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BOOK EXCERPT
Clinical Skills Documentation Guide for Athletic Training, Second Edition
Herb Amato DA, ATC; Christy D. Hawkins ATC; Steven L. Cole MEd, ATC, CSCS

Chapter 6
Reflex Testing

Reflex Testing
(RT-U-Test 1)

 

Peer Review_________Peer Review_________

Skill Acquisition:_____________________

Practice Opportunities:____________________

Please demonstrate how you would perform a test to check the C5 reflex (biceps). You have 2 minutes to complete this task.

The psychomotor skill was performed completely and in the appropriate order 0 1 2 3 4 5
The tester had control of the subject and the situation (showed confidence) 0 1 2 3 4 5
Method of performing the skill allowed the tester the ability to determine: severity, proper progression, and the fit in the overall picture (Oral)

 0 1 2 3 4 5
In order for a grade of minimum standard to be given, the total must be >11 TOTAL = ___

 

TEST ENVIRONMENTS

L: Laboratory/Classroom Testing
C: Clinical/Field Testing
P: Precticum Testing
A: Assessment/Mock Exam Testing
S: Self-Reporting

SKILL TEST INFORMATION

Positive Finding: No reflex or abnormal movement (hyper/hypo)
Involved Structure: Nerve root coming off C5
Special Considerations: C6 may be involved
Reference(s): Hoppenfeld
Supplies Needed: Table/chair, reflex hammer


Reflex Testing
(RT-U-Test 2)

 

Peer Review_________Peer Review_________

Skill Acquisition:_____________________

Practice Opportunities:____________________

Please demonstrate how you would perform a test to check the C6 reflex (brachioradialis). You have 2 minutes to complete this task.

The psychomotor skill was performed completely and in the appropriate order 0 1 2 3 4 5
The tester had control of the subject and the situation (showed confidence) 0 1 2 3 4 5
Method of performing the skill allowed the tester the ability to determine: severity, proper progression, and the fit in the overall picture (Oral)

 0 1 2 3 4 5
In order for a grade of minimum standard to be given, the total must be >11 TOTAL = ___

 

TEST ENVIRONMENTS

L: Laboratory/Classroom Testing
C: Clinical/Field Testing
P: Precticum Testing
A: Assessment/Mock Exam Testing
S: Self-Reporting

SKILL TEST INFORMATION

Positive Finding: No reflex or abnormal movement (hyper/hypo)
Involved Structure: Nerve root coming off C6
Special Considerations: C5 may be involved
Reference(s): Hoppenfeld
Supplies Needed: Table/chair, reflex hammer


Reflex Testing
(RT-U-Test 3)

 

Peer Review_________Peer Review_________

Skill Acquisition:_____________________

Practice Opportunities:____________________

Please demonstrate how you would perform a test to check the C7 reflex (triceps). You have 2 minutes to complete this task.

The psychomotor skill was performed completely and in the appropriate order 0 1 2 3 4 5
The tester had control of the subject and the situation (showed confidence) 0 1 2 3 4 5
Method of performing the skill allowed the tester the ability to determine: severity, proper progression, and the fit in the overall picture (Oral)

 0 1 2 3 4 5
In order for a grade of minimum standard to be given, the total must be >11 TOTAL = ___

 

TEST ENVIRONMENTS

L: Laboratory/Classroom Testing
C: Clinical/Field Testing
P: Precticum Testing
A: Assessment/Mock Exam Testing
S: Self-Reporting

SKILL TEST INFORMATION

Positive Finding: No reflex or abnormal movement (hyper/hypo)
Involved Structure: Nerve root coming off C7
Special Considerations: C8 may be involved
Reference(s): Hoppenfeld
Supplies Needed: Table/chair, reflex hammer


Reflex Testing
(RT-L-Test 1)

 

Peer Review_________Peer Review_________

Skill Acquisition:_____________________

Practice Opportunities:____________________

Please demonstrate how you would perform a test to check the S1 reflex (Achilles’ tendon). You have 2 minutes to complete this task.


The psychomotor skill was performed completely and in the appropriate order 0 1 2 3 4 5
The tester had control of the subject and the situation (showed confidence) 0 1 2 3 4 5
Method of performing the skill allowed the tester the ability to determine: severity, proper progression, and the fit in the overall picture (Oral)

 0 1 2 3 4 5
In order for a grade of minimum standard to be given, the total must be >11 TOTAL = ___

 

TEST ENVIRONMENTS

L: Laboratory/Classroom Testing
C: Clinical/Field Testing
P: Precticum Testing
A: Assessment/Mock Exam Testing
S: Self-Reporting

SKILL TEST INFORMATION

Positive Finding: No reflex or abnormal movement (hyper/hypo)
Involved Structure: Nerve root coming off S1
Special Considerations: S2 may be involved
Reference(s): Hoppenfeld
Supplies Needed: Table/chair, reflex hammer


Reflex Testing
(RT-L-Test 2)

 

Peer Review_________Peer Review_________

Skill Acquisition:_____________________

Practice Opportunities:____________________

Please demonstrate how you would perform a test to check the L4 reflex (patellar). You have 2 minutes to complete this task.

