Reflex Assessment Flashcards
State the Superficial Reflexes
- Upper Abdominal
- Lower Abdominal
- Cremasteric
- Plantar
- Gluteal
- Anal
Umbilicus moves up and toward the area being stroked depending on the quadrant.
Upper Abdominal (T7-T9)
Umbilicus moves down and toward the area being stroked.
Lower Abdominal (T11-T12)
Scrotum Elevates
Cremasteric (T12-L1)
Flexion of toes
Plantar (S1-S2)
Skin tenses in the gluteal area
Gluteal (L4-L5, S1-S3)
Contraction of anal sphincter muscles
Anal (S2-S4)
These are tested by stroking the skin with a moderately sharp object that does not break the skin.
Superficial Reflexes
Response is absent
DTR Grade 0
Slight reflex but depressed; low normal
DTR Grade 1+
Normal, typical reflex
DTR Grade 2+
Brisk reflex, possibly but not necessarily abnormal
DTR Grade 3+
Very brisk reflex, abnormal, conus
DTR Grade 4+
UMNL Affectation
CNS problem
Hypertonic, Hyperflexia, Spastic
LMNL Affectation
PNS problem
Hypotonic, Hypoflexia