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Schematic representation of patellar tendon reflex (knee jerk) pathway. The patellar reflex, also called the knee reflex or knee-jerk, is a stretch reflex which tests the L2, L3, and L4 segments of the spinal cord. Many animals, most significantly humans, have been seen to have the patellar reflex, including dogs, cats, horses, and other ...
Westphal's sign is the clinical correlate of the absence or decrease of patellar reflex or knee jerk. Patellar reflex or knee jerk is a kind of deep or stretch reflex where an application of a stimulus to the patellar tendon such as strike by a solid object or hammer caused the leg to extend due to such stimulus causes the quadriceps femoris muscle to contract.
The adductor reflex is elicited by tapping over either the medial epicondyle of the femur or the medial condyle of the tibia, which should cause the adductor muscles of the hip to contract, moving the leg inwards. [2] The sign was described by John G Hannington-Kiff in 1980. [3]
A list of reflexes in humans. Abdominal reflex; Accommodation reflex — coordinated changes in the vergence, lens shape and pupil size when looking at a distant object after a near object. Acoustic reflex or attenuation reflex — contraction of the stapedius and tensor tympani muscles in the middle ear in response to high sound intensities.
The patellar reflex (knee jerk) is an example of the stretch reflex and it is used to determine the sensitivity of the stretch reflex. Reflexes can be tested as part of a neurological examination, often if there is an injury to the central nervous system. To test the reflex, the muscle should be in a neutral position.
The Jendrassik maneuver to reinforce knee-jerk. The Jendrassik maneuver is a medical maneuver wherein the patient clenches the teeth, flexes both sets of fingers into a hook-like form, and interlocks those sets of fingers together. The tendon below the patient's knee is then hit with a reflex hammer to elicit the patellar reflex. The elicited ...
Eclampsia, like pre-eclampsia, tends to occur more commonly in first pregnancies than subsequent pregnancies. [38] [39] [40] Women who have long term high blood pressure before becoming pregnant have a greater risk of pre-eclampsia. [38] [39] Patients who have gestational hypertension and pre-eclampsia have an increased risk of eclampsia. [41]
Reflex circuits vary in complexity—the simplest spinal reflexes are mediated by a two-element chain, of which in the human body there is only one, also called a monosynaptic reflex (there is only one synapse between the two neurones taking part in the arc: sensory and motor). The singular example of a monosynaptic reflex is the patellar reflex.