Patellar reflex

Patellar reflex

What is the "Patellar reflex" used for?

  • L3-L4 Nerve Root Reflex
  • Patellar tendon (quadriceps femoris innervated by femoral nerve)

How to perform the "Patellar reflex"?

  • Patient Position: Sitting with the knees flexed over the end of the table looking away from the tested side
  • Position of Examiner: Standing or seated to the side of the patient
  • Evaluative Procedure: The patellar tendon is tapped with the 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