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There is a latency of around 18 ms between stretch of the patellar tendon and the beginning of contraction of the quadriceps femoris muscle. [5] This is a reflex of proprioception which helps maintain posture and balance , allowing to keep one's balance with little effort or conscious thought.
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.
Most reflexes can be categorized in one of three groups depending on the latency of EMG response. The short-latency reflex (SLR) is the fastest (~40-50 ms) and involves a mono-synaptic pathway. The medium-latency reflex (MLR) utilizes interneurons within the spinal cord and is typically ~80-90 ms. The long-latency reflex (LLR) is ~120-140 ms ...
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.
H-reflex. The H-reflex (or Hoffmann's reflex) is a reflectory reaction of muscles after electrical stimulation of sensory fibers (Ia afferents stemming from muscle spindles) in their innervating nerves (for example, those located behind the knee). The H-reflex test is performed using an electric stimulator, which gives usually a square-wave ...
In biology, a reflex, or reflex action, is an involuntary, unplanned sequence or action [1] and nearly instantaneous response to a stimulus. [2][3] The simplest reflex is initiated by a stimulus, which activates an afferent nerve. The signal is then passed to a response neuron, which generates a response. Reflexes are found with varying levels ...
The patellar tendon is a strong, flat ligament, which originates on the apex of the patella distally and adjoining margins of the patella and the rough depression on its posterior surface; below, it inserts on the tuberosity of the tibia; its superficial fibers are continuous over the front of the patella with those of the tendon of the quadriceps femoris.
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.
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