Deep Tendon Reflexes (Stanford Medicine 25)

[@monicaye]

Thanks for the great demonstration as always! In case you need a quick reference for a refresher: 1:00 & 3:00 Brachioradialis reflex (C5/C6) 1:12 & 3:15 Biceps reflex (C5/C6) 1:40 & 3:35 Triceps reflex (C6/7/8) (1st with zoom-in views on reflex responses, 2nd on muscle contractions) 2:30 Finger flexion reflex 4:00 Ankle reflex (S1) 4:25 Knee reflex 5:12 Ankle reflex in a recumbent position (S1)

[@Dr.Shahzaib96]

I was searching for knee reflex levels 😅i thought i wasn't attentive lol he missed it

[@mastergrim8579]

Honestly didn't there were students forgot that this is for studies

[@reido82]

I've watched a few of the Stanford videos and this doctor seems like he'd be such an amazing teacher. I'm not even interested in medicine and I'd want to take his class.

[@bethramsfranklin4452]

he is

[@DoctorsHub]

reido82: Of course, he is a wonderful teacher.

[@SuyashJ]

Doctors Hub he's a really famous writer too! What a fantastic teacher!

[@chrisryan5798]

Check out the vide he did with zdoggmd

[@EDarien]

I've learned more from him than my actual professors in PA school. Highly recommended and seeing the difference from a real ranked school vs 150th.

[@danielturski7620]

1.) The Doctor's name is Dr Abraham Verghese. He's a General Internist who works at Stanford. He also has a fabulous TED talk on the value of the physical exam. I highly recommend it. 2.) Re: the unprovoked reflex at 4:27 in this video, the gentleman being examined is still a "simulated patient", which means he's been hired to play the part. Consequently, there will be acting. But whether the hammer hit his patellar tendon or not, he's still performing the exam correctly - swinging the hammer correctly, and aiming it at the right spot.

[@dougspizman6751]

No need 2 watch. Doctors haven't done physical exams in 20 years. Its 3-5 min and your out of there. Its about patient volume now. If I watch his TED talk it will only exaggerate what is missing.

[@CrazyAsianDude]

@@dougspizman6751 It varies in your doctor's choice. And your doctor's specialty. And depends if you're in the clinic or hospital setting. Believe it or not there are still good doctors.

[@dougspizman6751]

@@CrazyAsianDude i believe you. I just haven't met any in office clinic or hospital. Or heard of any through friends or family. But thats just my experience.

[@dctork4855]

@@CrazyAsianDude 99

[@aeopmusic]

Goth punk drummer wasn't a good career choice. So I decided to volunteer my body for medical demos and experiments…

[@feslerae]

Everybody needs a day job.

[@ttrdf]

you were awesome there mate xD

[@docwolf1561]

😆😆

[@grneyz90]

BITCH WHATAATTTATATATATATA

[@JMB129]

Hahaha

[@ilanarayport2747]

I haven't been able to elicit most of the reflexes before, but I was able to do so after this. Thank you!

[@plopperator]

I'm glad they included incidental music on this video. I do like there to be a sense of drama in my ASMR videos.

[@tayzonday]

2:58 What is that beautiful brass music playing in the background?

[@glancehelmet6203]

what is chocolate rain man doing here

[@robkennedy3000]

@@glancehelmet6203 asking the real questions

[@erethjallsen8819]

@@glancehelmet6203 a very important question

[@Rambit]

It's Synth Brass.

[@cman4dayz328]

"A gift from the Gods!"

[@FearlessFlaw]

All it needs is Fight Fight Fight, Chevrolet, Zebra, Honesty and some good sandwich breath

[@reapzz9632]

You forgot this particular book D:

[@mosesslippers6370]

any double vision?

[@assassinpredator1]

Its a shame hes not wearing a navy suit for war

[@saz2707]

I’m glad that’s been established.

[@frankparent463]

I am deceased at the dramatic music in the background!

[@francescocenci6447]

sono andato molto bene in tutto il test, ho fatto 0.200 nel pulsante e 0.166 nel suono (14 anni) e anche se sono andato malissimo nei colori mi sono divertito e mi sento più sicuro di me, grazie, bel video

[@PumpkinHeadJim]

this is a popular asmr video, but if you listen closely, you can hear someone practicing a horn in another room.

