Tibialis Posterior Reflex
Published July 2, 2026
Read time 1 min read
Readers 1
What is the "Tibialis Posterior Reflex" used for?
- L5 Nerve Root Reflex
- Tibialis Posterior (Tibial nerve)
How to perform the "Tibialis Posterior Reflex"?
- Patient Position: Side-lying on test side, The test foot is off the edge of the table
- Position of Examiner: Standing or seated to the side of the patient
- Evaluative Procedure: The tibialis posterior tendon is tapped with the reflex hammer posteriorly and just proximal to the medial malleolus.
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
