knee jerk reflex I all 4 grades with demo on patients I brisk tendon reflex |rootvalue I neurology

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  • เผยแพร่เมื่อ 21 ต.ค. 2024
  • The Knee Jerk /Patellar Reflex : Grading of Reflexes , learn with demonstration on the patients (#MadeEasy)
    Can’t remember grading of reflexes ?
    Learn grading with examples.
    #coticospinaltractdisorders
    how to perform knee jerk reflex on a patient?
    muscles involved in this knee reflex?
    It is a deep tendon reflex.
    The patellar reflex is contraction of the quadriceps femoris muscle, with resulting extension of the knee, in response to percussion of the patellar tendon.
    A firm tap on the tendon draws the patella down, stretching the quadriceps an provoking reflex contraction.
    There is a latency of around 18ms between stretch on the patellar tendon and the beginning of contraction of the quadriceps femoris muscle.

    Root Value of the knee reflex :
    Femoral nerve (L2-L4)
    The #quadriceps muscle is composed of four muscles :

    I.Rectus femoris
    II.Vastus lateralis
    III.Vastus medialis
    IV.Vastus intermedius
    Grading:
    0 = Absent
    1+ = Present but diminished
    2+ = Normal
    3+ = Increased but not necessarily pathological
    4+ = Markedly hyperactive/ pathological/sometimes accompanied by sustained clonus
    Significance:
    Hyperactive reflexes is seen in UMN lesions i.e corticospinal tract disorders.
    Hypoactive reflex is seen in LMN lesions i.e in neuropathy, spinal cord disorders.

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