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Patellar reflex

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169: 36: 133: 196:. This produces a signal which travels back to the spinal cord and synapses (without interneurons) at the level of L3 or L4 in the spinal cord, completely independent of higher centres. From there, an 674:
Fine, Edward J.; Ziad Darkhabani, M. (2009-01-01). "Chapter 16 History of the development of the neurological examination". In Aminoff, Michael J.; Boller, François; Swaab, Dick F. (eds.).
204:, triggering contraction. This contraction, coordinated with the relaxation of the antagonistic flexor hamstring muscle causes the leg to kick. There is a latency of around 18 231:
in the pathway leading to contraction of the quadriceps muscle. Instead, the sensory neuron synapses directly on a motor neuron in the spinal cord. However, there
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After the tap of a hammer, the leg is normally extended once and comes to rest. The absence or decrease of this reflex is problematic, and known as
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This test of a basic automatic reflex may be influenced by the patient consciously inhibiting or exaggerating the response; the doctor may use the
160:. Many animals, most significantly humans, have been seen to have the patellar reflex, including dogs, cats, horses, and other mammalian species. 741:
Gurfinkel' VS, Lipshits MI, Popov KE (1974). "Is the stretch reflex a basic mechanism in the system of regulation of human vertical posture?".
653: 569: 527: 482: 433: 389: 274:, anxiety or nervousness. The test itself assesses the nervous tissue between and including the L2 and L4 segments of the spinal cord. 691: 590: 119: 1129: 792: 53: 208:
between stretch of the patellar tendon and the beginning of contraction of the quadriceps femoris muscle. This is a reflex of
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and during sleep. On the other hand, multiple oscillation of the leg (pendular reflex) following the tap may be a sign of
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in 1877: "Striking the tendon below the patella gives rise to a sudden extension of the leg, known as the knee-jerk."
333:, October 1921, wrote: "Itinerant preacher stemming Broadway on a soap box. And gets only an occasional knee-jerk." 1048: 1003: 46: 267: 259: 201: 86: 632:
Volpe, Joseph J. (2018-01-01), Volpe, Joseph J.; Inder, Terrie E.; Darras, Basil T.; de Vries, Linda S. (eds.),
1101: 841: 68: 876: 817: 342: 236: 633: 549: 507: 462: 413: 329: 1086: 845: 822: 785: 289: 1081: 1023: 931: 837: 354: 263: 243: 1038: 1033: 982: 926: 913: 606: 197: 255: 1134: 1096: 998: 896: 850: 750: 697: 687: 649: 565: 523: 478: 429: 385: 379: 217: 193: 93: 1091: 1066: 977: 961: 679: 641: 557: 515: 470: 421: 168: 1071: 1008: 946: 827: 778: 618: 271: 177: 598: 296:(1833–1890) simultaneously reported the patellar tendon or knee reflex in 1875. The term 1013: 951: 941: 901: 881: 860: 832: 809: 645: 561: 519: 474: 320: 209: 189: 153: 683: 1123: 1018: 921: 871: 425: 348: 213: 181: 132: 719: 936: 228: 205: 157: 35: 1028: 307: 224: 678:. Handbook of Clinical Neurology. Vol. 95. Elsevier. pp. 213–233. 319:
The term began to be used figuratively from the early 20th century onwards.
701: 351: â€“ Regulation of movement within organisms possessing a nervous system 235:
an inhibitory interneuron used to relax the antagonistic hamstring muscle (
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The patellar reflex is a clinical and classic example of the monosynaptic
220:, allowing to keep one's balance with little effort or conscious thought. 1076: 17: 762:
Pinnock CA, Lin ES, Smith T (2003). "Physiology of the Nervous System".
