neuro9 DTR
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| 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.
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| 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.
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| DTR Grading 0 = | no response
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| DTR Grading 1+ = | diminished/depressed response
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| DTR Grading 2+ = | active normal response
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| DTR Grading 3+ = | brisk/exaggerated response
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| DTR Grading 4+ = | very brisk/hyperactive; abnormal response
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| Biceps tendon - | C5-C6 spinal level Contraction of the biceps muscle
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| Brachioradialis tendon - | C5-C6 spinal level- Elbow flexion and/or forearm pronation
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| Triceps tendon - | C7-C8 spinal level Elbow extension or contraction of the triceps muscle
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| Patellar tendon - | L3-L4 spinal level Knee extension
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| Tibialis posterior tendon - | L4-L5 spinal level Plantar flexion/inversion of the foot
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| Achilles tendon - | S1-S2 spinal level Plantar flexion of the foot
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