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Reflex testing in limb assessment

Identify a reflex hammer and explain its role in a limb neurological examination.

REFERENCE GALLERY1 / 1 reference
Reflex hammer — reference view
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Rubber head

Rubber head: located on the reference instrument. Compare its shape and position with the apparatus used in your practical.

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Reflex hammer — reference view

Image: Samir at English Wikipedia · Source / original · CC BY-SA 3.0

Resized and converted to WebP; original colours retained.

Reflex testing in limb assessment

Identify and explain

A tendon tap briefly stretches muscle spindles and activates the stretch-reflex pathway.

  • Weighted head with a rubber contact surface
  • Handle allows a controlled swing
  • Different patterns include Taylor and Queen Square designs
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Identify the reference

Weighted head with a rubber contact surface. Handle allows a controlled swing. Different patterns include Taylor and Queen Square designs

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Explain the measurement

A tendon tap briefly stretches muscle spindles and activates the stretch-reflex pathway.

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Interpret in context

Reflexes are assessed alongside sensation, power and other findings; they do not replace a full neurovascular assessment.

At the viva table

Try answering aloud, then open the suggested answer. Examiner questions vary.

01 / What is the principal afferent for a tendon jerk?

Group Ia afferents from muscle spindles.

02 / Which spinal segments are mainly tested by the knee jerk?

L2–L4, particularly L4, through the femoral nerve.

03 / Which segments are mainly tested by the ankle jerk?

S1–S2, particularly S1, through the tibial nerve.

04 / Why compare both sides?

Symmetry and the broader clinical pattern help interpret the response.

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