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Reflex Hammer
A reflex hammer is a medical instrument used by practitioners to test deep tendon reflexes. Testing for reflexes is an important part of the neurological physical examination in order to detect abnormalities in the central or peripheral nervous system. Reflex hammers can also be used for chest percussion.Swartz MH. ''Textbook of Physical Diagnosis: History and Examination.'' Third edition. Philadelphia: WB Saunders; 1998 Models of reflex hammer Prior to the development of specialized reflex hammers, hammers specific for percussion of the chest were used to elicit reflexes.Lanska DJ. The history of reflex hammers. ''Neurology''. 1989 Nov;39(11):1542-9. However, this proved to be cumbersome, as the weight of the chest percussion hammer was insufficient to generate an adequate stimulus for a reflex. Starting in the late 19th century, several models of specific reflex hammers were created: *The Taylor or tomahawk reflex hammer was designed by John Madison Taylor in 1888 and ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Plantar Reflex
The plantar reflex is a reflex elicited when the sole of the foot is stimulated with a blunt instrument. The reflex can take one of two forms. In healthy adults, the plantar reflex causes a downward response of the hallux (flexion). An upward response (extension) of the hallux is known as the Babinski response or Babinski sign, named after the neurologist Joseph Babinski. The presence of the Babinski sign can identify disease of the spinal cord and brain in adults, and also exists as a primitive reflex in infants. While first described in the medical literature by Babinski in 1896, the reflex has been identified in art at least as early as Botticelli's '' Virgin and Child with an Angel'', painted in the mid- 15th century. Methods The lateral side of the sole of the foot is rubbed with a blunt instrument or device so as not to cause pain, discomfort, or injury to the skin; the instrument is run from the heel along a curve to the toes (metatarsal pads). Many reflex hammers ta ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Gravity
In physics, gravity () is a fundamental interaction which causes mutual attraction between all things with mass or energy. Gravity is, by far, the weakest of the four fundamental interactions, approximately 1038 times weaker than the strong interaction, 1036 times weaker than the electromagnetic force and 1029 times weaker than the weak interaction. As a result, it has no significant influence at the level of subatomic particles. However, gravity is the most significant interaction between objects at the macroscopic scale, and it determines the motion of planets, stars, galaxies, and even light. On Earth, gravity gives weight to physical objects, and the Moon's gravity is responsible for sublunar tides in the oceans (the corresponding antipodal tide is caused by the inertia of the Earth and Moon orbiting one another). Gravity also has many important biological functions, helping to guide the growth of plants through the process of gravitropism and influencing the circ ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Perpendicular
In elementary geometry, two geometric objects are perpendicular if they intersect at a right angle (90 degrees or π/2 radians). The condition of perpendicularity may be represented graphically using the ''perpendicular symbol'', ⟂. It can be defined between two lines (or two line segments), between a line and a plane, and between two planes. Perpendicularity is one particular instance of the more general mathematical concept of '' orthogonality''; perpendicularity is the orthogonality of classical geometric objects. Thus, in advanced mathematics, the word "perpendicular" is sometimes used to describe much more complicated geometric orthogonality conditions, such as that between a surface and its '' normal vector''. Definitions A line is said to be perpendicular to another line if the two lines intersect at a right angle. Explicitly, a first line is perpendicular to a second line if (1) the two lines meet; and (2) at the point of intersection the straight angle on one side ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Arc (geometry)
In mathematics, a curve (also called a curved line in older texts) is an object similar to a line, but that does not have to be straight. Intuitively, a curve may be thought of as the trace left by a moving point. This is the definition that appeared more than 2000 years ago in Euclid's ''Elements'': "The urvedline is €¦the first species of quantity, which has only one dimension, namely length, without any width nor depth, and is nothing else than the flow or run of the point which €¦will leave from its imaginary moving some vestige in length, exempt of any width." This definition of a curve has been formalized in modern mathematics as: ''A curve is the image of an interval to a topological space by a continuous function''. In some contexts, the function that defines the curve is called a ''parametrization'', and the curve is a parametric curve. In this article, these curves are sometimes called ''topological curves'' to distinguish them from more constrained curves such a ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Stimulus (physiology)
In physiology, a stimulus is a detectable change in the physical or chemical structure of an organism's internal or external environment. The ability of an organism or organ to detect external stimuli, so that an appropriate reaction can be made, is called sensitivity (excitability). Sensory receptors can receive information from outside the body, as in touch receptors found in the skin or light receptors in the eye, as well as from inside the body, as in chemoreceptors and mechanoreceptors. When a stimulus is detected by a sensory receptor, it can elicit a reflex via stimulus transduction. An internal stimulus is often the first component of a homeostatic control system. External stimuli are capable of producing systemic responses throughout the body, as in the fight-or-flight response. In order for a stimulus to be detected with high probability, its level of strength must exceed the absolute threshold; if a signal does reach threshold, the information is transmitted to ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Hyporeflexia