266:. Exaggerated (brisk) deep tendon reflexes such as this can be found in 185: 60: in this article. Unsourced material may be challenged and removed. 136:
Schematic representation of patellar tendon reflex (knee jerk) pathway
801: 278: 634:"Chapter 9 - Neurological Examination: Normal and Abnormal Features" 167: 131: 774: 720:"'Knee-jerk reaction' - the meaning and origin of this phrase" 550:"Electromyography and Disorders of the Central Nervous System" 29: 770: 467:
Encyclopedia of the Neurological Sciences (Second Edition)
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The Physiological and Technical Basis of Electromyography
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Brown, William F. (1984-01-01), Brown, William F. (ed.),
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Ramahi, A. A.; Katirji, B.; Devereaux, M. (2014-01-01),
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Encyclopedia of Infant and Early Childhood Development
465:, in Aminoff, Michael J.; Daroff, Robert B. (eds.), 416:, in Haith, Marshall M.; Benson, Janette B. (eds.), 384:. Lippincott Williams & Wilkins. pp. 499–. 1059: 991: 970: 912: 859: 808: 638:Volpe's Neurology of the Newborn (Sixth Edition) 345: â€“ Sustained contraction of vibrated muscle 156:which tests the L2, L3, and L4 segments of the 172:Representation of the patellar reflex pathway. 786: 506:Johns, Paul (2014-01-01), Johns, Paul (ed.), 420:, San Diego: Academic Press, pp. 11–23, 258:. This reflex may be diminished or absent in 246:in order to ensure a more valid reflex test. 8: 766:(2nd ed.). Greenwich Medical Media Ltd. 469:, Oxford: Academic Press, pp. 918–922, 373: 371: 556:, Butterworth-Heinemann, pp. 459–489, 793: 779: 771: 713: 711: 514:, Churchill Livingstone, pp. 49–59, 357: â€“ Medical maneuver to test reflexes 200:conducts an efferent impulse back to the 120:Learn how and when to remove this message 764:Fundamentals of Anaesthesia, 2nd Edition 508:"Chapter 4 - Sensory and motor pathways" 367: 277:The patellar reflex is often tested in 614: 604: 7: 501: 499: 456: 454: 452: 450: 58:adding citations to reliable sources 646:10.1016/b978-0-323-42876-7.00009-0 562:10.1016/b978-0-409-95042-7.50017-7 520:10.1016/b978-0-443-10321-6.00004-7 475:10.1016/b978-0-12-385157-4.01159-3 378:William J. Weiner (30 July 2010). 25: 640:, Elsevier, pp. 191–221.e8, 591:"Endocrinology - Hyperthyroidism" 381:Neurology for the Non-Neurologist 426:10.1016/b978-012370877-9.00133-x 34: 45:needs additional citations for 1: 1109:Symmetrical tonic neck reflex 684:10.1016/s0072-9752(08)02116-7 412:Pedroso, F. S. (2008-01-01), 463:"Lower Motor Neuron Lesions" 294:Karl Friedrich Otto Westphal 281:to test the nervous system. 595:Core Concepts of Pediatrics 1151: 268:upper motor neuron lesions 260:lower motor neuron lesions 202:quadriceps femoris muscle 1130:Examination of the knee 1102:Crossed extensor reflex 851:Pharyngeal (gag) reflex 842:Vestibulo-ocular reflex 877:Brachioradialis reflex 818:Pupillary light reflex 343:Tonic vibration reflex 237:reciprocal innervation 173: 137: 1049:Churchill–Cope reflex 1004:Bezold–Jarisch reflex 512:Clinical Neuroscience 330:The Coshocton Tribune 250:Clinical significance 212:which helps maintain 171: 135: 971:Superficial reflexes 846:Oculocephalic reflex 823:Accommodation reflex 676:History of Neurology 