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final-review 13

neuro9 DTR

A deep tendon reflex (DTR) motor response to a sensory stimulation that is used in an assessment to observe the integrity of the nervous system. A DTR elicits a muscle contraction when the muscle's tendon is stimulated.
DTR Procedures patient relaxed, muscle slight stretch. reflex hammer taps tendon with an anticipated immediate response. Reflexes can be graded as normal, exaggerated (hyper) or depressed (hypo) or on a scale of 0-4.
DTR Grading 0 = no response
DTR Grading 1+ = diminished/depressed response
DTR Grading 2+ = active normal response
DTR Grading 3+ = brisk/exaggerated response
DTR Grading 4+ = very brisk/hyperactive; abnormal response
Biceps tendon - C5-C6 spinal level Contraction of the biceps muscle
Brachioradialis tendon - C5-C6 spinal level- Elbow flexion and/or forearm pronation
Triceps tendon - C7-C8 spinal level Elbow extension or contraction of the triceps muscle
Patellar tendon - L3-L4 spinal level Knee extension
Tibialis posterior tendon - L4-L5 spinal level Plantar flexion/inversion of the foot
Achilles tendon - S1-S2 spinal level Plantar flexion of the foot
Created by: micah10



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