Deep Tendon Reflexes - A Definitive Guide

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  • Опубликовано: 22 дек 2024

Комментарии • 122

  • @soenduldulao7457
    @soenduldulao7457 3 года назад +69

    5:46 - Biceps
    6:28 Brachioradialis
    8:16 - Triceps
    9:25 - Patella
    10:13 - Ankle

  • @cornelbacauanu1544
    @cornelbacauanu1544 4 года назад +41

    This is the best explanation of Deep Tendon Reflexes I ever saw. This is the true art and science of Medicine. Thank you .

    • @zuneid375
      @zuneid375 3 года назад

      I wanted to right exact the same thing

  • @doctorjoy6686
    @doctorjoy6686 4 года назад +19

    Thank you Dr. Eric. I can see how much effort you put in to explain each and every topic so clearly and with so many references. I have great respect for you. I'm a resident in internal medicine in Kashmir. We still use the notation on our patient files routinely here.

  • @abhijitchatterjee7408
    @abhijitchatterjee7408 4 года назад +3

    Your videos on different topics are of great help to all. They are the best guides. Thanx.

  • @StrongMed
    @StrongMed  4 года назад +46

    We aren't able to film at the med school at the moment, so we improvised a little.

    • @sim_aware
      @sim_aware 4 года назад

      This was great! Thanks!

    • @rumit9946
      @rumit9946 3 года назад +2

      Thank you to your wife for volunteering 😅

    • @StrongMed
      @StrongMed  3 года назад +4

      @@rumit9946 I think she said this was the last time...

  • @Tremis77
    @Tremis77 4 года назад +5

    The metal at the end caught me off guard! Good taste. Very informative info on reflex testing as well.

  • @hasanh.s5381
    @hasanh.s5381 Год назад

    Just came to say I love definitive guides.

  • @piotr5349
    @piotr5349 4 года назад +7

    Among students in Germany Trömner reflex hammer is very common. We also learn about tibialis posterior reflex (L5/S1) and Trömner reflex (C7/C8). Not sure if relevant in clinical practice. Definitely one of your coolest videos :)

    • @StrongMed
      @StrongMed  4 года назад +7

      As an American non-neurologist, I've never seen either of those checked in practice, though I wouldn't infer that means they shouldn't be. I'm not familiar enough with them to have an opinion.

    • @SavasMD
      @SavasMD 2 года назад +3

      @@StrongMed real educated men answer like this. nice man

  • @asdnme99
    @asdnme99 Год назад +1

    This is best explanation I ever saw in my study
    Thanks soooooo match doctor
    You are such amazing ❤❤

  • @KBrown-sq3ts
    @KBrown-sq3ts 5 месяцев назад

    This video is the best out there for learning DTRs, thank you so much!!

  • @zld353
    @zld353 2 месяца назад

    Doctor Strong, thank you from the bottom of my heart for the clear explanations 😇

  • @brettp_DO
    @brettp_DO 2 года назад +1

    Great tips on eliciting the achilles reflexes from the supine position.. Almost all of my patients are supine on the ED cot, and I struggle to get a response from my patients often.

  • @reyluna9859
    @reyluna9859 4 года назад +3

    Love your videos Dr. Strong. I am a nurse practitioner student and they are very helpful. Keep up the good work.

  • @EmmyZanoon
    @EmmyZanoon 3 года назад +1

    The best teaching video I ever watched
    Thank you very much

  • @nickgowen7737
    @nickgowen7737 4 года назад +6

    Great job Dr. Strong. As usual, this video on reflex exam far exceeds any learning experience I had on reflexes (lecture, textbook, or other video). I find the most common problem with the reflex exam in my trainees is total absence of reflex exam. Absence of exam, in turn, is likely caused in large part by lack of adequate understanding of and confidence with the exam, which this video can correct.
    Also, I'm buying a Babinski hammer on your recommendation. I'll be interested to see if it improves my reflex exam skills and/or on the fly neurological exam teaching.