300:was recorded by Sir 290:Wilhelm Heinrich Erb 54:improve this article 1082:Golgi tendon reflex 1024:Oculocardiac reflex 838:Caloric reflex test 355:Jendrassik maneuver 325:New York Day-By-Day 264:cerebellar diseases 244:Jendrassik maneuver 27:Monosynaptic reflex 1039:Reflex tachycardia 1034:Reflex bradycardia 983:Cremasteric reflex 914:Primitive reflexes 315:In popular culture 198:alpha motor neuron 174: 144:, also called the 138: 1117: 1116: 1097:Withdrawal reflex 999:Bainbridge reflex 897:Ankle jerk reflex 655:978-0-323-42876-7 571:978-0-409-95042-7 529:978-0-443-10321-6 484:978-0-12-385158-1 435:978-0-12-370877-9 391:978-1-60547-239-3 194:quadriceps muscle 130: 129: 122: 104: 69:"Patellar reflex" 16:(Redirected from 1142: 1092:Startle response 1067:List of reflexes 978:Abdominal reflex 861:Stretch reflexes 795: 788: 781: 772: 767: 758: 728: 727: 715: 706: 705: 671: 665: 664: 663: 662: 629: 623: 622: 616: 612: 610: 602: 601:on 22 June 2016. 597:. Archived from 587: 581: 580: 579: 578: 545: 539: 538: 537: 536: 503: 494: 493: 492: 491: 458: 445: 444: 443: 442: 409: 403: 402: 400: 398: 375: 292:(1840–1921) and 176:Striking of the 125: 118: 114: 111: 105: 103: 62: 38: 30: 21: 1150: 1149: 1145: 1144: 1143: 1141: 1140: 1139: 1120: 1119: 1118: 1113: 1072:Acoustic reflex 1055: 1009:Coronary reflex 987: 966: 908: 892:Patellar reflex 855: 828:Jaw jerk reflex 804: 799: 761: 740: 737: 732: 731: 717: 716: 709: 694: 673: 672: 668: 660: 658: 656: 631: 630: 626: 613: 603: 589: 588: 584: 576: 574: 572: 547: 546: 542: 534: 532: 530: 505: 504: 497: 489: 487: 485: 460: 459: 448: 440: 438: 436: 411: 410: 406: 396: 394: 392: 377: 376: 369: 364: 339: 317: 287: 272:hyperthyroidism 256:Westphal's sign 252: 184:just below the 178:patellar tendon 166: 142:patellar reflex 126: 115: 109: 106: 63: 61: 51: 39: 28: 23: 22: 15: 12: 11: 5: 1148: 1146: 1138: 1137: 1132: 1122: 1121: 1115: 1114: 1112: 1111: 1106: 1105: 1104: 1094: 1089: 1084: 1079: 1074: 1069: 1063: 1061: 1057: 1056: 1054: 1053: 1052: 1051: 1043: 1042: 1041: 1036: 1026: 1021: 1016: 1014:Cushing reflex 1011: 1006: 1001: 995: 993: 992:Cardiovascular 989: 988: 986: 985: 980: 974: 972: 968: 967: 965: 964: 959: 954: 949: 944: 939: 934: 929: 924: 918: 916: 910: 909: 907: 906: 905: 904: 902:Plantar reflex 899: 894: 886: 885: 884: 882:Triceps reflex 879: 874: 865: 863: 857: 856: 854: 853: 848: 835: 833:Corneal reflex 830: 825: 820: 814: 812: 806: 805: 800: 798: 797: 790: 783: 775: 769: 768: 759: 745:(in Russian). 736: 733: 730: 729: 718:Martin, Gary. 707: 692: 666: 654: 624: 615:|website= 582: 570: 540: 528: 495: 483: 446: 434: 404: 390: 366: 365: 363: 360: 359: 358: 352: 346: 338: 335: 321:O. O. McIntyre 316: 313: 302:Michael Foster 286: 283: 251: 248: 227:. There is no 210:proprioception 190:muscle spindle 188:stretches the 165: 162: 154:stretch reflex 128: 127: 42: 40: 33: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 1147: 1136: 1133: 1131: 1128: 1127: 1125: 1110: 1107: 1103: 1100: 1099: 1098: 1095: 1093: 1090: 1088: 1085: 1083: 1080: 1078: 1075: 1073: 1070: 1068: 1065: 1064: 1062: 1058: 1050: 1047: 1046: 1044: 1040: 1037: 1035: 1032: 1031: 1030: 1027: 1025: 1022: 1020: 1019:Diving reflex 1017: 1015: 1012: 1010: 1007: 1005: 1002: 1000: 997: 996: 994: 990: 984: 981: 979: 976: 975: 973: 969: 963: 960: 958: 955: 953: 950: 948: 945: 