What is the meaning of abnormal radial membrane reflex?

summary

Radial membrane reflex is the reflex of percussion on styloid process of radius, flexion of elbow, finger and pronation of elbow joint. The patient's elbow joint was placed in the half flexion and half extension position, and the forearm was slightly pronated. The examinee used a percussion hammer to percussion 2cm above the styloid process of the radius. When normal, it can be shown as elbow flexion. If it is found that the forearm flexion is not obvious, and the finger flexion occurs, it is the reverse of the radial periosteal reflex. The strength of percussion should be appropriate. So what does abnormal radial periosteal reflex mean?

What is the meaning of abnormal radial membrane reflex?

The abnormal radial membrane reflex was the same as that of biceps reflex. The examiner percussed the patient's radial styloid process with a percussion hammer. Normal, can cause forearm flexion, pronation and finger flexion. If the above-mentioned reaction is hyperintense, weakened or disappeared, it is abnormal radial periosteal reflex. The radial membrane reflex is consistent with the biceps brachii reflex, but the afferent reflex is different from the perforate reflex. The common cause is cervical spinal cord injury.

The examination method is: the patient's elbow joint is placed in half flexion and half extension position, and the forearm is slightly pronated. The examinee used a percussion hammer to percussion 2cm above the styloid process of the radius. When normal, it can be shown as elbow flexion. If it is found that the forearm flexion is not obvious, and the finger flexion occurs, it is the reverse of the radial periosteal reflex.

General treatment: patients in acute stage should be given appropriate drug treatment of radial nerve paralysis: B vitamins, 654-2 and other drugs. Radial nerve palsy; The patients were treated with adrenocortical hormone; Analgesia should be used when necessary. Rest, avoid too much activity, pay attention to rest, avoid feeling cold; Reduce the movement and weight of upper limbs; Give a nutritious and multivitamin diet. Acupuncture treatment: body acupuncture points: Taiyang, zanzhu, Fengchi, Dazhui, Taodao, Quchi, shousanli, Waiguan, Yangxi, Hegu, daling, Laogong, etc; Acupoints selected according to syndrome: Ganshu and Shenshu are added to those with liver and kidney deficiency caused by long-term disease, Guanyuan (moxibustion) is added to those with deficiency of both qi and blood, and Baxie is added to those with spleen Shu, Qi sea and metacarpophalangeal joint unable to be straightened. Methods: first needle Taiyang, save bamboo, after needle Fengchi, Quchi, Hegu and so on.

matters needing attention

Give rich nutrition and rich in vitamins diet, give B vitamins, avoid too much activity; In acute stage, patients should rest properly and avoid excessive activities; Supplement vitamin B12, not strenuous exercise, should rest, quit smoking alcohol, supplement calcium, to have a healthy state of mind, taboo strenuous exercise, long standing, to prevent abnormal biceps reflex（ 1) Strengthen physical exercise, enhance the ability of anti infection（ 2) Reasonable adjustment of diet, not only to protect the comprehensive nutrition, but also to prevent excessive nutrition, leading to obesity, avoid alcohol and tobacco（ 3) Avoid long-term exposure to chemical poisons（ 4) In the process of daily nursing and health care, the extremities need to keep warm and prevent burns; Keep optimistic and happy mood, avoid strong long-term or repeated mental tension, anxiety, irritability, pessimism and other emotional changes; Regular life, rest on time, ensure adequate sleep, avoid staying up late, fatigue and so on.