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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.  
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    


   


 
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Created by: s1234