{"id":135,"date":"2010-06-09T10:12:49","date_gmt":"2010-06-09T09:12:49","guid":{"rendered":"https:\/\/cloverock.info\/mockosce23\/new\/achilles-tendon-reflex-atr-deep-tendon\/"},"modified":"2023-01-12T00:10:16","modified_gmt":"2023-01-12T00:10:16","slug":"achilles-tendon-reflex-atr-deep-tendon","status":"publish","type":"post","link":"https:\/\/www.qpercom.com\/sim\/index.php\/the-neurological-examination\/the-reflexes\/achilles-tendon-reflex-atr-deep-tendon\/","title":{"rendered":"Achilles tendon reflex (ATR) (deep tendon)"},"content":{"rendered":"<p>The sciatic nerve acts as both the afferent and the efferent pathway, and the spinal root is L5-S1.<\/p>\n<p><em>The mobile patient<\/em><\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/116864098?dnt=1&amp;app_id=122963\" width=\"640\" height=\"480\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture\" allowfullscreen><\/iframe><\/p>\n<ul>\n<li>The patient should kneel on a chair with their feet hanging over the edge.&nbsp;<\/li>\n<li>Using one hand, push the foot or feet until they are in slight dorsal flexion.<\/li>\n<li>Strike the Achilles tendon directly [Figure 90].<\/li>\n<li>Note any foot movement and contraction of the calf muscle.<\/li>\n<\/ul>\n<p><span class=\"jce_caption\" style=\"display: inline-block;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-133\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/06\/NeuroExam_n-fig-90.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/06\/NeuroExam_n-fig-90.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/06\/NeuroExam_n-fig-90-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><span style=\"width: 400px; display: block;\">Figure 90<\/span><\/span><\/p>\n<p><em>The supine patient (a)<\/em><\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/116864022?dnt=1&amp;app_id=122963\" width=\"640\" height=\"480\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture\" allowfullscreen><\/iframe><\/p>\n<ul>\n<li>The patient should cross their legs.<\/li>\n<li>Take hold of the foot of the top leg and loosely move the ankle, flexing and extending it until you feel the calf muscle is relaxed.<\/li>\n<li>Place the foot in slight dorsal flexion.&nbsp;<\/li>\n<li>Strike the Achilles tendon directly with the reflex hammer [Figure 91].<\/li>\n<\/ul>\n<p><span class=\"jce_caption\" style=\"display: inline-block;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-134\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/06\/NeuroExam_n-fig-91.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/06\/NeuroExam_n-fig-91.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/06\/NeuroExam_n-fig-91-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><span style=\"width: 400px; display: block;\">Figure 91<\/span><\/span><\/p>\n<p><em>The supine patient (b)<\/em><\/p>\n<ul>\n<li>Take hold of the patient\u2019s forefoot.&nbsp;<\/li>\n<li>Bend the patient\u2019s leg at the hip and knee.<\/li>\n<li>The patient allows their leg to lean against your body in either exororation or endorotation at the hip.<\/li>\n<li>Instruct the patient to let the entire weight of their leg rest in your hand.<\/li>\n<li>Strike the Achilles tendon once you feel that the patient\u2019s leg is properly relaxed.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>The sciatic nerve acts as both the afferent and the efferent pathway, and the spinal root is L5-S1. The mobile patient The patient should kneel on a chair with their feet hanging over the edge.&nbsp; Using one hand, push the foot or feet until they are in slight dorsal flexion. Strike the Achilles tendon directly [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[11],"tags":[113],"class_list":["post-135","post","type-post","status-publish","format-standard","hentry","category-the-reflexes","tag-the-neurological-examination"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Achilles tendon reflex (ATR) (deep tendon) - Qpercom | Skills in Medicine<\/title>\n<meta name=\"description\" content=\"Online Mock OSCEs with examiners, patient actors, instant results and personalised feedback. 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