Clinical Tip: Testing reflexes without a hammer

Article

When checking knee reflexes, press down on the dorsum of the foot while tapping the patellar tendon. This maneuver overcomes inhibition of the reflex, so that a brisk tap with the side of the index finger elicits a good response. Using the index finger avoids the need for a reflex hammer, which may upset the child. Parents are intrigued to see such a lively demonstration of their child's circuitry.

Mary C. Darken, MDNew Orleans, La.

Do you have a Clinical Tip to share with colleagues? Let us know; we'll pay $50 for each item accepted for publication. Tips sent by mail should be addressed to Clinical Tips Editor, Contemporary Pediatrics, 5 Paragon Drive, Montvale, NJ 07645-1742. If you submit by e-mail (kbardossi@advanstar.com),please include your mailing address.

Newsletter

Access practical, evidence-based guidance to support better care for our youngest patients. Join our email list for the latest clinical updates.

Recent Videos
John Browning, MD, provides practical skincare reminders ahead of summer season
Potential downstream benefits of RSV preventive measures, with Octavio Ramilo, MD
Discussing phase 3 data of Panzyga for PANS, with Michael Daines, MD
Contemporary Pediatrics: RX Review: Updates and Unmet Need in RSV thumbnail
Contemporary Pediatrics: RX Review: Updates and Unmet Need in RSV thumbnail
Contemporary Pediatrics: RX Review: Updates and Unmet Need in RSV thumbnail
Staphylococcus aureus risk in infants and neonatologist considerations with Aaron Milstone, MD
© 2025 MJH Life Sciences

All rights reserved.