The psychomotor skill was performed completely and in the appropriate order 0 1 2 3 4 5
The tester had control of the subject and the situation (showed confidence) 0 1 2 3 4 5
Method of performing the skill allowed the tester the ability to determine: severity, proper progression, and the fit in the overall picture (Oral)

 0 1 2 3 4 5
In order for a grade of minimum standard to be given, the total must be >11 TOTAL = ___

 

TEST ENVIRONMENTS

L: Laboratory/Classroom Testing
C: Clinical/Field Testing
P: Precticum Testing
A: Assessment/Mock Exam Testing
S: Self-Reporting

SKILL TEST INFORMATION

Positive Findings: No reflex or abnormal movement (hyper/hypo)
Involved Structure: Nerve root coming off L4
Special Considerations: L2/L3 may be involved
Reference(s): Hoppenfeld
Supplies Needed: Table/chair, reflex hammer


Reflex Testing
(RT-L-Test 3)

 

Peer Review_________Peer Review_________

Skill Acquisition:_____________________

Practice Opportunities:____________________

Please demonstrate how you would perform a test for the pathological reflex known as Babinski’s Reflex to rule out an upper motor neuron lesion. You have 2 minutes to complete this task.

The psychomotor skill was performed completely and in the appropriate order 0 1 2 3 4 5
The tester had control of the subject and the situation (showed confidence) 0 1 2 3 4 5
Method of performing the skill allowed the tester the ability to determine: severity, proper progression, and the fit in the overall picture (Oral)

 0 1 2 3 4 5
In order for a grade of minimum standard to be given, the total must be >11 TOTAL = ___

 

TEST ENVIRONMENTS

L: Laboratory/Classroom Testing
C: Clinical/Field Testing
P: Precticum Testing
A: Assessment/Mock Exam Testing
S: Self-Reporting

SKILL TEST INFORMATION

Positive Finding: Splaying of the toes
Involved Structure: Upper motor neuron lesion
Special Considerations: N/A
Reference(s): Magee
Supplies Needed: Table, pointed object


Reflex Testing
(RT-L-Test 4)

 

Peer Review_________Peer Review_________

Skill Acquisition:_____________________

Practice Opportunities:____________________

This problem allows you the opportunity to demonstrate a superficial reflex known as the superficial abdominal reflex in order to rule out an upper motor neuron lesion. You have 2 minutes to complete this task.


The psychomotor skill was performed completely and in the appropriate order 0 1 2 3 4 5
The tester had control of the subject and the situation (showed confidence) 0 1 2 3 4 5
Method of performing the skill allowed the tester the ability to determine: severity, proper progression, and the fit in the overall picture (Oral)

 0 1 2 3 4 5
In order for a grade of minimum standard to be given, the total must be >11 TOTAL = ___

 

TEST ENVIRONMENTS

L: Laboratory/Classroom Testing
C: Clinical/Field Testing
P: Precticum Testing
A: Assessment/Mock Exam Testing
S: Self-Reporting

SKILL TEST INFORMATION

Positive Findings: No movement of the skin
Involved Structure: Upper motor neuron lesion—unilateral absence indicates a lower motor neuron lesion (T7-L2)
Special Considerations: N/A
Reference(s): Magee
Supplies Needed: Table, pointed object


Reflex Testing
(RT-L-Test 5)

 

Peer Review_________Peer Review_________

Skill Acquisition:_____________________

Practice Opportunities:____________________

Please demonstrate how you would perform a test to check the deep tendon reflex of L5 (posterior tibial). You have 2 minutes to complete this task.


The psychomotor skill was performed completely and in the appropriate order 0 1 2 3 4 5
The tester had control of the subject and the situation (showed confidence) 0 1 2 3 4 5
Method of performing the skill allowed the tester the ability to determine: severity, proper progression, and the fit in the overall picture (Oral)

 0 1 2 3 4 5
In order for a grade of minimum standard to be given, the total must be >11 TOTAL = ___

 

TEST ENVIRONMENTS

L: Laboratory/Classroom Testing
C: Clinical/Field Testing
P: Precticum Testing
A: Assessment/Mock Exam Testing
S: Self-Reporting

SKILL TEST INFORMATION

Positive Finding: No reflex or abnormal movement (hyper/hypo)
Involved Structure: Nerve root coming off L4/L5
Special Considerations: N/A
Reference(s): Magee
Supplies Needed: Table, reflex hammer


Reflex Testing
(RT-L-Test 6)

 

Peer Review_________Peer Review_________

Skill Acquisition:_____________________

Practice Opportunities:____________________

Please demonstrate how you would perform a test for the pathological reflex known as the Oppenheim Reflex to rule out an upper motor neuron lesion. You have 2 minutes to complete this task.


The psychomotor skill was performed completely and in the appropriate order 0 1 2 3 4 5
The tester had control of the subject and the situation (showed confidence) 0 1 2 3 4 5
Method of performing the skill allowed the tester the ability to determine: severity, proper progression, and the fit in the overall picture (Oral)

 0 1 2 3 4 5
In order for a grade of minimum standard to be given, the total must be >11 TOTAL = ___

 

TEST ENVIRONMENTS

L: Laboratory/Classroom Testing
C: Clinical/Field Testing
P: Precticum Testing
A: Assessment/Mock Exam Testing
S: Self-Reporting

SKILL TEST INFORMATION

Positive Findings: Splaying of toes
Involved Structure: Upper motor neuron lesion
Special Considerations: N/A
Reference(s): Magee
Supplies Needed: Table, pointed object


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