[@Pr0methean117]

big pumkin head ass pretty sure that's the back ground music

[@EvanSaltare]

KennGaming ya think!?

[@sanpatriotki7588]

Yes, I have hired a musician in my neuro clinic to relax the patients and to get better DTRs. I highly recommend this to all neurologists and busy hospitals.

[@burkocet69]

big pumkin head ass jim dude it was pissing me off

[@artemis6828]

KennGaming r/youmissedthejoke

[@andreasenderoff4417]

we think you're really skilled at this!

[@DoctorsHub]

An awesome demonstration on deep tendon reflexes.

[@maxjach6056]

They didn't do that right; neither the doctor nor the patient got red in the face.

[@c4sh3w]

Because this is only reflexes and not strengh.

[@timelocked1366]

r/whooooosh for both of you some people don’t understand a fucking joke

[@harvey8130]

TimeLocked 13 I’m pretty sure both of them got the joke lol

[@acx2009]

Hold on. 4:27 - he doesn't even seem to make contact? that's some reflex.

[@TeetoPlastic]

You're right. That's frustrating. I guess the person in the demo's just a real people-pleaser.

[@musicaltheatergeek79]

Barba Ro, how do you mean?

[@TeetoPlastic]

How do I mean, what? The "people-pleaser" bit? Because it looks like he made a reflex action without any contact. Doing it for appearances and so the doctor "doesn't get upset." People-pleaser.

[@channelwonnews4322]

I'm sure the physician isn't a chump... however it would have been nice if the guy on the table 0:40 wouldn't a been such a cheating faker face~! How many other reflexes did he accentuate? I knew there was something funny about that reflex, but I didn't pause the video to analyze it. Peace.

[@ThatSexyCalculatorYT]

I noticed this to, and wondered if anyone else did, or if I was just crazy

[@sonsofbiscuits1]

I haven't seen one "Navy Suit for War". Disappointing...

[@finiansaccocio6281]

i have no reason to be watching this but i thoroughly enjoyed it

[@Drsahilsatpathy]

Thank you😊for many MBBS final exam easy

[@prathamk525]

Thank you to KZbin recommendations for bringing me here

[@vairagya108]

Hey the patient here looks like one of the docs in the other Standford25 videos!!

[@ado75]

Concise and excellent. Thank you.

[@rotcod2886]

Note: Deep tendon reflexes are still present in zombies.

[@shredlockholmes4408]

Also present in garden gnomes

[@TeetoPlastic]

They should disable comments because of nonsense like this.

[@rotcod2886]

(singing) A little nonsense now and then, is relished by the wisest men.

[@TeetoPlastic]

Rotcod Nonsense, though relished it may be, has no place when with the MD. Also: I think Neil Degrasse Tyson dispelled with zombie nonsense once and for all on the Daily Show. I invite you to find it for yourself.

[@melcat713]

Barba Ro Wow. Are you already an MD? I wouldn't go to you. Ever. Docs that think like you suck.

[@faha8812]

Thanks, it's a very straightforward video.

[@khan02ish]

today is my viva of medicine. thanku for the vid

[@cecigalvis2108]

What is the difference between tapping directy on the tendon and tapping over the examiner's thumb?

[@jakeabc123]

Tapping over the thumb helps you feel for contraction in case the reflex is diminished or trace and you can’t visibly see it well.

[@ruksanaakter5249]

can u make more videos on nervous examination please this one is awesome !!

[@jihanheo3859]

Thank you this video helped me a lot

[@dr.erawady7802]

May I share this on my page?it,s great to clearly demonstrate the right way and using the right tools.

[@StanfordMedicine25]

yes you are welcome to embed on your page using the KZbin share button. Thanks!

[@samanthawebb9621]

Thank you, very helpful! I enjoy all the Stanford Med Instructional videos.

[@williamwinder5011]

One thing of note. A doctor must be proficient in being able to elicit reflexes. It is never appropriate to say I'm no good at it, I just can't get them, and so forth. A doctor must be able to see the reflexes in all patients other than those who simply do not have those reflexes for one reason or another.

