The reflex exam is fundamental to the neurological exam and important to locating upper versus lower motor neuron lesions. There are five deep tendon reflexes and a number of superficial and visceral …

Jan 20, 2026 · Lookup how to assess the deep tendon reflexes, their arcs, and how to interpret expected and abnormal responses

May 26, 2023 · Deep tendon reflexes are graded on a scale of zero to four. A score of zero indicates no response, while a score of four indicates a brisk, hyperactive response.

Feb 12, 2026 · The National Institute of Neurological Disorders and Stroke (NINDS) developed a grading system ranging from 0 to 4 in 1993 to establish a uniform scale for evaluating deep tendon reflexes.

Nov 29, 2025 · A standardized scale is used to assign a grade to the observed reflex response, ensuring consistent interpretation across practitioners. The involuntary muscle response observed …

Nov 13, 2025 · The standard scale for deep tendon reflex (DTR) grading is the NINDS (National Institute of Neurological Disorders and Stroke) Myotatic Reflex Scale, which has demonstrated …

After all the tapping and observing, your doctor will grade your reflexes using a scale provided by the National Institute of Neurological Disorders and Stroke (NINDS).