Reflex tests are simple physical tests of nervous system function.
Purpose
A reflex is a simple nerve circuit. A stimulus, such as a light tap with a rubber hammer, causes sensory neurons (nerve cells) to send signals to the spinal cord. There, the signals are conveyed both to the brainand to nerves that control muscles affected by the stimulus. Without any brain intervention, these muscles may respond to an appropriate stimulus by contracting.
Reflex tests measure the presence and strength of a number ofreflexes. In so doing, they help to assess the integrity of the nerve circuits involved. Reflex tests are performed as part of a neurological exam, either a "mini-exam" done to quickly confirm integrity of the spinal cord, or a more complete exam performed to diagnose the presence and location of a spinal cord injury or neuromuscular disease.
Deep tendon reflexes are responses to muscle stretch. The familiar "knee-jerk" reflex is an example of a reflex. This tests the integrity of the spinal cord in the lower back region. The usual set of deep tendon reflexes tested, involving increasingly higher regions of the spinal cord, includes: * ankle * knee * abdomen * forearm * biceps * triceps * patellar
Another type of reflex test is called the Babinski test, which involves gently stroking the sole of the foot to assess proper development and function of the spine and cerebral cortex.
Precautions
Reflex tests are entirely safe, and no special precautions are needed.
Description
The examiner uses a reflex hammer or rubber mallet to strike different points on the examinee's body, and observes the response. The points chosen for eliciting reflexes are the tendons of specific muscles. Tapping specific sites is intended to provide a quick stretch to the muscle. Muscle spindles, or receptors, mediate the reflex lying within the muscleot the site of the hammer strike. The examiner may position, or hold, one of the limbs during