[@Kim-kd8or]

I agree. I had a Doctor do that with me on two different occations when i had a stroke this year at 32 saying oh i am not good at the reflexes or i do not have a hammer i am not good at them anyway i can just slap and see if we get anything!! With a stroke !! In neurology ! Can you imagine ! I am a senior nurse and perform them better ! I am still shocked about this.

[@motteherald]

Accidental asmr? Makes me go all tingley

[@hulkout9714]

Brilliant , simple and efficient

[@rachelr9126]

Could you tell me what the innervation is for the Radius Periost reflex, i know its C5- C6 but not the actual nerve like N. medianus. and the footsole reflex? The one that you move a sharp object on the lateral side of the bodem of the foot to the small toe. But for the rest a very good video THX!!!!

[@take2013japan]

How to extract achelles tendon reflex is very useful for me. In japan, this method is not taught.

[@rodrigoferreira1175]

4:27 Is it my impression or the patient delivered a contraction without actually being hit by the hammer?

[@MegaCaprice123]

Rodrigo Ferreira yes, I see that. The knee was not hit, yet there was a reflex.

[@MegaCaprice123]

Or the hit was really light,

[@Mareyes2525]

Yep, it looked awkward so I had to slow down the video to see. Seems like his patient was instructed to fake all the reflexes. Fail communication between the two.

[@rodrigoferreira1175]

Yes, I think that might have been the case. Even though these contractions are primarily involuntary, they provoke some inner instinct that makes us uncomfortable, and we don't want to feel that again. After all, our reflexes exist to protect us, and nobody gets protected if no harm is detected. So the reflexes might automate without physical, but emotional (fear) stimuli.

[@CemZoun]

Considering the frame rate is 30 fps it might just be an impression

[@abdullahmon6008]

Nice educational vid + Hammer advertisement

[@hbp437]

Triceps is c78 sir...also sir u forgot abt the plantar response which is an essential for neurological examination

[@haywardbrendan]

The Babinski is not a deep tendon reflex

[@UnoReversesTheCard]

It's all fun and games until the patient dodges the hammer.

[@sdharun1669]

Very well explanation 👏👍🏽sir thank you so much for your guidance and you had explained also for bedridden patient examination

[@gravityclarity]

This was very helpful!

[@ahmedbs1054]

Amazing video doctor, thanks a lot

[@domique1736]

Name a better duo, I’ll wait

[@noorullah1056]

My favurite teacher..love you sir and want to meet you☹☹

[@kp74952]

Can someone explain why the brachioradialis test seems to evoke motion at the wrist rather than the elbow, when brachioradialis is an elbow flexor and does not cross the wrist...?

[@lovingmesomeoutdoors8729]

reflex master

[@dzmeezyteezydude3664]

the music sounds like something that would be played at Captain America's funeral

[@ThoseGuysCT]

Duran Duran approves of this video

[@StanfordMedicine25]

:-)

[@markg.4246]

Is the Junior High band practicing in the parking lot?

[@Kim-kd8or]

Dr thank you for your videos. can i ask if a pronation drift ever goes away or is it there after months / year after inital stroke?

[@AjinkyaMaurya]

Much helpful! Thanks!

[@fahdb.altherwi1566]

Thnx a lot

[@shredlockholmes4408]

No problem

[@Groquick]

Nice ASMR :p

[@kumarswamymc433]

Thanks for beautiful demonstration 🙏🙏🙏

[@programmerx8455]

at 4:27 the 2nd hit if you watch at .25 speed looks like he doesnt hit :P

[@RemyVorender]

+Programmerx Behold! The power of suggestion!

[@paugraceem]

the hammer didn't even touch the skin

[@mariamistfire5482]

The hammer did.

[@connoriboi3160]

Maria Mistfire oh really? Did it really think again

[@immortalvivax8979]

I did the same thing :D

[@Efootballgoat777]

0:21 he did it before it was cool

[@remaibrah4727]

Thank you!

[@Guns_and_Saints]

4:25 You fooled him with his knee reflexes. You if the hammer at his knee, and he swung his knee.

[@som8733]

i suppose supinator reflex causes flexion of elbow rather than movement at wrist!

[@JohnSmith-yd2cu]

No way this guy's a real doctor.

[@shredlockholmes4408]

He's actually a garden gnome in disguise

[@smurfarooney2003]

John Smith i agree no self respecting english doctor would lose their dignity going to work in a sham health care country like america

[@efrainpp9657]

Good Video.

