Deep Tendon Reflexes / Tone Flashcards

1
Q

Muscle Receptors

A
  • Golgi Tendon Organs (GTO)

- Muscle Spindle

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2
Q

GTO

A
  • Golgi Tendon Organs
  • Respond to excessive tension in tendon near insertion (Tension Based)
  • Causes muscle to decrease tension
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3
Q

Muscle Spindle

A
  • Respond to quick stretch of the muscle

- Causes muscle to contract

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4
Q

DTR’s test what?

A
  • Afferent and efferent neuron pathways
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5
Q

Responses can help determine what?

A
  • UMN and LMN impairments
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6
Q

LMN

A
  • Lower Motor Neuron Liesion
  • Flaccid, diminished reflex, twitching
  • Extremities
  • Hyporeflex
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7
Q

UMN

A
  • Upper Motor Neuron Liesion
  • Excessive reflex or too much tone to elicit
  • Tone, Problems with ROM
  • Brain and Spinal Cord
  • Hyperreflex
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8
Q

When Testing

A
  • Limbs should be in a relaxed position
  • Muscles at mid range or slight stretch
  • Compare contralateral side
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9
Q

Grades

A
0   Absent
1+ Trace
2+ Normal
3+ Brisk (Strong Response)
4+ Clonus (rhythmic contraction)
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10
Q

1+ 2+ 3+ grades?

A
  • Are normal unless asymmetric or dramatic deference between UE and LE
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11
Q

0, and 4 grades?

A
  • Are usually considered abnormal
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12
Q

Biceps

A
  • Musculocutaneous

- C5 C6

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13
Q

Brachioradialis

A
  • Radial

- C5 C6

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14
Q

Triceps

A
  • Radial

- C6 C7

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15
Q

Patellar

A
  • Femoral

- L2 L3 L4

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16
Q

Hamstring

A
  • Tibial

- L5 S1 S2

17
Q

Achilles

A
  • Tibial

- S1 S2

18
Q

Abnormal Tone

A
  • Hypertonia (UMN)
  • Hypotonia (LMN)
  • Dystonia (UMN)
19
Q

Spasticity

A
  • Hypertonia from a quick stretch

- UMN injury

20
Q

Rigidy

A
  • Hypertonisity throughout ROM

- COG wheel rigidity

21
Q

Flaccidity

A
  • No detectable tone

- LMN injury

22
Q

Dystonia

A
  • Disordered tone, seen by a writhing movements

- UMN injury