Investigation to predict patellar tendon reflex using motion analysis technique

• Published in: Medical engineering & physics Vol. 33; no. 4; pp. 407 - 410
• Main Authors: Tham, L.K, Osman, N.A. Abu, Lim, K.S, Pingguan-Murphy, B, Abas, W.A.B. Wan, Zain, N. Mohd
• Format: Journal Article
• Language: English
• Published: Kidlington Elsevier Ltd 01-05-2011; Elsevier
• Subjects: Biological and medical sciences; Female; Fundamental and applied biological sciences. Psychology; Humans; Kinematics; Male; Mechanical Phenomena; Motion analysis; Motor control and motor pathways. Reflexes. Control centers of vegetative functions. Vestibular system and equilibration; Movement - physiology; Patellar Ligament - physiology; Patellar tendon reflex; Radiology; Reflex - physiology; Sex Characteristics; Vertebrates: body movement. Posture. Locomotion. Flight. Swimming. Physical exercise. Rest. Sports; Vertebrates: nervous system and sense organs; Young Adult; Patellar tendon reflex; Motion analysis; Kinematics; Human; Patellar reflex; Patellar tendon; Motion study; Technique; Biomedical engineering
• ISSN: 1350-4533; 1873-4030
• DOI: 10.1016/j.medengphy.2010.11.002

Abstract The investigation of patellar tendon reflex involves development of a reflex hammer holder, kinematic data collection and analysis of patellar reflex responses using motion analysis techniques. The main aim of this research is to explore alternative means of assessing reflexes as a part of routine clinical diagnosis. The motion analysis system was applied to provide quantitative data which is a more objective measure of the patellar tendon reflex. Kinematic data was collected from 28 males and 22 females whilst subjected to a knee jerk test. Further analysis of kinematic data was performed to predict relationships which might affect the patellar tendon reflex. All subjects were seated on a high stool with their legs hanging freely within the capture volume of the motion analysis system. Knee jerk tests were applied to all subjects, on both sides of the leg, by eliciting hypo, hyper, and normal reflexes. An additional reinforcement technique called the Jendrassik manoeuvre was also performed under the same conditions to elicit a normal patellar tendon reflex. The comparison of reflex response between genders showed that female subjects generally had a greater response compared to males. However, the difference in reflex response between the left leg and the right leg was not significant. Tapping strength to elicit a hyper-reflex produced greater knee-jerk compared to the normal clinical tapping strength. All results were in agreement with clinical findings and results found by some early researchers.