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Relaxes – Tendon in slight stretch position – If hassle eliciting response then have patient squeeze arms together • Superficial Reflexes – Stroke the pores and skin with a reasonably sharp object Common Deep Tendon Reflexes • C5 • C6 • C7 • L4 • S1 Grading Deep Tendon Reflexes • zero –Absent • 1 – Diminished • 2 –Average (regular) • three – Exaggerated • four – Clonus/Very Brisk 10 9/29/2015 Common Superficial Reflexes • Babinski – Normal Infant – Upgoing Big Toe & fan other toes • Usually changes at 1?2 yrs of age – Normal Child/Adult –Flexion of toes Common Superficial Reflexes • Hoffmann – “Flick” distal phalanx of index/middle finger and watch thumb – Normal = no movement – Abnormal = flexion of distal phalanx of thumb Common Superficial Reflexes • Abdominal –Separate stomach into quadrants with vertical and horizontal line by way of umbilicus – Stroke each quadrant away from umbilicus – Normal = Moves towards the path being stroked – Abnormal = Moves away from the course being stroked 11 9/29/2015 Common Superficial Reflexes • Abdominal Reflex Motor Neuron • Upper Motor Neuron Lesion – Spasticity – Hyperreflexia – Hypertonicitiy • Lower Motor Neuron Lesion – Flaccidity – Hypo/Areflexia – Hyptonicity – Fasciculation/Fibrillations – Weakness and atrophy Sensory Exam • Run fingers firmly over the pores and skin to be examined • Ask if they'll really feel it allergy testing bloomington in order benadryl 25mg on line. 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