Knee & Ankle Reflexes
Knee & Ankle Reflexes
Please assess the student as they measure the patient's knee and ankle reflexes
Student's Email:

GENERAL - Observe the student doing the following:

Washes hands
       
Introduces self and exam to patient
           
Appropriate draping of patient

Should be sitting with legs dangling off bed or supine with leg flexed at the knee. The legs should be exposed from above the knee downward

               

KNEE REFLEXES - Observe the student doing the following:

Palpates the patellar tendon
               
Strikes the patellar tendon with reflex hammer

Comments on response (0 = not elicited, 1+ = diminished, 2+ = normal, 3+ = increased (hyperreflexic), 4+ = hyperactive (with clonus))

               
Compares both sides
               

ANKLE REFLEXES - Observe the student doing the following:

Proper patient position

Can be supine, sitting, or kneeling on chair

               
Palpates the achilles tendon
               
Strikes the achilles tendon with reflex hammer

Comments on the response (0 = not elicited (with reinforcement), 1+ = diminished, 2+ = normal, 3+ = increased (hyperreflexic), 4+ = hyperactive (with clonus))

               
Compares both sides
               

SPECIAL TESTS - Observe the student performing the following manoeuvers:

Offers to perform reinforcement maneuvers

Ex: Clenches teeth, pulls hands during reflexes (Jendrassik Maneuver)