![]() ![]() To determine whether muscle movement occurs, look at the muscle group involved in the reflex. ![]() Testing deep tendon reflexes is the main way to differentiate between upper and lower motor neuron lesions: present/increased in upper motor neuron lesions and absent in lower motor neuron lesions.“Turn hand palm up, bring thumb towards the ceiling" Use your thumb to push their thumb into their palm. “Stop me from pushing your fingers together” Use your index and small finger to squeeze their fingers closed. Hold the forearm and use your fist to apply force to their hand. ![]() “Hold your arms straight out, make a fist.” Hold the forearm and your hand under their fist. Place your hand around wrist and push arm in. “Put your arms in front of you in a ‘boxer position’ fist facing in” Place your hand around wrist and steadily pull out. “Lift your arms into a ‘chicken position’” Test each side together, push arms down at elbow. This is often performed with the patient sitting up in bed
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