Would like to have the opinion of other PTs regarding reflex testing in
stroke patients. To my knowledge, reflex testing is to differentiate
between a UMN and LMN lesion. I noticed that the doctors at the some
hospitals test for reflexes like the knee jerk or bicep jerk when it is
obvious that the stroke patient suffered a lesion in the brain. I do
test for clonus because that would interfere in the patient's gait but I
don't test the knee jerk because I don't see the importance of it in
this aspect. What is your opinion about this matter?
I have read articles that state the lack of central inhibition in stroke
patients lead to increase in tone. But what is the mechanism involved
in flaccidity? Would really appreciate some feedback.
Thank you and God bless.
Regards,
Juliana
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