Laboratory Exercise – The Human Body The Reflex Arc adapted from: Hole, J.W. 1990."The Reflex Arc and Reflexes" In: Laboratory Manual Human Anatomy and Physiology 5 th Edition. Wm. C. Brown Publishers:Dubuque. OBJECTIVES: To introduce students to some reflex responses. To provide students with the opportunity to practice describing their observations and interpreting results. PRELAB: Students are expected to read and become familiar with the lab procedure. You may also find it useful to examine the sections of your textbook dealing with reflexes as well as web resources listed on the human bio web page http://web2.slc.qc.ca/adera/human.htm . TESTS: Test each of the following reflexes on one or two members of your lab team. Observe and record the response to each reflex test. Descriptions of the reactions should include many parameters including: what moved? intensity of movement direction of movement speed of movement or what was felt? intensity of feeling area of feeling how fast did the feeling spread? Copyright ©2004, The School of Medicine of the University of California, San Diego. A. Triceps Reflex Procedure: (one person) 1. Raise and support the subject’s arm so that the elbow is at shoulder height. The arm should be completely relaxed. Alternatively, have the subject place their hand on their hip. Using this position, it may be easier to illicit a reflex but it would not be possible for the arm to actually move. 2. Strike the triceps tendon about 5 cm above the elbow. (Figure 1) If there is no response, repeat this procedure, striking to either side of the original point. 3. Observe the triceps muscle for signs of movement. Ask the subject to describe any sensations felt. Figure 1. Triceps reflex test Note: the muscle contraction may not be strong enough to cause arm movements Assignment: 1. Hand in the description of the sensations experienced by the individual tested as well as any relevant observations. Describe what you observed. “no reflex” is not a description. Reflexes Lab 1 Procedure: (two persons) 1. The subject should sit comfortably with legs hanging down over the edge of a table (not touching the floor). The thigh muscles should be relaxed. 2. Use the broad side of a reflex hammer to strike the patellar tendon, just below the patella (kneecap). (Figure 2) 3. Observe the thigh muscle and record the action (if any) of the lower leg. Assignment: 2. Hand in the descriptions of the action observed for both individuals tested. 3. What type of reflex is this? Figure 2. Patellar reflex test 4. What type of receptor is stimulated in the patellar reflex? 5. What is the effector for this reflex? Justify your response based on your observations. Copyright ©2004, The School of Medicine of the University of California, San Diego. B. Patellar Reflex (Knee Jerk) Copyright ©2004, The School of Medicine of the University of California, San Diego. C. Achilles Reflex (Ankle Jerk) Procedure: (two persons) 1. The subject can either lie down, with one knee bent crossing the foot over the other leg, or can be seated as for the patellar reflex test. Shoes and socks should be removed. 2. Since the subject’s ankle must remain relaxed, you will need to hold their foot at a right angle before striking the Achilles tendon at the back of the ankle. (Figure 3) 3. Observe the calf muscle and record the action (if any) of the foot. Where was movement observed? 4. Wash your hands with an ethanol-based sanitizer Figure 3. Achilles reflex test Assignment: 6. Hand in the descriptions of the action observed for both individuals tested. Describe what you observed. “no reflex” is not a description. Reflexes Lab 2 D. Plantar Reflex Procedure: (two persons) 1. The subject should be lying down, (or seated and very relaxed) with legs in front of them and their knees slightly bent. The thigh should be rotated so that the outer side of the foot rests on a table (or chair). Shoes and socks should be removed. 2. Applying firm (but not painful) pressure, draw the handle end of the reflex hammer along the outside edge of the sole, starting at the heel and ending at the base of the big toe. 3. Observe and record the movement of the toes. It may be necessary to test both feet. 4. Wash your hands with an ethanol-based sanitizer Note: It is possible that the subject will find the procedure uncomfortable (or that it tickles). The test will not work on such individuals. Assignment: 7. Hand in the descriptions of the action observed for both individuals tested. 8. The reaction of this reflex is that the toes either move upwards or downwards. Which response is considered normal? (use your textbook as a guide) What would an abnormal response indicate? Copyright ©2004, The School of Medicine of the University of California, San Diego. E. Biceps Reflex Procedure: (one person) 1. The subject should be seated at a table or a desk. The elbow should be bent and the arm completely relaxed, resting either on your arm or the subject’s own lap. 2. Gently press the biceps tendon in the antecubital fossa with your thumb (or forefinger), and strike your thumb with the reflex hammer. (Figure 4) Note: you should be able to feel the thick tendon with your thumb. 3. Observe the biceps muscle for signs of movement. Ask the subject to describe any sensations felt. Note: the muscle contraction may not be strong enough to cause arm movements Figure 4. Biceps reflex test Assignment: 9. Hand in the description of the sensations experienced by the individual tested as well as any relevant observations. F. Pupillary Light Reflex Procedure: (one person) 1. Have one laboratory partner cover one eye. Briefly shine a light into the uncovered eye and observe the pupil. Assignment: 10. Describe the change in the pupil before, during and after exposure to light. 11. Identify each of the specific components of a reflex arc within the pupillary light reflex Reflexes Lab 3 Images from: http://medicine.ucsd.edu/clinicalmed/neuro3.htm ASSIGNMENT (due February 18, 2009) You are required to hand in one lab report per team. All lab reports must be typed. Write in the past tense when describing your own work. You are expected to work in collaboration with the other member(s) of your lab team. Avoid quotes and, of course, copying. Answer in your own words and cite ideas from references when appropriate. 1. Hand in the descriptions of all your observations of the reflex responses. Parameters you should consider when observing the subjects' reactions include: what moved (or what was felt), intensity, direction, and speed. 2. Provide the answers to questions posed in each of the Assignment sections. 3. Choose one of the reflex tests where two subjects were examined (knee jerk, ankle jerk, or plantar reflex) and compare the responses of the two subjects. Your comparison should include features they have in common as well as ways that they differ. Provide one possible reason for why the two subjects had different responses and provide support for your idea by citing a reliable reference. To improve your descriptions, try reading a description to someone not in the class and ask that person to “act out” what you have described. If they are unable to repeat the movements you have described, or if their movement is not what you expected, your description may be inaccurate or incomplete and needs to be clarified. Sample Marking Grid description of reactions (0.5) what moved or what was felt (0.5) intensity (0.5) direction of movement or area where sensation was felt (0.5) speed /2 Triceps reflex (muscle twitch) description /8 Patellar reflex (leg kicks) /2 description person 1 /2 description person 2 /1 type of reflex /1 name of receptor /2 effector named justified based on observations /7 Comparison of responses of two subjects /2 common features /2 differences /3 possible reason for differences how was choice determined? (1) justification of choice data (1) reference (1) /4 Formatting, Grammar and Style /4 Achilles reflex (ankle jerk) /2 description person 1 /2 description person 2 /6 Plantar reflex (toes move) /2 description person 1 /2 description person 2 /1 normal response – defined /1 abnormal response indicates ? /40 Total /2 Biceps reflex (muscle twitch) description /7 Pupillary Light Reflex /2 description /5 identify the reflex arc components Reflexes Lab 4
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