver actually increases the sensitivity of the "muscle spindle cells" (which are prevalent in tendons, and the mechanisms behind our reflexes). As for how that is, unfortunately we would need to rely on someone smarter than myself to explain it.
Hope that helps!
@@DrAdamCSolis wow this is so much more interesting than I thought, thank you!!
Have No fear
Absolute full bravery
My dumb brain keeps reading your last name as scoliosis instead of Solis…watched wayyy too many chiropractic vids for me 😊
Honestly, that's very fitting given the profession. I kind of like it but not sure I should LOL
what is her @?