To Assess Spinal Levels L2, L3 and L4 in Tina, Which Deep Tendon Reflexes Would Have To Be Tested?

When assessing spinal levels L2, L3 and L4 in a patient, it is important to understand the deep tendon reflexes (DTRs) that are associated with each level. DTRs are important in determining the condition of the patient’s spine, helping to identify abnormalities and alerting to potential problems. In order to properly assess Tina’s spinal levels L2, L3 and L4, three different deep tendon reflexes must be tested.

Deep Tendon Reflexes that Must Be Tested

When assessing spinal levels L2, L3 and L4 in Tina, the deep tendon reflexes that must be tested are the Hoffmann, Babinski and Achilles reflexes. The Hoffmann reflex is a deep tendon reflex that is associated with the L3 spinal level, and can be tested by tapping the Achilles tendon and measuring the response in the flexor muscles of the feet. The Babinski reflex is associated with the L2 spinal level, and can be tested by running a flat object along the sole of the foot. Lastly, the Achilles reflex is associated with the L4 spinal level, and can be tested by tapping the Achilles tendon and measuring the response in the triceps surae muscles of the lower leg.

Testing Procedure for Tina

The testing procedure for assessing Tina’s spinal levels L2, L3 and L4 should start with the Babinski reflex, as it is associated with the L2 level. The Babinski reflex should be tested by running a flat object along the sole of the foot, and observing for a response in the toes. Once the Babinski reflex has been tested, the Hoffmann reflex associated with the L3 level should be tested by tapping the Achilles tendon and observing for a response in the flexor muscles of the feet. Lastly, the Achilles reflex associated with the L4 level should be tested by tapping the Achilles tendon and observing for a response in the triceps surae muscles of the lower leg.

Conclusion

When assessing spinal levels L2, L3 and L4 in a patient, it is essential to understand the deep tendon reflexes associated with each level. In the case of Tina, the Hoffmann, Babinski and Achilles reflexes must be tested in order to assess her spinal levels. The testing procedure should start with the Babinski reflex, followed by the Hoffmann reflex and lastly, the Achilles reflex. By conducting these reflexes, vital information can be gathered regarding the condition of Tina’s spine.