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Neuro
Deep Tendon Reflexes (PTA)
| DTR | DTR Sites | Normal 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 |