{"id":10388,"date":"2022-04-08T16:36:30","date_gmt":"2022-04-08T14:36:30","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&amp;p=10388"},"modified":"2022-04-08T16:36:30","modified_gmt":"2022-04-08T14:36:30","slug":"lower-limb-reflex-testing","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/lower-limb-reflex-testing\/","title":{"rendered":"Lower Limb Reflex Testing"},"featured_media":10389,"template":"","class_list":["post-10388","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":10389,"background_image_alt_text":"Lower Limb Reflex Testing"},"heading":"Lower Limb Reflex Testing | Peripheral Neurological Examination","subheading":"Lumbar Spine Assessment","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>Learn<\/h4>"},"column_right":{"content_editor":"<h6>Lower Limb Reflex Testing | Peripheral Neurological Examination<\/h2>\n<span style=\"font-weight: 400;\">Reflex testing is an essential part of neurological examination when suspecting radiculopathy as abnormal deep tendon reflexes may help you identify the pathological disc level.\n<\/span><span style=\"font-weight: 400;\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23499340\/\" target=\"_blank\" rel=\"noopener\">Al Nezari et al. (2013)<\/a> performed a systematic review and meta-analysis of 14 different studies investigating sensory, motor, and reflex testing for lumbar disc herniations.<\/span>\n\n<span style=\"font-weight: 400;\">The results showed that Reflex testing had a sensitivity ranging from 25-29%, and a specificity ranging from 75-78% in the identification of the pathological disc level.<\/span>\n\n<span style=\"font-weight: 400;\">Pooled positive likelihood ratios for all neurological examination components ranged between 1.02 and 1.26, so positive or negative findings don\u2019t raise the post-test probability much at all, which is why we attribute this assessment a rather weak clinical value. Despite these findings, it\u2019s still the best tool we have in physical assessment.\u00a0<\/span>\n\n<span style=\"font-weight: 400;\">The most important lower extremity reflexes are the patellar tendon reflex for L3, and L4 segments and the Achilles tendon reflex for L5-S1 segment. <\/span>\n<div class=\"embed-container\">\n\n[embed]https:\/\/www.youtube.com\/watch?v=kFkRa17hlVc[\/embed]\n\n<\/div>\nOther parts of the neurological examination of the upper limb are:\n<ul>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/dermatomes-upper-limb\/\">Dermatome Testing (Upper Limb)<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/myotomes-upper-limb\/\">Myotome Testing (Upper Limb)<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/reflex-testing-upper-limb\/\">Reflex Testing (Upper Limb)<\/a><\/li>\n<\/ul>\nFor the lower limb, the neurological examination can be studied here:\n<ul>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/dermatomes-lower-limb\/\">Dermatome Testing (Lower Limb)<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/myotomes-lower-limb\/\">Myotome Testing (Lower Limb)<\/a><\/li>\n<\/ul>\n[cta]\n"}},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>References<\/h4>"},"column_right":{"content_editor":"<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23499340\/\" target=\"_blank\" rel=\"noopener\">Al Nezari NH, Schneiders AG, Hendrick PA. Neurological examination of the peripheral nervous system to diagnose lumbar spinal disc herniation with suspected radiculopathy: a systematic review and meta-analysis. The Spine Journal. 2013 Jun 1;13(6):657-74.<\/a>"}},{"acf_fc_layout":"cta-image-v2","layout":"","background":"transparent","heading":"","content_editor":"<p class=\"subheading\">Like what you\u2019re learning?<\/p>\n<p class=\"heading-two\">BUY THE FULL PHYSIOTUTORS <strong>ASSESSMENT BOOK<\/strong><\/p>\n\n<ul>\n \t<li>600+ Pages e-Book<\/li>\n \t<li>Interactive Content (Direct Video Demonstration, PubMed articles)<\/li>\n \t<li>Statistical Values for all Special Tests from the latest research<\/li>\n \t<li>Available in \ud83c\uddec\ud83c\udde7 \ud83c\udde9\ud83c\uddea \ud83c\uddeb\ud83c\uddf7 \ud83c\uddea\ud83c\uddf8 \ud83c\uddee\ud83c\uddf9 \ud83c\uddf5\ud83c\uddf9 \ud83c\uddf9\ud83c\uddf7<\/li>\n \t<li>And much more!<\/li>\n<\/ul>","button_type":"internal_link","button_label":"Check out our 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