{"id":4769,"date":"2020-12-30T18:59:26","date_gmt":"2020-12-30T18:59:26","guid":{"rendered":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/?page_id=4769"},"modified":"2021-01-03T02:11:01","modified_gmt":"2021-01-03T02:11:01","slug":"miscellaneous-reflexes","status":"publish","type":"page","link":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/miscellaneous-reflexes\/","title":{"rendered":"Miscellaneous Reflexes"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-1\"><p><strong>Spinal reflexes<\/strong>\u00a0(myotactic reflexes) test the integrity of sensory and motor components of the reflex arc and the influence of descending motor pathways on the reflex. An absent or depressed reflex indicates complete or partial loss of either the sensory or motor nerves responsible for the reflex (lower motor neuron [LMN]) A normal reflex indices that sensory and motor nerves are intact. An exaggerated reflex indicates an abnormality in the descending pathways from the brain and spinal cord that normally inhibit the reflex (upper motor neuron [UMN]). In general, forelimb reflexes are not as reliable for localizing lesions as rear limb reflexes.<\/p>\n<\/div><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:30px;--awb-content-font-size:16px;--awb-icon-alignment:left;--awb-hover-color:#f9f9fb;--awb-border-color:#e2e2e2;--awb-background-color:#ffffff;--awb-divider-color:#e2e2e2;--awb-divider-hover-color:#e2e2e2;--awb-icon-color:#ffffff;--awb-title-color:#ff552e;--awb-content-color:#4a4e57;--awb-icon-box-color:#13294b;--awb-toggle-hover-accent-color:#e84a27;--awb-title-font-family:&quot;Montserrat&quot;;--awb-title-font-weight:400;--awb-title-font-style:normal;--awb-title-font-size:21px;--awb-title-line-height:1.36;--awb-content-font-family:&quot;Montserrat&quot;;--awb-content-font-style:normal;--awb-content-font-weight:400;\"><div class=\"panel-group fusion-toggle-icon-boxed\" id=\"accordion-4769-1\"><div class=\"fusion-panel panel-default panel-598dfeca36e733c7d fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_598dfeca36e733c7d\"><a aria-expanded=\"false\" aria-controls=\"598dfeca36e733c7d\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-4769-1\" data-target=\"#598dfeca36e733c7d\" href=\"#598dfeca36e733c7d\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Sciatic Reflex<\/span><\/a><\/h4><\/div><div id=\"598dfeca36e733c7d\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_598dfeca36e733c7d\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-0 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-first\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%; margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-2\"><p>The perineal or <strong>anal sphincter reflex<\/strong> is elicited by gentle perineal stimulation with a needle or forceps.<\/p>\n<p>A normal response is contraction of the anal sphincter muscle.<\/p>\n<p>Sensory and motor innervation for the anal sphincter reflex occurs through the pudendal nerve (perineal nerve is sensory; caudal rectal nerve is motor) and spinal cord segments S1-S3. Absence or depression<\/p>\n<p>of the reflex (failure of the anus to contract) indicates a sacral spinal cord or pudendal nerve lesion (LMN). An exaggerated response indicates a lesion above the S1 spinal cord segment.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-1 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-video fusion-selfhosted-video\" style=\"max-width:100%;\"><div class=\"video-wrapper\"><video playsinline=\"true\" width=\"100%\" style=\"object-fit: cover;\" muted=\"true\" preload=\"auto\" controls=\"1\"><source src=\"https:\/\/vetmed.illinois.edu\/sa-ortho-20\/anal-reflex.mp4\" type=\"video\/mp4\">Sorry, your browser doesn&#039;t support embedded videos.<\/video><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;width:100%;\"><div class=\"fusion-separator-border sep-double\" style=\"--awb-height:20px;--awb-amount:20px;border-color:#e2e2e2;border-top-width:0px;border-bottom-width:0px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-ff93d1c44c10eb4b6 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_ff93d1c44c10eb4b6\"><a aria-expanded=\"false\" aria-controls=\"ff93d1c44c10eb4b6\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-4769-1\" data-target=\"#ff93d1c44c10eb4b6\" href=\"#ff93d1c44c10eb4b6\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\"> Bladder Expression<\/span><\/a><\/h4><\/div><div id=\"ff93d1c44c10eb4b6\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_ff93d1c44c10eb4b6\"><div class=\"panel-body toggle-content fusion-clearfix\">The two general components of urinary bladder innervation are autonomic (hypogastric and pelvic) and somatic (pudendal) nerves. Simplistically, clinical observations of bladder dysfunction can be attributed to spinal cord injury based on the pudendal nerve (S1 and S2). The pudendal nerve innervates urethral striated muscle and helps maintain urinary continence. A lesion above the sacral spinal cord segments causes detrusor spasticity, making the bladder difficult to express (UMN). A lesion involving sacral spinal cord segments causes lack of sphincter tone and an easily expressible bladder (LMN).<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-5074891029ff2bf7b fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_5074891029ff2bf7b\"><a aria-expanded=\"false\" aria-controls=\"5074891029ff2bf7b\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-4769-1\" data-target=\"#5074891029ff2bf7b\" href=\"#5074891029ff2bf7b\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Crossed Extensor Reflex<\/span><\/a><\/h4><\/div><div id=\"5074891029ff2bf7b\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_5074891029ff2bf7b\"><div class=\"panel-body toggle-content fusion-clearfix\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-2 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-first\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%; margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-3\"><p>The <strong>c<\/strong><b>rossed extensor reflex<\/b> may be observed when withdrawal reflexes are elicited. With the animal in lateral recumbency and legs relaxed, the toes of the uppermost limb (thoracic or pelvic) are gently pinched with fingers, eliciting a withdrawal reflex. An abnormal response is flexion of the upper limb and simultaneous extension of the lower limb. The stimulus must be gentle; excessive stimulus causes the animal to attempt to right itself, negating any findings. The crossed extensor reflex results from a lesion that affects descending inhibitory pathways of the spinal cord (UMN). This reflex is commonly associated with chronicity, but does not constitute a poor prognosis.