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Deep Tendon Reflexes (PTA)

DTRDTR SitesNormal Response
Biceps tendon C5-C6 spinal level Contraction of biceps m.
Triceps tendon C7-C8 spinal level Elbow extension OR contraction of triceps m.
Patellar tendon L3-L4 spinal level Knee extension
Tibialis posterior tendon L4-L5 spinal level PF/inversion of foot
Achilles tendon S1-S2 spinal level PF of foot
Grading scale 0-4 (0= no response, 2=active normal response, 4= hyperactive)
Brachioradialis tendon C5-C6 spinal level Elbow flexion and/or Forearm pronation
Procedure Guidelines -pt. relaxed -m. on slight stretch -reflex hammer taps tendon with anticipated immediate response -test both sides of body
Created by: s1234