Neurological Reflexes and Somatosensory Pathways Explained
Understanding Reflexes
A reflex is an involuntary motor response. The reflex arc follows this path: receptor → afferent nerve → CNS → efferent nerve → effector.
Deep Tendon Reflexes (Monosynaptic)
- Biceps (C5–C6, musculocutaneous): Elbow flexion.
- Triceps (C6–C7, radial): Elbow extension.
- Brachioradial (C5–C6, radial): Elbow flexion.
- Patellar (L3–L4, femoral): Knee extension.
- Achilles (S1–S2, tibial): Plantar flexion.
Superficial Reflexes (Polysynaptic)
- Corneal: CN V–VII.
- Abdominal: T7–T12.
- Cremasteric: L1–L2.
- Anal: S4–S5.
Plantar Reflex and Lesions
The normal plantar reflex results in toe flexion. A Babinski sign (big toe extension + fanning) indicates an Upper Motor Neuron (UMN) lesion.
- UMN Lesions: Hyperreflexia, clonus, Babinski