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-3 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-video fusion-selfhosted-video\" style=\"max-width:100%;\"><div class=\"video-wrapper\"><video playsinline=\"true\" width=\"100%\" style=\"object-fit: cover;\" muted=\"true\" preload=\"auto\" controls=\"1\"><source src=\"https:\/\/vetmed.illinois.edu\/sa-ortho-20\/crossed-extensor.mp4\" type=\"video\/mp4\">Sorry, your browser doesn&#039;t support embedded videos.<\/video><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;width:100%;\"><div class=\"fusion-separator-border sep-double\" style=\"--awb-height:20px;--awb-amount:20px;border-color:#e2e2e2;border-top-width:0px;border-bottom-width:0px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-c17b05e9069bbd5dc fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_c17b05e9069bbd5dc\"><a aria-expanded=\"false\" aria-controls=\"c17b05e9069bbd5dc\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-4769-1\" data-target=\"#c17b05e9069bbd5dc\" href=\"#c17b05e9069bbd5dc\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Tail Wag Reflex<\/span><\/a><\/h4><\/div><div id=\"c17b05e9069bbd5dc\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_c17b05e9069bbd5dc\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>The significance of <strong>tail wagging<\/strong> in patients with spinal cord injuries is often misinterpreted. Animals with a completely transected spinal cord above the sacral and caudal spinal cord segments can wag their tails. This reflex wag is often observed when expressing the bladder or eliciting the anal sphincter reflex. Tail wagging may also be a conscious response to pleasurable stimuli, such as petting the head, calling the animal\u2019s name, or seeing the owner. This conscious response implies that some spinal cord pathways are intact. It is important to distinguish between a spontaneous (reflex) and conscious tail wagging.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-5334b22ea7c208cc7 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_5334b22ea7c208cc7\"><a aria-expanded=\"false\" aria-controls=\"5334b22ea7c208cc7\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-4769-1\" data-target=\"#5334b22ea7c208cc7\" href=\"#5334b22ea7c208cc7\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Panniculus Reflex<\/span><\/a><\/h4><\/div><div id=\"5334b22ea7c208cc7\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_5334b22ea7c208cc7\"><div class=\"panel-body toggle-content fusion-clearfix\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-4 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-first\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%; margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-4\"><p><b>Panniculus reflex<\/b> (cutaneous trunci reflex) is elicited by pin-prick stimulus to the skin over the back, beginning at the lumbosacral region and continuing cranially. Normal response is twitching of the cutaneous trunci muscle on both sides of the dorsal midline, at the point of stimulation and cranially. Absence of a response occurs one or two segments caudal to the spinal cord lesion. This reflex must be interpreted with some caution; it may be unreliable with the exception of brachial plexus avulsion injuries, in which it is consistently absent only on the side of the avulsion.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-5 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-video fusion-selfhosted-video\" style=\"max-width:100%;\"><div class=\"video-wrapper\"><video playsinline=\"true\" width=\"100%\" style=\"object-fit: cover;\" muted=\"true\" preload=\"auto\" controls=\"1\"><source src=\"https:\/\/vetmed.illinois.edu\/sa-ortho-20\/panniculus.mp4\" type=\"video\/mp4\">Sorry, your browser doesn&#039;t support embedded videos.<\/video><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;width:100%;\"><div class=\"fusion-separator-border sep-double\" style=\"--awb-height:20px;--awb-amount:20px;border-color:#e2e2e2;border-top-width:0px;border-bottom-width:0px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-70fd4698fee0d5fc4 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_70fd4698fee0d5fc4\"><a aria-expanded=\"false\" aria-controls=\"70fd4698fee0d5fc4\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-4769-1\" data-target=\"#70fd4698fee0d5fc4\" href=\"#70fd4698fee0d5fc4\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Clonus<\/span><\/a><\/h4><\/div><div id=\"70fd4698fee0d5fc4\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_70fd4698fee0d5fc4\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-6 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-first\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%; margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-5\"><p><strong>Clonus<\/strong> refers to a sustained after-contraction or quivering that may be seen or felt when performing spinal reflexes, especially patellar and crossed extensor reflexes. The hand supporting the extremity being tested may feel this reaction; this reflex is often not visual. Presence of clonus implies a chronic condition.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-7 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-video fusion-selfhosted-video\" style=\"max-width:100%;\"><div class=\"video-wrapper\"><video playsinline=\"true\" width=\"100%\" style=\"object-fit: cover;\" muted=\"true\" preload=\"auto\" controls=\"1\"><source src=\"https:\/\/vetmed.illinois.edu\/sa-ortho-20\/patella-clonus.mp4\" type=\"video\/mp4\">Sorry, your browser doesn&#039;t support embedded videos.<\/video><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;width:100%;\"><div class=\"fusion-separator-border sep-double\" style=\"--awb-height:20px;--awb-amount:20px;border-color:#e2e2e2;border-top-width:0px;border-bottom-width:0px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":""},"class_list":["post-4769","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-json\/wp\/v2\/pages\/4769","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-json\/wp\/v2\/comments?post=4769"}],"version-history":[{"count":8,"href":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-json\/wp\/v2\/pages\/4769\/revisions"}],"predecessor-version":[{"id":4852,"href":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-json\/wp\/v2\/pages\/4769\/revisions\/4852"}],"wp:attachment":[{"href":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-json\/wp\/v2\/media?parent=4769"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}