943: 940: 938: 935: 933: 930: 928: 925: 923: 920: 919: 917: 915: 911: 903: 900: 898: 895: 893: 890: 889: 887: 883: 880: 878: 875: 873: 872:Biceps reflex 870: 869: 867: 866: 864: 862: 858: 852: 849: 847: 843: 839: 836: 834: 831: 829: 826: 824: 821: 819: 816: 815: 813: 811: 810:Cranial nerve 807: 803: 796: 791: 789: 784: 782: 777: 776: 773: 765: 760: 756: 752: 748: 744: 739: 738: 734: 725: 721: 714: 712: 708: 703: 699: 695: 693:9780444520098 689: 685: 681: 677: 670: 667: 657: 651: 647: 643: 639: 635: 628: 625: 620: 608: 600: 596: 592: 586: 583: 573: 567: 563: 559: 555: 551: 544: 541: 531: 525: 521: 517: 513: 509: 502: 500: 496: 486: 480: 476: 472: 468: 464: 457: 455: 453: 451: 447: 437: 431: 427: 423: 419: 415: 408: 405: 393: 387: 383: 382: 374: 372: 368: 361: 356: 353: 350: 349:Motor control 347: 344: 341: 340: 336: 334: 332: 331: 326: 322: 314: 312: 310: 309: 303: 299: 295: 291: 284: 282: 280: 275: 273: 269: 265: 261: 257: 249: 247: 245: 240: 238: 234: 230: 226: 221: 219: 215: 211: 207: 203: 199: 195: 191: 187: 183: 182:reflex hammer 179: 170: 163: 161: 159: 155: 151: 147: 143: 134: 124: 121: 113: 110:December 2020 102: 99: 95: 92: 88: 85: 81: 78: 74: 71: â€“  70: 66: 65:Find sources: 59: 55: 49: 48: 43:This article 41: 37: 32: 31: 19: 1045:Respiratory 891: 763: 749:(4): 744–8. 746: 742: 724:Phrasefinder 723: 675: 669: 659:, retrieved 637: 627: 599:the original 594: 585: 575:, retrieved 553: 543: 533:, retrieved 511: 488:, retrieved 466: 439:, retrieved 417: 407: 395:. Retrieved 380: 328: 324: 318: 306:Textbook of 305: 297: 288: 276: 253: 241: 232: 222: 175: 149: 145: 141: 139: 116: 107: 97: 90: 83: 76: 64: 52:Please help 47:verification 44: 1087:Optokinetic 927:Gastrocolic 229:interneuron 158:spinal cord 146:knee reflex 1124:Categories 1029:Baroreflex 957:Tonic neck 661:2020-12-23 577:2020-12-23 535:2020-12-23 490:2020-12-23 441:2020-12-23 414:"Reflexes" 362:References 327:column in 308:physiology 225:reflex arc 80:newspapers 962:Parachute 743:Biofizika 617:ignored ( 607:cite book 323:, in his 298:knee-jerk 164:Mechanism 150:knee-jerk 18:Knee jerk 1135:Reflexes 1077:H-reflex 947:Stepping 802:Reflexes 702:19892119 337:See also 952:Sucking 942:Rooting 755:4425696 735:Sources 304:in his 285:History 279:infants 218:balance 214:posture 192:in the 186:patella 180:with a 152:, is a 94:scholar 922:Galant 753:  700:  690:  652:  568:  526:  481:  432:  397:4 July 388:  96:  89:  82:  75:  67:  1060:Other 932:Grasp 101:JSTOR 87:books 937:Moro 888:Leg 868:Arm 751:PMID 698:PMID 688:ISBN 650:ISBN 619:help 566:ISBN 524:ISBN 479:ISBN 430:ISBN 399:2011 386:ISBN 216:and 140:The 73:news 680:doi 642:doi 558:doi 516:doi 471:doi 422:doi 239:). 148:or 56:by 1126:: 747:19 722:. 710:^ 696:. 686:. 648:, 636:, 611:: 609:}} 605:{{ 593:. 564:, 552:, 522:, 510:, 498:^ 477:, 449:^ 428:, 370:^ 270:, 233:is 206:ms 844:/ 840:/ 794:e 787:t 780:v 757:. 726:. 704:. 682:: 644:: 621:) 560:: 518:: 473:: 424:: 401:. 123:) 117:( 112:) 108:( 98:· 91:· 84:· 77:· 50:. 20:)

Index

Knee jerk

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stretch reflex
spinal cord

patellar tendon
reflex hammer
patella
muscle spindle
quadriceps muscle
alpha motor neuron
quadriceps femoris muscle
ms
proprioception
posture
balance
reflex arc
interneuron
reciprocal innervation

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