    • @StrongMed
      @StrongMed  3 года назад +1

      Thanks for the kind words Dr. Gowen. I completely agree on the lack of reflex testing being associated with a lack of confidence - applies to much of the physical exam! I hope the Babinski turned out to be a good investment!

  • @Justice-101
    @Justice-101 Год назад +1

    Thank you so much. You made it look very easy.

  • @IqraJawad-zh9oe
    @IqraJawad-zh9oe 3 дня назад

    amazing!! the way you described

  • @Fxhealth
    @Fxhealth 4 года назад +1

    Great as always Dr. Strong

  • @LaLolaMaria
    @LaLolaMaria 2 месяца назад

    Excellent video!! I appreciate all the details. Thank you!

  • @SN-kg2od
    @SN-kg2od 14 часов назад

    Amazing video so crisp nd clear

  • @zuneid375
    @zuneid375 3 года назад

    Best video on reflex ever

  • @stomecek
    @stomecek 4 года назад +1

    It’s like you read my mind! I really needed this thank you for breaking it down.

  • @AhmedMohamed-dn4kk
    @AhmedMohamed-dn4kk 2 года назад +1

    Highly recommended 👌

  • @breveennkukan3603
    @breveennkukan3603 3 месяца назад

    Excellent video and explanation!!

  • @homashahnawaz31
    @homashahnawaz31 3 месяца назад

    what an awesome talk. Thank you.

  • @lorriemacierz3698
    @lorriemacierz3698 2 года назад

    Great video of all those I watched on DTR. Thank you.

  • @sitharabasheer
    @sitharabasheer 2 года назад

    Excellent demonstration .. thankyou very much Sir

  • @BluePlanet88
    @BluePlanet88 5 месяцев назад +1

    Of all the 5 reflexes, I usually am able to get the triceps/C7 most of the time. Most of the cases I see are degenerative spinal condition and they are hyporeflexic.

  • @caalaaramadanofficial2037
    @caalaaramadanofficial2037 4 года назад +1

    Thanks its excellent presentation

  • @sdharun1669
    @sdharun1669 2 года назад

    Thank you for your wonderful explanation about reflexes sir you had given a complete understanding explanation sir....thank you so much sir...same way I am expecting all clinical methods to learn from you sir🙏🏽🙏🏽🙏🏽🙏🏽

  • @rehabkhalil8834
    @rehabkhalil8834 2 года назад

    Super helpful! Very clear examination and testing. Many thanks!

  • @SKARTHIKSELVAN
    @SKARTHIKSELVAN 4 года назад

    Thanks for putting efforts in making these useful videos.

  • @sulambydhia6039
    @sulambydhia6039 2 месяца назад

    this video is great!!! i got the answers for my questions❤❤

  • @historygal7
    @historygal7 2 года назад +13

    I have very strong patellar reflexes. I get embarrassed as I usually kick the doc performing the test. I always have to apologise. Its like I'm taken over by Jackie Chan for a split second.

  • @khanabualamkhan4800
    @khanabualamkhan4800 3 года назад

    Thank you dr eric for this very informative channel

  • @nurefsan5977
    @nurefsan5977 2 года назад

    Thank you so much. I have an exam next week and this was actually so helpfull,💞

  • @gulsaquib961
    @gulsaquib961 2 года назад

    Thank you for this extremely helpful tutorial

  • @person1384
    @person1384 3 месяца назад

    When should we use the narrow end and when should we use the broad end of the knee hammer?

  • @dailydoseofmedicinee
    @dailydoseofmedicinee 4 года назад +3

    When reflex responses are absent this could be a clue that the spinal cord, nerve root, peripheral nerve, or muscle has been damaged👍

  • @xBassel92x
    @xBassel92x 4 года назад

    Thank you very much Dr. Strong.

  • @obiwan922
    @obiwan922 Год назад

    excellent lecture!

