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In
biology Biology is the scientific study of life. It is a natural science with a broad scope but has several unifying themes that tie it together as a single, coherent field. For instance, all organisms are made up of cells that process hereditary i ...
, a reflex, or reflex action, is an involuntary, unplanned sequence or action and nearly instantaneous response to a stimulus. Reflexes are found with varying levels of complexity in organisms with a
nervous system In biology, the nervous system is the highly complex part of an animal that coordinates its actions and sensory information by transmitting signals to and from different parts of its body. The nervous system detects environmental changes th ...
. A reflex occurs via
neural pathways In neuroanatomy, a neural pathway is the connection formed by axons that project from neurons to make synapses onto neurons in another location, to enable neurotransmission (the sending of a signal from one region of the nervous system to an ...
in the nervous system called reflex arcs. A stimulus initiates a neural signal, which is carried to a synapse. The signal is then transferred across the synapse to a motor neuron which evokes a target response. These neural signals do not always travel to the brain, so many reflexes are an automatic response to a stimulus that does not receive or need conscious thought. Many reflexes are fine-tuned to increase organism survival and self-defense. This is observed in reflexes such as the
startle reflex In animals, including humans, the startle response is a largely unconscious defensive response to sudden or threatening stimuli, such as sudden noise or sharp movement, and is associated with negative affect.Rammirez-Moreno, David. "A computation ...
, which provides an automatic response to an unexpected stimuli, and the feline righting reflex, which reorients a cat's body when falling to ensure safe landing. The simplest type of reflex, a short-latency reflex, has a single synapse, or junction, in the signaling pathway. Long-latency reflexes produce nerve signals that are transduced across multiple synapses before generating the reflex response.


Types of human reflexes


Myotatic reflexes

The myotatic or muscle stretch reflexes (sometimes known as ''deep tendon reflexes'') provide information on the integrity of the
central nervous system The central nervous system (CNS) is the part of the nervous system consisting primarily of the brain and spinal cord. The CNS is so named because the brain integrates the received information and coordinates and influences the activity of all par ...
and
peripheral nervous system The peripheral nervous system (PNS) is one of two components that make up the nervous system of bilateral animals, with the other part being the central nervous system (CNS). The PNS consists of nerves and ganglia, which lie outside the brain ...
. This information can be detected using electromyography (EMG). Generally, decreased reflexes indicate a peripheral problem, and lively or exaggerated reflexes a central one. A stretch reflex is the contraction of a muscle in response to its lengthwise stretch. *
Biceps reflex Biceps reflex is a reflex test that examines the function of the C5 reflex arc and the C6 reflex arc. The test is performed by using a tendon hammer to quickly depress the biceps brachii tendon as it passes through the cubital fossa. Specifically ...
( C5, C6) * Brachioradialis reflex (C5, C6, C7) *
Extensor digitorum reflex The extensor digitorum reflex is tested as part of the neurological examination to assess the sensory and motor pathways within the C6 and C7 spinal nerves. It is also known as Braunecker-Effenberg reflex, or BER. Testing The test is performed by t ...
(C6, C7) *
Triceps reflex The triceps reflex, a deep tendon reflex, is a reflex as it elicits involuntary contraction of the triceps brachii muscle. It is initiated by the Cervical (of the neck region) spinal nerve 7 nerve root (the small segment of the nerve that emerges ...
(C6, C7, C8) *
Patellar reflex The patellar reflex, also called the knee reflex or knee-jerk, is a stretch reflex which tests the L2, L3, and L4 segments of the spinal cord. Mechanism Striking of the patellar tendon with a reflex hammer just below the patella stretches the mus ...
or knee-jerk reflex ( L2, L3, L4) *
Ankle jerk reflex The ankle jerk reflex, also known as the Achilles reflex, occurs when the Achilles tendon is tapped while the foot is dorsiflexed. It is a type of stretch reflex that tests the function of the gastrocnemius muscle and the nerve that supplies it. ...
(Achilles reflex) ( S1, S2) While the reflexes above are stimulated mechanically, the term
H-reflex The H-reflex (or Hoffmann's reflex) is a reflectory reaction of muscles after electrical stimulation of sensory fibers (Ia afferents stemming from muscle spindles) in their innervating nerves (for example, those located behind the knee). The H-re ...
refers to the analogous reflex stimulated electrically, and
tonic vibration reflex Tonic vibration reflex is a sustained contraction of a muscle subjected to vibration. This reflex is caused by vibratory activation of muscle spindles — muscle receptors sensitive to stretch. Tonic vibration reflex is evoked by placing a vibr ...
for those stimulated to vibration.


Tendon reflex

A
tendon reflex Tendon reflex (or T-reflex) may refer to: *The stretch reflex or muscle stretch reflex (MSR), when the stretch is created by a blow upon a muscle tendon. This is the commonly used definition of the term. Albeit a misnomer, in this sense a common ...
is the contraction of a muscle in response to striking its tendon. The
Golgi tendon reflex The Golgi tendon reflex (also called inverse stretch reflex, autogenic inhibition, tendon reflex) is an inhibitory effect on the muscle resulting from the muscle tension stimulating Golgi tendon organs (GTO) of the muscle, and hence it is self-indu ...
is the inverse of a stretch reflex.


