Achilles Tendon Reflex

Achilles Tendon Reflex

What is the "Achilles Tendon Reflex" used for?

  • S1 Nerve Root Reflex
  • Achilles tendon (triceps surae muscle group innervated by Tibial nerve)

How to perform the "Achilles Tendon Reflex"?

  • Patient Position: Prone with the feet off the edge of the table
  • Position of Examiner: Seated or standing next to the patient, supporting the foot in its neutral position
  • Evaluative Procedure: The Achilles tendon is tapped with a reflex hammer.

What is the positive result?

Grade Response
0 No reflex elicited
+1 Hyporeflexia: Reflex elicited with reinforcement (precontracting the muscle)
+2 Normal response
+3 Hyperreflexia (brisk)
+4 Hyperactive with clonus

References