  • @1Billi0naire
    @1Billi0naire Год назад

    Thanks Dr. Strong

  • @ME-id7nz
    @ME-id7nz 3 года назад

    amazing as usual, thanks a lot doctor.

  • @piyushchaudhary502
    @piyushchaudhary502 Год назад

    Thank you so much Sir for Informational video🙏🙏

  • @cynthiaserrano8078
    @cynthiaserrano8078 2 года назад +1

    Thank you. So very helpful. Awesome video. Sorry I bought the Taylor hammer. LOL! But I got the Queen square now.

  • @arwarustom7623
    @arwarustom7623 Год назад

    This is amazing!! Thank you

  • @smittyjohn343
    @smittyjohn343 4 года назад

    Thank you Dr. Strong

  • @musiqal333
    @musiqal333 3 года назад +3

    Oh no, I have the Taylor hammer only, and I'll be in emergency medicine rotations today. 🤦🏾‍♂️🤦🏾‍♂️🤦🏾‍♂️

  • @tokafarouk4923
    @tokafarouk4923 3 года назад

    Thank you for this amazing video!

  • @waleedkhalid6908
    @waleedkhalid6908 10 месяцев назад

    جزاك الله خيرا

  • @MedicalBroadcast
    @MedicalBroadcast 2 года назад

    Very informative. Thanks for sharing.

  • @FootballReins
    @FootballReins 4 года назад +1

    Start a series on CVS or Neurological system

  • @nu.wa.n
    @nu.wa.n 4 года назад +1

    Great video as always. Is it true that hyperreflexia is suggestive of an upper motor neuron lesion and hyporeflexia is suggestive of a lower motor neuron lesion?

    • @StrongMed
      @StrongMed  4 года назад +2

      Yes, that is a general principle. I chose not to explicitly state that in the video because I was trying to keep it relatively short and sufficiently discussing the difference between upper and lower motor neuron disease would add a few minutes to the runtime. It also feels a little like an oversimplification (e.g. acute stroke with hyporeflexia, ALS being an upper and lower motor neuron disease but usually causing only hyperreflexia) without a longer explanation of the exceptions.

  • @amiinhaadi715
    @amiinhaadi715 4 года назад

    Thanks Dr Eric I love you so much you really help me alot I love Aproach Series
    I appreciate
    From SOMALIA

  • @dipaksatapara4101
    @dipaksatapara4101 3 года назад

    Very informative sir.
    Thanks !

  • @entertainmentforyou9672
    @entertainmentforyou9672 4 года назад +1

    Nice explain

  • @theresecouture5903
    @theresecouture5903 3 года назад

    very helpful thank you rmt student have a great day.

  • @lavindubatugedara4796
    @lavindubatugedara4796 Год назад

    Thank you sir.❤

  • @mickeysingh7443
    @mickeysingh7443 4 года назад

    Thank you sir you are my role model

  • @killua9982
    @killua9982 Год назад

    Thank you very much

  • @deepwithin6517
    @deepwithin6517 2 года назад

    Thank you so much 💕

  • @sabbo7069
    @sabbo7069 4 года назад +1

    Sir, make a video of cranial nerve examination

  • @ruili4634
    @ruili4634 4 года назад

    Thank you very much!

  • @PewPewFreedom
    @PewPewFreedom 4 года назад

    Would you say that the L4 reflexes 9:49 on her is considered a 3+?

  • @XoXoNurseKy
    @XoXoNurseKy 3 года назад

    What a great explanation! Thank you. What would you suggest using if none of the suggested options are available? For instance, I work in HEMS and have to elicit DTRs for my high risk OB transports. This is an extremely difficult environment to test DTRs, and reflex hammers and other devices like that are not readily stocked or available. Would the handle of shears work? Or some other easily available object?