Reflexes involving cranial nerves


Reflexes usually only observed in human infants

Newborn babies An infant or baby is the very young offspring of human beings. ''Infant'' (from the Latin word ''infans'', meaning 'unable to speak' or 'speechless') is a formal or specialised synonym for the common term ''baby''. The terms may also be used to ...
have a number of other reflexes which are not seen in adults, referred to as primitive reflexes. These automatic reactions to stimuli enable infants to respond to the environment before any learning has taken place. They include: *
Asymmetrical tonic neck reflex The asymmetrical tonic neck reflex (ATNR) is a primitive reflex found in newborn humans that normally vanishes around 6 months of age. It is also known as the bow and arrow or "fencing reflex" because of the characteristic position of the infant ...
(ATNR) *
Palmomental reflex The palmomental reflex (PMR) or Marinesco-Radovici Sign or Kinn reflex or Marinesco Reflex is a primitive reflex consisting of a twitch of the chin muscle elicited by stroking a specific part of the palm. It is present in infancy and disappears as t ...
*
Moro reflex The Moro reflex is an infantile reflex that develops between 28 and 32 weeks of gestation and disappears at 3–6 months of age. It is a response to a sudden loss of support and involves three distinct components: # spreading out the arms ( abdu ...
, also known as the startle reflex *
Palmar grasp reflex Palmar grasp reflex (or grasp reflex) is a primitive and involuntary reflex found in infants of humans and most primates. When an object, such as an adult finger, is placed in an infant's palm, the infant's fingers reflexively grasp the object. ...
*
Rooting reflex Primitive reflexes are reflex actions originating in the central nervous system that are exhibited by normal infants, but not neurologically intact adults, in response to particular stimuli. These reflexes are suppressed by the development of the f ...
*
Sucking reflex Primitive reflexes are reflex actions originating in the central nervous system that are exhibited by normal infants, but not neurologically intact adults, in response to particular stimuli. These reflexes are suppressed by the development of the f ...
*
Symmetrical tonic neck reflex The symmetrical tonic neck reflex (STNR) is a primitive reflex that normally emerges during the first month of an infant's life and is diminished by the age of 9–10 months. It is a bridging or transitional brainstem reflex that is an important ...
(STNR) *
Tonic labyrinthine reflex The tonic labyrinthine reflex (TLR) is a primitive reflex found in newborn humans. With this reflex, tilting the head back while lying on the back causes the back to stiffen and even arch backwards, the legs to straighten, stiffen, and push togethe ...
(TLR)


Other kinds of reflexes

Other reflexes found in the central nervous system include: * Abdominal reflexes (T6-L1) *
Gastrocolic reflex The gastrocolic reflex or gastrocolic response is a physiological reflex that controls the motility, or peristalsis, of the gastrointestinal tract following a meal. It involves an increase in motility of the colon consisting primarily of giant mi ...
* Anocutaneous reflex (S2-S4) *
Baroreflex The baroreflex or baroreceptor reflex is one of the body's homeostatic mechanisms that helps to maintain blood pressure at nearly constant levels. The baroreflex provides a rapid negative feedback loop in which an elevated blood pressure causes the ...
* Cough reflex * Cremasteric reflex (L1-L2) *
Diving reflex The diving reflex, also known as the diving response and mammalian diving reflex, is a set of physiological responses to immersion that overrides the basic homeostatic reflexes, and is found in all air-breathing vertebrates studied to date. It opt ...
*
Lazarus sign The Lazarus sign or Lazarus reflex is a reflex movement in brain-dead or brainstem failure patients, which causes them to briefly raise their arms and drop them crossed on their chests (in a position similar to some Egyptian mummies). The phenome ...
*
Muscular defense Muscular defense is a reflex of the abdominal muscles to contract upon mechanical force to the abdomen, and serves as protection. It is a visceromotor reflex, since the parietal peritoneum and viscera are involved in generating the reflex.A. V. Li ...
*
Photic sneeze reflex The photic sneeze reflex (also known as Autosomal Dominant Compelling Helio-Ophthalmic Outburst (ACHOO) syndrome or photoptarmosis, of the combining form from Ancient Greek φῶς, ''phōs'', "light" and πταρμός, ''ptarmós'', "sneeze", ...
*
Scratch reflex The scratch reflex is a response to activation of sensory neurons whose peripheral terminals are located on the surface of the body.Stein, P. S. G. (1983). The vertebrate scratch reflex. Symposia of the Society for Experimental Biology(37), 383 ...
* Sneeze *
Startle reflex In animals, including humans, the startle response is a largely unconscious defensive response to sudden or threatening stimuli, such as sudden noise or sharp movement, and is associated with negative affect.Rammirez-Moreno, David. "A computation ...
*
Withdrawal reflex The withdrawal reflex (nociceptive flexion reflex or flexor withdrawal reflex) is a spinal reflex intended to protect the body from damaging stimuli. The reflex rapidly coordinates the contractions of all the flexor muscles and the relaxations of ...
**
Crossed extensor reflex The crossed extensor reflex or crossed extensor response or crossed extension reflex is a reflex in which the contralateral limb compensates for loss of support when the ipsilateral limb withdraws from painful stimulus in a withdrawal reflex. Duri ...
Many of these reflexes are quite complex requiring a number of synapses in a number of different nuclei in the CNS (e.g., the
escape reflex Escape reflex, or escape behavior, is any kind of escape response found in an animal when it is presented with an unwanted stimulus. It is a simple reflectory reaction in response to stimuli indicative of danger, that initiates an escape motion of ...
). Others of these involve just a couple of synapses to function (e.g., the
withdrawal reflex The withdrawal reflex (nociceptive flexion reflex or flexor withdrawal reflex) is a spinal reflex intended to protect the body from damaging stimuli. The reflex rapidly coordinates the contractions of all the flexor muscles and the relaxations of ...
). Processes such as
breath Breathing (or ventilation) is the process of moving air into and from the lungs to facilitate gas exchange with the internal environment, mostly to flush out carbon dioxide and bring in oxygen. All aerobic creatures need oxygen for cellular ...
ing, digestion, and the maintenance of the
heartbeat A heartbeat is one cardiac cycle of the heart. Heartbeat, heart beat, heartbeats, and heart beats may refer to: Computing *Heartbeat (computing), a periodic signal to indicate normal operation or to synchronize parts of a system *Heartbeat, clus ...
can also be regarded as reflex actions, according to some definitions of the term.


