Applying the Extensor Digitorum Reflex to Neurological Examination

• Zhang Ming-Juan

  Department of Cardiology, Second Affiliated Hospital, School of Medicine, Xi'an Jiao Tong University

• Zhu Can-Zhan

  Department of Cardiology, Second Affiliated Hospital, School of Medicine, Xi'an Jiao Tong University

• Duan Zong-ming

  Department of Cardiology, Second Affiliated Hospital, School of Medicine, Xi'an Jiao Tong University

• Niu Xiaolin

  Department of Cardiology, Second Affiliated Hospital, School of Medicine, Xi'an Jiao Tong University

抄録

Aim: To determine the value of the extensor digitorum reflex in neurologic examination.<br> Methods: The extensor digitorum, biceps, and brachioradialis reflexes were elicited in 65 patients with hemiplegia and upper-limb paralysis and in a control group of 120 apparently healthy people. Reflexes were elicited by both conventional means and a new method for the extensor digitorum reflex. The sensitivity and specificity of the extensor digitorum reflex were compared with that of the conventional biceps and brachioradialis reflexes to evaluate the value of the extensor digitorum reflex for neurologic examination.<br> Results: The sensitivity of the extensor digitorum, biceps, and nrachioradialis reflexes were 93.65%, 90.48%, and 90.48%, respectively. The specificity of the extensor digitorum, biceps, and brachioradialis reflexes were 95.83%, 94.17%, and 93.33%, respectively. The diagnostic efficacies of the extensor digitorum, biceps, and brachioradialis reflexes were 95.08%, 92.90%, and 91.26%, respectively. There were no significant differences (p>0.05) in sensitivity, specificity, or accuracy among the extensor digitorum, biceps or brachioradialis reflexes in neurologic examination.<br> Conclusions: The extensor digitorum reflex is a sensitive and useful deep tendon reflex and is suitable for widespread use in neurological examination.<br>

収録刊行物

• 日医大誌

  日医大誌 77 (5), 250-253, 2010

  日本医科大学医学会

キーワード

• extensor digitorum reflex
• neurological examination

詳細情報

• CRID: 1390282680071347712
• NII論文ID: 130004147058
• DOI: 10.1272/jnms.77.250
• ISSN: 13473409
• ISSN: 13454676
• Web Site: http://www.jstage.jst.go.jp/article/jnms/77/5/77_5_250/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2011175798
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可