    • @StrongMed
      @StrongMed  3 года назад +2

      Wow, I haven't before had to consider eliciting reflexes in a helicopter before!
      Anything long with a relatively heavy striking end will work. I would think that shears would be better than either your fingertips or the head of a stethoscope, but I've never compared them. But give it a go, and let us know if it does the job!

    • @XoXoNurseKy
      @XoXoNurseKy 3 года назад

      @@StrongMed thank you! I’ll give it a go!

  • @Abigail-hu5wf
    @Abigail-hu5wf 9 месяцев назад

    I personally prefer a Queen's Square or a Babinski because none of the others have necessary weight! But the more pointed hammers used by neurologists are doubtless more of use for them, because they need to precisely hit the exact part of the tendon they're aiming for. For a non-neuro like myself, larger heavy hammers are better! Harder to muck it up.

  • @ameenoahmad
    @ameenoahmad Год назад

    This man is subtly hilarious😂😂

  • @joodwaleed7570
    @joodwaleed7570 9 месяцев назад

    شكرا جزيلا

  • @tonysorice5142
    @tonysorice5142 3 года назад

    doc i just had a reflex test by a orthopedic doctor my kness didnt bump he hit me few times ,what do you think any never damage.i live ur video by the way ,,

  • @sokhengung7983
    @sokhengung7983 3 года назад

    The best Video

  • @Mus-Doc
    @Mus-Doc 4 года назад

    Please list the name/brand/model of the telescoping hammer you're using. Thanks

    • @StrongMed
      @StrongMed  4 года назад +1

      This is the hammer I was using in the video: www.amazon.com/Prestige-Babinski-Telescoping-Reflex-Hammer/dp/B00062N496
      However, it has the same problem as discussed in the product reviews: loose hinge. I ended up superglueing it in position.
      I don't know how durable it is over the long-term, but I've also used this MDF hammer and found it much better (though >2x as expensive): www.amazon.com/MDF-Telescoping-Neurological-superficial-Free-Parts/dp/B00AZF36R4/ref=sr_1_4?dchild=1&keywords=mdf+babinski+hammer&qid=1605703265&s=industrial&sr=1-4

    • @Mus-Doc
      @Mus-Doc 4 года назад

      @@StrongMed Thanks 👍. Keep up the great work

  • @HankFinkle11
    @HankFinkle11 2 года назад

    Was the knee jerk on the video considered normal?

    • @StrongMed
      @StrongMed  2 года назад +1

      Yes. There is a range of normal, and this person's knee jerk might be on the upper end of that range, but not in itself abnormal. If the patellar reflexes were asymmetric, that would be abnormal. Or if those were a person's patellar reflexes, but every other reflex was difficult to obtain, that also might suggest something worthy of further investigation.

  • @힝구핑구_zzz
    @힝구핑구_zzz 3 года назад

    this video is very helpful :) thanx

  • @ikhlaqbright7579
    @ikhlaqbright7579 4 года назад

    more videos also .... superficial reflexes and other neuro exams.....pls

    • @StrongMed
      @StrongMed  4 года назад +3

      I was hoping to do a much longer video on the whole neuro exam, but my model (i.e. my wife) isn't super excited about being filmed. Also, filming an exam video in front of a green screen was not very satisfying. So I think I may need to defer the rest of the exam until I can safely film with standardized patients in our simulation center again - best case scenario, summer 2021. But we'll see...

  • @fredastaire6156
    @fredastaire6156 4 года назад

    I am learning so much from these videos! Dr. Strong, do you have a Patreon page, by chance?

    • @StrongMed
      @StrongMed  4 года назад +3

      I do: www.patreon.com/strongmedicine. Unfortunately, it's been dormant since COVID hit. With remote schooling my kids and helping to redesign our med school's curriculum to virtual format only, I had to free up bandwidth, and my Patreon was a casualty of that. With US COVID cases surging (with hosptial census now high), and kids still at home, I haven't been able to give it any attention.