Grading

In
medicine Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care pract ...
, reflexes are often used to assess the health of the
nervous system In biology, the nervous system is the highly complex part of an animal that coordinates its actions and sensory information by transmitting signals to and from different parts of its body. The nervous system detects environmental changes th ...
.
Doctors Doctor or The Doctor may refer to: Personal titles * Doctor (title), the holder of an accredited academic degree * A medical practitioner, including: ** Physician ** Surgeon ** Dentist ** Veterinary physician ** Optometrist *Other roles ** ...
will typically grade the activity of a reflex on a scale from 0 to 4. While 2+ is considered normal, some healthy individuals are hypo-reflexive and register all reflexes at 1+, while others are hyper-reflexive and register all reflexes at 3+.


Reflex modulation

Naively, we might imagine that reflexes are immutable. In reality, however, most reflexes are flexible and can be substantially modified to match the requirements of the behavior in both vertebrates and invertebrates. A good example of reflex modulation is the stretch reflex. When a muscle is stretched at rest, the stretch reflex leads to contraction of the muscle, thereby opposing stretch (resistance reflex). This helps to stabilize posture. During voluntary movements, however, the intensity (gain) of the reflex is reduced or its sign is even reversed. This prevents resistance reflexes from impeding movements. The underlying sites and mechanisms of reflex modulation are not fully understood. There is evidence that the output of sensory neurons is directly modulated during behavior—for example, through
presynaptic inhibition Presynaptic inhibition is a phenomenon in which an inhibitory neuron provides synaptic input to the axon of another neuron ( axo-axonal synapse) to make it less likely to fire an action potential. Presynaptic inhibition occurs when an inhibitory ne ...
. The effect of sensory input upon motor neurons is also influenced by interneurons in the
spinal cord The spinal cord is a long, thin, tubular structure made up of nervous tissue, which extends from the medulla oblongata in the brainstem to the lumbar region of the vertebral column (backbone). The backbone encloses the central canal of the spi ...
or
ventral nerve cord The ventral nerve cord is a major structure of the invertebrate central nervous system. It is the functional equivalent of the vertebrate spinal cord. The ventral nerve cord coordinates neural signaling from the brain to the body and vice versa, in ...
and by descending signals from the brain.


Other reflexes

Breathing can also be considered both involuntary and voluntary, since breath can be held through
internal intercostal muscles The internal intercostal muscles (intercostales interni) are a group of skeletal muscles located between the ribs. They are eleven in number on either side. They commence anteriorly at the sternum, in the intercostal spaces between the cartila ...
.


See also

* All-or-none law *
Automatic behavior Automatic behavior, from the Greek ''automatos'' or self-acting, is the spontaneous production of often purposeless verbal or motor behavior without conscious self-control or self-censorship. This condition can be observed in a variety of context ...
*
Conditioned reflex Classical conditioning (also known as Pavlovian or respondent conditioning) is a behavioral procedure in which a biologically potent stimulus A stimulus is something that causes a physiological response. It may refer to: *Stimulation **Stimulus ...
*
Instinct Instinct is the inherent inclination of a living organism towards a particular complex behaviour, containing both innate (inborn) and learned elements. The simplest example of an instinctive behaviour is a fixed action pattern (FAP), in which a v ...
* Jumping Frenchmen of Maine *
List of reflexes (alphabetical) A list of reflexes in humans. *Abdominal reflex *Accommodation reflex — coordinated changes in the vergence, lens shape and pupil size when looking at a distant object after a near object. *Acoustic reflex or attenuation reflex — contraction ...
* Preflexes * Voluntary action


References

{{Authority control Reflexes Animal physiology