Nervous and mental diseases . ion at the joint, whichtend to persist as long as gentle ten-sion is maintained by the examinerupon the extensors. On the dorsum of the trunk there Fig. 6.—Method of eliciting the knee-jerk • r n i • 1 u i and reinforcing it by jendrtssiks method. are a series of reflexes which, below the scapulas, are not of much diag-nostic value, and which can usually be demonstrated by stroking, pinch-ing, or, preferably, percussing the muscular masses. Anteriorly, with thepatient lying supine and the abdominal wall relaxed, a tap on the costalcartilages on either side of the
Nervous and mental diseases . ion at the joint, whichtend to persist as long as gentle ten-sion is maintained by the examinerupon the extensors. On the dorsum of the trunk there Fig. 6.—Method of eliciting the knee-jerk • r n i • 1 u i and reinforcing it by jendrtssiks method. are a series of reflexes which, below the scapulas, are not of much diag-nostic value, and which can usually be demonstrated by stroking, pinch-ing, or, preferably, percussing the muscular masses. Anteriorly, with thepatient lying supine and the abdominal wall relaxed, a tap on the costalcartilages on either side of the xiphoid depression causes a dimpling orlateral movement at this point, called the epigastric reflex. A similar tapon the costal border in the nipple line, acting through the abdominal obliquemuscle, produces the abdominal reflex, most noticeable at the umbilicus,which is promptly drawn toward the side percussed and in the obliquedirection indicated. In the lower extremities we find that a series of taps along the origin.
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