Template:Reflexes in Radiculopathies

From WikiMSK

Localising Value of Diminished Reflexes in Radiculopathies[1][2][3]
Radiculopathy Absent Reflex +LR for any root level +LR for representative level
C5-C6 Biceps 10[2] 1.4 - 4.9[2]
C5, C6, C7 Brachioradialis 8[2] 1.2 - 2.83[2]
C7 Triceps 2[2] 0.4 - 1.75[2]
L3 or L4 Quadriceps 42.5[3] 6.21 for L3/4 herniation†[3]
L5 Medial Hamstring 18[3] 5.16 for L4/5 herniation†[3]
S1 Achilles 6[3] 4.33 for L5/S1 herniation†[3]
LRs calculated from figures provided in study.
  1. McGee, Steven R. Evidence-based physical diagnosis. Philadelphia, PA: Elsevier, 2018.
  2. 2.0 2.1 2.2 2.3 2.4 2.5 2.6 Yousif MS, Occhipinti G, Bianchini F, Feller D, Schmid AB, Mourad F. Neurological examination for cervical radiculopathy: a scoping review. BMC Musculoskelet Disord. 2025 Apr 5;26(1):334. doi: 10.1186/s12891-025-08560-9. PMID: 40188056; PMCID: PMC11971784.
  3. 3.0 3.1 3.2 3.3 3.4 3.5 3.6 Esene IN, Meher A, Elzoghby MA, El-Bahy K, Kotb A, El-Hakim A. Diagnostic performance of the medial hamstring reflex in L5 radiculopathy. Surg Neurol Int. 2012;3:104. doi: 10.4103/2152-7806.100862. Epub 2012 Sep 13. PMID: 23087820; PMCID: PMC3475886.