PRACTICAL: REFLEXES Flashcards
Reflexes root value
Brachioradialis reflex = Supinator = Radial Periosteal
Superficial REFLEXES
🧠⚡ C³A²P²⚡
Reflex ARC
🧠⚡ RACEE⚡
Corneal Reflex
🧠⚡FETA ⚡
Gag reflex
🧠⚡ gAvE⚡
Plantar Reflex SEGMENTAL INNERVATION
BABINSKI( Plantar extensor) Reflex SEGMENTAL INNERVATION
⭐ S1
⭐ L5
Absent Plantar Reflex seen in
- Loss of SENSATION to Sole (L5-S1)
- Thick sole
- Paralysis of EXTENSOR HALLUCIS
- Lesion of Reflex Arc
EXTENSOR RESPONSE on PLANTAR Reflex
BABINSKI’S Reflex
Extension(Dorsi flexion) of great toe
±
Fanning of other toes
Physiological
1. Infant < 6 months
2. Deep sleep
3. General Anaesthesia
Pathological:Seen in UMN lesion
1. CST lesion above S1
2. DEEP COMA
3. POST SEIZURE
4. ALCOHOL INTOXICATION
5. HYPOGLYCEMIA
6. METABOLIC ENCEPHALOPATHY
Fanning of other toes without DORSIFLEXION of Great Toe is POSITIVE/NEGATIVE BABINSKI
Negative BABINSKI
Modifications of BABINSKI
Alternative Ways to ellicit BABINSKI
🧠⚡COB is Good Sign! ⚡
- Chaddock’s Sign
- Oppenheim’s Sign
- Bing’s sign
- Gordon’s Sign
- Gonda’s sign
- Stransky Sign
- Schaeffer’s Sign
Afferent Nerve in PLANTAR REFLEX
Tibial Nerve
Jaw Jerk reflex
Afferent
Center
Efferent
⭐ TRIGEMINAL
⭐ MID PONS
⭐ TRIGEMINAL
LATENT REFLEX
Clinical significance
🧠⚡ WT⚡
If ➕ U/L ➡️ PYRAMIDAL LESION ➕
- Wartenberg’s Sign
- Tromner’s/ Finger Flexor Reflex/ Hoffman’s Sign
Reinforcement maneuver for DEEP TENDON Reflexes
- Distraction
- Clenching the teeth or clenching the fist of other arm
- Jendrassik Manauver
Identify
Jendrassik Manauver
⬇️
Done for Lower Limb Reflexes