[@StephanReed1]

Is that Synester Gates?

[@harith6991]

One word : ASMR

[@T.K.91]

The music makes me think that I’m about witness ‘PERFECTION’ 😦

[@andrewmojzer2337]

And you can see he's still kicking.

[@G3NZC0R1LY]

😂😂😂

[@jeffd830-i8q]

i like his "often"

[@nouraali6502]

im going crazy the brachioradialis reflex wont go right .. thanks alot

[@shanehewson2403]

Background music to this video makes me feel like I'm playing Fallout

[@Michael-qb6qe]

Or made it to a safe spot in Resident Evil

[@christophermurray2534]

My girlfriend was born without her 1st cervical vertebrae. She was misdiagnosed and had a unnecessary brain surgery and they opted to remove her second and third cervical vertebrae because of chiari malformation and now she is in major pain so if anyone out there has any solution at at all other than pain killers I'd be greatly appreciative. I'm scheduling a kinesiologist appointment here in the near future but I'm just trying to get her out of pain. Thank you kindly

[@nagaratnamsuthakaran3639]

Thanks a lot sir

[@johnzkeePW]

A test of your reflexes

[@tonysorice5142]

doc i just had a reflex test by a orthopedic doctor my kness didnt bump he hit me few times ,what do you think any never damage.i live ur video by the way ,,

[@devika2545]

Were you able to see the moment the strike was going to land?

[@tonysorice5142]

@@devika2545 no why

[@fnes3465]

4:28 no contact was made but the reflex was activated?

[@الحجيهالحجيه-ش7ب]

thank you

[@JonathanFlores-hr1jl]

Net worth is based on public assets but it's a complete guess by seeing your things. Source: my buddy made a super successful streetwear brand and his is high but based on the little things he bought. Ei more money saved than spent

[@bretonkyle]

Are we sneaking around the Forsaken Fortress what is this music choice

[@EruannaP]

what's with the trumpets?

[@michaelhood2109]

The patient's gotta meet up with pony boy and johnny after this to rumble with a buncha soc's

[@premonitions1390]

mr cameraman, students need to see the exact location of the reflex hammer as it hits the tendon

[@ADjustinG2013]

those epic horns...

[@Cut_Travel_Repeat]

didn't quite get the finger flexion reflex 😐

[@-AndyWasson-]

Do you know how hard it is to find a video like this in 720p...I’m use to 240 potato.

[@lstrawaya6403]

Come from brachial plexus injury lecture in anatomy ❤️

[@vineethvishnu9975]

wonderful explanation sir.....

[@syedrafiqurrahman3874]

thank you sir

[@hessa7202]

Thanks🌹

[@crippanda6]

He hit him 50 times

[@RainerWinkelschleifer]

Normal day in Chicago...Sorry, Stanford.

[@gabrielesimionato1210]

That's the top of the rectangle, that's the bottom of the rectangle

[@Twilleh]

A TEST OF YOUR REFLEXES

[@nehemiah5220]

Ok but the volunteer patient is attractive tbvfh 🤣😍

[@channelwonnews4322]

Nice.

[@chemaha1]

how do you know the movement itself is not coming from the strike and not a reflex? its clear on some its a reflex but on others the reflex looks like it was the movement caused by the strike and not a reflex??

[@yeniden1155]

I have exactly same question on my mind.Wish someone explain it truely to us this issue

[@geol5448]

drinking game : drink a shot each time he says the word flex

[@prakashpanchal1856]

Good

[@bcm3938]

Nic Cage’s son is looking better these days.

[@Recyclablee]

I just got a reflex rest done and had almost none of the reflexes. Is it possible the doctor just hit the wrong bits?

[@AbbeyRoad52]

If we did this right usually the doctor and the patient get red in the face but I suspect this time only I got red in the face.

[@buddingsurgeon1360]

If finger flexion reflex is present only on one side , what does it indicate ?

[@PwnLogan]

I'm getting such a subtle Irish accent off the doctor

[@thomasskeffington4539]

Pwn Logan he is from Tipperary descent.

[@rituparnapaul8817]

Nice

[@sonia0735]

is he conscious?😢