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Deep Tendon Reflexes (PTA)

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