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a superficial neurological reflex obtained by stroking the skin or mucosa of the region around the anus, which normally results in a contraction of the external anal sphincter. This reflex may be lost in disease of the pyramidal tract above the upper lumbar spine level (S3-S4). See also superficial reflex.

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The superficial anal reflex tests the integrity of a reflex arc involving S4 and S5 spinal segments. Test procedure: Ensure all ethical considerations are met regarding informed consent to examination. Lie the patient on their side with the knees flexed, and gently stroke the anal margin with a suitable implement such as an orange stick.

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Reflex Exam (Deep Tendon Reflexes) The reflex exam is fundamental to the neurological exam and important to locating upper versus lower motor neuron lesions. There are five deep tendon reflexes and a number of superficial and visceral reflexes covered here.

Anal reflex is an example of superficial reflex Method of elicitation of Anal reflex It is elicited by stroking or pricking the skin and mucous membrane in the perianal region (which is a noxious or tactile stimulus) and feel the contraction of external anal sphincter with the finger inserted into the anal canal. Two reflexes may help in the evaluation of sacral integrity. The anal wink reflex, or sensation of the perianal areas, can be detected by stroking laterally to the anal canal with a cotton swab and observing the reflex contraction of the external anal sphincter muscle. The bulbocavernosus reflex, which reflects the integrity of the S2 to S4.
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superficial reflex any withdrawal reflex elicited by noxious or tactile stimulation of the skin, cornea, or mucous membrane, including the corneal, pharyngeal, and cremasteric reflexes. swallowing reflex palatal reflex.

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Anal Reflex. Scratch the skin near the anal margin with a sharp object. This should result in the contraction of the anal sphincter. Corneal reflex a reflex action of the eye resulting in automatic closing of the eyelid when the cornea is stimulated. About superficial reflex there is a useful Gude Motor System Exam - Long White Coat. Preserve homeostasis.. little variability and when reflex is activated it usually produces the same response. Superficial. Stimulus: Light stroke of skin Afferent Nerve: T7-T12 depending on where stroke Anal Reflex. Superficial. Stimulus: Stroking of .

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Pupillary Reflex. Pharyngeal Reflex. Scapular Reflex. Abdominal Reflex. Cremasteric Reflex. Planter Reflex. Anal Reflex. Examination: Superficial Reflexes: They are polysynaptic. Centre are various integrated supraspinal levels. These reflexes are of significance in unilateral lesions when healthy side is taken as standard for comparison purposes. The next step of the rectal examination involves the assessment of neuromuscular integrity. First, each side of the buttocks is scratched with the gloved finger to elicit the superficial anal reflex (the anal "wink"), a function of L 1 and L by: 2.

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The anal wink tests for neuromuscular integrity where an applicator is used to brush each side of the buttocks to elicit the superficial anal reflex or anal wink. Used for a variety of reasons Sterile Cotton-tipped Applicators for Pelvic floor physical therapists are most commonly used for anal wink testing. - Contraction of superficial abdominal muscles when stroking abdomen lightly - Significant if asymmetric-usually signifies a UMN lesion on the absent side. Anal reflex (anal wink) Reflexive contraction of the external anal sphincter upon stroking the skin around the anus (afferent: pudendal nerve; efferent: S2-S4).
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