Physiological Reflex Procedure

PHYSIOLOGICALREFLEXPROCEDURE UNDERSTANDING Physiological reflexexamination; examinationsoisthis a neurological examination that isseparately, usually carried outin during a physical examination is not carried out except certain cases that require a truly accurate physiological reflex examination. OBJECTIVE The sensibility examination aims to determine the sensory function of the nervous system POLICY Carrying out physical examinations and special actions as a result of collaboration PROCEDURE Preparation Basic Principles of Reflex Examination: a. The equipment commonly used isnota “reflex-hammer”; the bestbeones are made of rubber. This rubber material will cause pain. Pain should avoided in reflex examination because it will result in interpretation bias. b. The a relaxed verymaximum relaxed inreflex the area to be examined, and patient the areamust mustbebeinfree so thatstate, it canvery, provide reactions. c. Stimulation must that be carried outcause quicklypain. and directly, the intensity must be within the normal range does not d. The reaction that occurs willchecked. depend Ifonthemuscle tone,wants so it will require athe “minimal contraction” that is usually examiner to compare left sides, the position of the extremities must be symmetrical right-left. right and Procedure: A. Reflex examination of the arms/hands 1. Biceps reflex a. The patient is sitting and relaxed. b. The arm should be relaxed and slightly bent/flexed at the elbow with the palmpatient's facing downwards. c. Place the patient's elbow on the examiner's arm/hand. d. Place the examiner's thumb to press the patient's biceps tendon. e. Using a reflex hammer, hit your thumb (which is pressing on the tendon) to trigger the biceps reflex. f. The first reaction is contraction of the biceps muscle and then flexion of the elbow. g. The biceps is the supinator muscle for the forearm, this will cause a supination movement. h. Ifhitting this reflex increases, thewill reflex area willofexpand andandthisfingers; reflexand will also appear by the clavicle; there be flexion the wrist adduction of the thumb. 2. Triceps reflex a. The patient is asked to sit in a relaxed position. b. Place the patient's arm on the examiner's arm/hand. c. The patient's position is the same as when examining the biceps reflex. d. The patient is asked to relax his arm. e. When the patient's arm is completely relaxed (by palpation f. triceps fossa. muscle: not tense), hit the triceps tendon which passes through the olecranii g. The reaction of thearmtriceps muscle and a slight be seen or feltisbya contraction the examiner's holding the patient's arm.jerk. This reaction can B. Reflex examination of the legs 1. Patella/Quadriceps Reflex a. The patient sits with the legs hanging down. b. Palpate the right and left sides of the patellar tendon. c. Hold thetendon distal area of thethethigh usingreflex. one hand, while the other hand strikes the patellar to elicit patellar d. The examiner's handandsupporting the distal thigh willto feel the contraction of theof the quadriceps muscle the examiner may be able see sudden movements lower leg. Another way to check: a. Patients are asked to hold their own hands. b. Strike the patellar tendon as the patient pulls their hands apart c. This method is called "reinforcement" d. If the patient is unable to sit, a supine position is recommended (figure 3b) 2. Achilles reflex a. The patient isstand askedontohissitknees with one legthedangling (figure 4),leg or lieandinfoot a supine position (figure 5), or with lower part of the outside the examination table. b. Tension the Achilles tendon by holding the foot in a dorsiflexed position. c. Strike Achilles tendon suddentheflexion of the foot.lightly and quickly to elicit the Achilles reflex, which is a TERMINATION STAGE a. Evaluate responses and actions carried out correctly b. The patient is well groomed c. Provide education related to follow-up after the action is taken d. Tools are neatly arranged e. The subsequent time contract was submitted correctly f. Therapeutic greetings are delivered in a friendly manner g. Wash your hands properly