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"The Reflex Arc and Reflexes" In - SLC Home Page

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Copyright ©2004, <strong>The</strong> School of Medicine of the University of<br />

California, San Diego.<br />

Laboratory Exercise – <strong>The</strong> Human Body<br />

<strong>The</strong> <strong>Reflex</strong> <strong>Arc</strong><br />

adapted from: Hole, J.W. 1990."<strong>The</strong> <strong>Reflex</strong> <strong>Arc</strong> <strong>and</strong> <strong>Reflex</strong>es" <strong>In</strong>: Laboratory Manual Human Anatomy <strong>and</strong> Physiology 5 th<br />

Edition. Wm. C. Brown Publishers:Dubuque.<br />

OBJECTIVES:<br />

To introduce students to some reflex responses.<br />

To provide students with the opportunity to practice describing their observations <strong>and</strong> interpreting results.<br />

PRELAB:<br />

Students are expected to read <strong>and</strong> become familiar with the lab procedure. You may also find it useful to<br />

examine the sections of your textbook dealing with reflexes as well as web resources listed on the human<br />

bio web page http://web2.slc.qc.ca/adera/human.htm .<br />

TESTS:<br />

Test each of the following reflexes on one or two members of your lab team. Observe <strong>and</strong> record the<br />

response to each reflex test.<br />

Descriptions of the reactions should include many parameters including:<br />

what moved? or what was felt?<br />

intensity of movement<br />

intensity of feeling<br />

direction of movement<br />

area of feeling<br />

speed of movement<br />

how fast did the feeling spread?<br />

A. Triceps <strong>Reflex</strong><br />

Procedure: (one person)<br />

1. Raise <strong>and</strong> support the subject’s arm so that the elbow is<br />

at shoulder height. <strong>The</strong> arm should be completely<br />

relaxed.<br />

Alternatively, have the subject place their h<strong>and</strong> on their<br />

hip. Using this position, it may be easier to illicit a reflex<br />

but it would not be possible for the arm to actually<br />

move.<br />

2. Strike the triceps tendon about 5 cm above the elbow.<br />

(Figure 1) If there is no response, repeat this procedure,<br />

striking to either side of the original point.<br />

3. Observe the triceps muscle for signs of movement. Ask<br />

the subject to describe any sensations felt.<br />

Note: the muscle contraction may not be strong enough to cause<br />

arm movements<br />

Figure 1. Triceps reflex test<br />

Assignment:<br />

1. H<strong>and</strong> in the description of the sensations experienced by the individual tested as well as any relevant<br />

observations. Describe what you observed. “no reflex” is not a description.<br />

<strong>Reflex</strong>es Lab 1


Copyright ©2004, <strong>The</strong> School of Medicine of the<br />

University of California, San Diego.<br />

Copyright ©2004, <strong>The</strong> School of Medicine of the<br />

University of California, San Diego.<br />

B. Patellar <strong>Reflex</strong> (Knee Jerk)<br />

Procedure: (two persons)<br />

1. <strong>The</strong> subject should sit comfortably with legs hanging down over<br />

the edge of a table (not touching the floor). <strong>The</strong> thigh muscles<br />

should be relaxed.<br />

2. Use the broad side of a reflex hammer to strike the patellar<br />

tendon, just below the patella (kneecap). (Figure 2)<br />

3. Observe the thigh muscle <strong>and</strong> record the action (if any) of the<br />

lower leg.<br />

Assignment:<br />

2. H<strong>and</strong> in the descriptions of the action observed for both<br />

individuals tested.<br />

3. What type of reflex is this?<br />

4. What type of receptor is stimulated in the patellar reflex?<br />

5. What is the effector for this reflex? Justify your response based on your observations.<br />

Figure 2. Patellar reflex test<br />

C. Achilles <strong>Reflex</strong> (Ankle Jerk)<br />

Procedure: (two persons)<br />

1. <strong>The</strong> subject can either lie down, with one knee bent crossing<br />

the foot over the other leg, or can be seated as for the patellar<br />

reflex test. Shoes <strong>and</strong> socks should be removed.<br />

2. Since the subject’s ankle must remain relaxed, you will need to<br />

hold their foot at a right angle before striking the Achilles<br />

tendon at the back of the ankle. (Figure 3)<br />

3. Observe the calf muscle <strong>and</strong> record the action (if any) of the<br />

foot. Where was movement observed?<br />

4. Wash your h<strong>and</strong>s with an ethanol-based sanitizer<br />

Figure 3. Achilles reflex test<br />

Assignment:<br />

6. H<strong>and</strong> in the descriptions of the action observed for both individuals tested. Describe what you observed. “no<br />

reflex” is not a description.<br />

<strong>Reflex</strong>es Lab 2


Copyright ©2004, <strong>The</strong> School of Medicine of the University of<br />

California, San Diego.<br />

D. Plantar <strong>Reflex</strong><br />

Procedure: (two persons)<br />

1. <strong>The</strong> subject should be lying down, (or seated <strong>and</strong> very relaxed) with legs in front of them <strong>and</strong> their knees<br />

slightly bent. <strong>The</strong> thigh should be rotated so that the outer side of the foot rests on a table (or chair). Shoes<br />