  • @drmalleshhnelajeri4522
    @drmalleshhnelajeri4522 2 года назад

    Thank you sir

  • @lujain217
    @lujain217 2 года назад

    The best ever

  • @sudeeradeshan6042
    @sudeeradeshan6042 3 года назад

    Thank you

  • @preethamyadav8907
    @preethamyadav8907 4 года назад

    Pls explain in detail history taking and case presentation of medicine long and short cases.

  • @محمدعبدالمجيدخلف
    @محمدعبدالمجيدخلف 3 года назад

    amazing

  • @Mahadevan760
    @Mahadevan760 Год назад +1

    With your eliciting the Brachioradialis reflex, the forearm is going into pronation, rather than supination !!!!!

  • @andresdelavega
    @andresdelavega 4 года назад

    nice new color grading

    • @StrongMed
      @StrongMed  4 года назад

      Thanks! This was a particularly nice comment since the color grading was driving me crazy this time around, and I couldn't get myself satisfied with it. I usually film in front of a white screen and key it out, but with the white sheet on the exam table, it wasn't an option.

  • @seanswann1143
    @seanswann1143 4 года назад

    Thanks

  • @waleedkhalid6908
    @waleedkhalid6908 10 месяцев назад

    ❤❤❤❤❤❤❤❤

  • @sunving
    @sunving 4 года назад

    Thank you Dr Strong . Good lecture and I even know from you that distracting procedure named , I will get a new hammer.

  • @allabout1783
    @allabout1783 7 месяцев назад

    I wonder, what's stopping my Lecturers from teaching me like this

  • @aydankamilova7099
    @aydankamilova7099 Год назад

    ♥️♥️

  • @korcommander
    @korcommander 4 года назад

    I got my reflex hammer at home depot. It works great.

  • @Karoline_g
    @Karoline_g 10 месяцев назад

    I find when a patient can’t relax, it helps if I make it a joke and ask them to pretend to relax. Helps 60%+ of the time, IME. maybe it’s the distraction as you said. 🤷🏻‍♀️

  • @NinjaSheepa
    @NinjaSheepa 4 года назад

    Thanks m8

  • @venkybly
    @venkybly 2 года назад

    Tq

  • @LanaMyslyvetsPlanners
    @LanaMyslyvetsPlanners Год назад

    My ankle reflex Grade is 0, so even walking takes 50% more effort than anyone else 😂😂

  • @TheDeepening718
    @TheDeepening718 2 года назад

    wtf I can't tingle to this.

  • @NadrianATRS
    @NadrianATRS 2 года назад

    Why aren't you wearing your glasses ?

    • @StrongMed
      @StrongMed  2 года назад +2

      I had laser eye surgery 7-8 years ago that mostly corrected my farsightedness, but which induced some nearsightedness. So I now use glasses with reading and using screens, but not generally at other times.

  • @colinsasso2753
    @colinsasso2753 2 года назад

    It's sad that educational videos (that are as good as this one) have 100x less views than the 8 yo putting hot sauce in his eyes for entertainment.

    • @StrongMed
      @StrongMed  2 года назад +4

      Thanks for the sentiment! While more views are always nice (all things being equal), my target audience is probably much smaller than that of the 8 year old with hot sauce. So as long as people who will most benefit from my videos are the ones seeing them, I'd still consider 1% of the views a success!

  • @TheReapr
    @TheReapr Год назад

    Dude seems very judgmental, nothing wrong with the Taylor hammer and no patient ever complains about being struck lightly in rapid succession..

    • @StrongMed
      @StrongMed  Год назад +2

      Judgmental? About a hammer? Really?

    • @TheReapr
      @TheReapr Год назад

      @@StrongMed maybe judgmental is a strong word 😅

  • @TomJones-yl9zp
    @TomJones-yl9zp 3 года назад

    Thanks

  • @gamaltaher9714
    @gamaltaher9714 3 года назад

    Thanks

  • @NEETmedicalGK
    @NEETmedicalGK 2 года назад

    Thanks