Hyporeflexia is the reduction or absence of normal bodily reflexes (areflexia). It can be detected through the use of a reflex hammer and is the opposite of hyperreflexia. Hyporeflexia is generally associated with a deficit in the lower motor neurons (at the alpha motor neurons from spinal cord to muscle), whereas hyperreflexia is often attributed to lesions in the upper motor neurons (along the long, motor tracts from the brain). The upper motor neurons are thought to inhibit the reflex arc, which is formed by sensory neurons from intrafusal fibers of muscles, lower motor neurons (including alpha and gamma motor fibers) and appurtenant interneurons. Therefore, damage to lower motor neurons will subsequently result in hyporeflexia and/or areflexia. In spinal shock, which is commonly seen in the transection of the spinal cord (Spinal cord injury), areflexia can transiently occur below the level of the lesion and can later become hyperreflexic. Cases of severe muscle atrophy or de ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Hyperreflexia
Hyperreflexia is overactive or overresponsive bodily reflexes. Examples of this include twitching and spastic tendencies, which indicate upper disease of the upper motor neurons and the lessening or loss of control ordinarily exerted by higher brain centers of lower neural pathways (disinhibition). The most common cause of hyperreflexia is spinal-cord injury (''see'' " Autonomic dysreflexia"). Standard stimuli, such as the filling of the bladder, can cause excessive responses from the nervous system; the causes are not known. Hyperreflexia also has many other causes, including the side effects of drugs and stimulants; hyperthyroidism; electrolyte imbalance; serotonin syndrome; severe brain trauma; multiple sclerosis; Reye syndrome; and preeclampsia. Treatment depends on the cause of the hyperreflexia. If drugs cause it, treatment may require that they not be used. Recovery from hyperreflexia can occur several hours to several months after a spinal-cord injury; the phase o ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Myotonia
Myotonia is a symptom of a small handful of certain neuromuscular disorders characterized by delayed relaxation (prolonged contraction) of the skeletal muscles after voluntary contraction or electrical stimulation. Myotonia is the defining symptom of many channelopathies such as myotonia congenita, paramyotonia congenita and myotonic dystrophy. Generally, repeated contraction of the muscle can alleviate the myotonia and relax the muscles thus improving the condition, however, this is not the case in paramyotonia congenita. This phenomenon is known as the "warm-up" reflex and is not to be confused with warming up before exercise, though they may appear similar. Individuals with the disorder may have trouble releasing their grip on objects or may have difficulty rising from a sitting position and a stiff, awkward gait. Myotonia can affect all muscle groups; however, the pattern of affected muscles can vary depending on the specific disorder involved. People with disorders involvi ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Ernst Trömner
Ernst Tr̦mner (24 August 1868 Р27 May 1930) was a German neurologist who was a native of Meerane in the Kingdom of Saxony. In 1893 he earned his medical doctorate at Leipzig, and was later director of the neurological department of St. Georg Hospital in Hamburg. He designed the Tr̦mner reflex hammer, a popular reflex hammer that is used for evoking cutaneous and myotatic responses. His name is also associated with "Tr̦mner's reflex" of which, with the fingers of the patient partially flexed, the tapping of the volar aspect of the tip of the middle or index finger causes flexion of all four fingers and thumb. This phenomenon is associated with pyramidal tract lesions with moderate spasticity Spasticity () is a feature of altered skeletal muscle performance with a combination of paralysis, increased tendon reflex activity, and hypertonia. It is also colloquially referred to as an unusual "tightness", stiffness, or "pull" of muscles .... References Mondofacto Dic ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Vienna
en, Viennese , iso_code = AT-9 , registration_plate = W , postal_code_type = Postal code , postal_code = , timezone = CET , utc_offset = +1 , timezone_DST = CEST , utc_offset_DST = +2 , blank_name = Vehicle registration , blank_info = W , blank1_name = GDP , blank1_info = € 96.5 billion (2020) , blank2_name = GDP per capita , blank2_info = € 50,400 (2020) , blank_name_sec1 = HDI (2019) , blank_info_sec1 = 0.947 · 1st of 9 , blank3_name = Seats in the Federal Council , blank3_info = , blank_name_sec2 = GeoTLD , blank_info_sec2 = .wien , website = , footnotes = , image_blank_emblem = Wien logo.svg , blank_emblem_size = Vienna ( ; german: Wien ; ba ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Black Tie
Black tie is a semi-formal Western dress code for evening events, originating in British and American conventions for attire in the 19th century. In British English, the dress code is often referred to synecdochically by its principal element for men, the dinner suit or dinner jacket. In American English, the equivalent term tuxedo (or tux) is common. The dinner suit is a black, midnight blue or white two- or three-piece suit, distinguished by satin or grosgrain jacket lapels and similar stripes along the outseam of the trousers. It is worn with a white dress shirt with standing or turndown collar and link cuffs, a black bow tie, typically an evening waistcoat or a cummerbund, and black patent leather dress shoes or court pumps. Accessories may include a semi-formal homburg, bowler, or boater hat. For women, an evening gown or other fashionable evening attire may be worn. The first dinner jacket is traditionally traced to 1865 on the then Prince of Wales, later King Edward V ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