<strong>and</strong> socks should be removed.<br />

2. Applying firm (but not painful) pressure, draw the h<strong>and</strong>le end of the reflex hammer along the outside edge of<br />

the sole, starting at the heel <strong>and</strong> ending at the base of the big toe.<br />

3. Observe <strong>and</strong> record the movement of the toes. It may be necessary to test both feet.<br />

4. Wash your h<strong>and</strong>s with an ethanol-based sanitizer<br />

Note: It is possible that the subject will find the procedure uncomfortable (or that it tickles). <strong>The</strong> test will not work on such individuals.<br />

Assignment:<br />

7. H<strong>and</strong> in the descriptions of the action observed for both individuals tested.<br />

8. <strong>The</strong> reaction of this reflex is that the toes either move upwards or downwards. Which response is considered<br />

normal? (use your textbook as a guide) What would an abnormal response indicate?<br />

E. Biceps <strong>Reflex</strong><br />

Procedure: (one person)<br />

1. <strong>The</strong> subject should be seated at a table or a desk. <strong>The</strong><br />

elbow should be bent <strong>and</strong> the arm completely relaxed,<br />

resting either on your arm or the subject’s own lap.<br />

2. Gently press the biceps tendon in the antecubital fossa<br />

with your thumb (or forefinger), <strong>and</strong> strike your thumb<br />

with the reflex hammer. (Figure 4) Note: you should be<br />

able to feel the thick tendon with your thumb.<br />

3. Observe the biceps muscle for signs of movement. Ask<br />

the subject to describe any sensations felt.<br />

Note: the muscle contraction may not be strong enough to cause<br />

arm movements<br />

Figure 4. Biceps reflex test<br />

Assignment:<br />

9. H<strong>and</strong> in the description of the sensations experienced by the individual tested as well as any relevant<br />

observations.<br />

F. Pupillary Light <strong>Reflex</strong><br />

Procedure: (one person)<br />

1. Have one laboratory partner cover one eye. Briefly shine a light into the uncovered eye <strong>and</strong> observe the pupil.<br />

Assignment:<br />

10. Describe the change in the pupil before, during <strong>and</strong> after exposure to light.<br />

11. Identify each of the specific components of a reflex arc within the pupillary light reflex<br />

<strong>Reflex</strong>es Lab 3


Images from: http://medicine.ucsd.edu/clinicalmed/neuro3.htm<br />

ASSIGNMENT (due February 18, 2009)<br />

You are required to h<strong>and</strong> in one lab report per team. All lab reports must be typed.<br />

Write in the past tense when describing your own work.<br />

You are expected to work in collaboration with the other member(s) of your lab team.<br />

Avoid quotes <strong>and</strong>, of course, copying. Answer in your own words <strong>and</strong> cite ideas from references when appropriate.<br />

1. H<strong>and</strong> in the descriptions of all your observations of the reflex responses. Parameters you should consider when<br />

observing the subjects' reactions include: what moved (or what was felt), intensity, direction, <strong>and</strong> speed.<br />

2. Provide the answers to questions posed in each of the Assignment sections.<br />

3. Choose one of the reflex tests where two subjects were examined (knee jerk, ankle jerk, or plantar reflex) <strong>and</strong><br />

compare the responses of the two subjects. Your comparison should include features they have in common as<br />

well as ways that they differ. Provide one possible reason for why the two subjects had different responses <strong>and</strong><br />

provide support for your idea by citing a reliable reference.<br />

To improve your descriptions, try reading a description to someone not in the class <strong>and</strong> ask that person to “act out”<br />

what you have described. If they are unable to repeat the movements you have described, or if their movement is<br />

not what you expected, your description may be inaccurate or incomplete <strong>and</strong> needs to be clarified.<br />

Sample Marking Grid<br />

description of reactions<br />

(0.5) what moved or what was felt<br />

(0.5) intensity<br />

(0.5) direction of movement or area where sensation was felt<br />

(0.5) speed<br />

/2 Triceps reflex (muscle twitch)<br />

description<br />

/8 Patellar reflex (leg kicks)<br />

/2 description person 1<br />

/2 description person 2<br />

/1 type of reflex<br />

/1 name of receptor<br />

/2 effector<br />

named<br />

justified based on observations<br />

/4 Achilles reflex (ankle jerk)<br />

/2 description person 1<br />

/2 description person 2<br />

/6 Plantar reflex (toes move)<br />

/2 description person 1<br />

/2 description person 2<br />

/1 normal response – defined<br />

/1 abnormal response indicates ?<br />

/2 Biceps reflex (muscle twitch)<br />

description<br />

/7 Pupillary Light <strong>Reflex</strong><br />

/2 description<br />

/5 identify the reflex arc components<br />

/7 Comparison of responses of two subjects<br />

/2 common features<br />

/2 differences<br />

/3 possible reason for differences<br />

how was choice determined? (1)<br />

justification of choice<br />

data (1)<br />

reference (1)<br />

/4 Formatting, Grammar <strong>and</strong> Style<br />

/40 Total<br />

<strong>Reflex</strong>es Lab 4

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