How to Check Your Reflexes at Home and What They Mean

Reflexes are automatic, involuntary actions your body performs in response to certain stimuli. These rapid, unplanned movements occur without conscious thought, primarily serving to protect the body and maintain its internal balance. Observing these responses offers insights into how your nervous system functions. This article guides you through basic home reflex testing.

Understanding How Reflexes Work

Reflex actions are mediated by a neural pathway known as a reflex arc. This pathway allows for fast responses because the nerve impulse often bypasses direct processing by the brain.

When a stimulus is encountered, specialized sensory neurons detect it and transmit the signal towards the spinal cord. Once there, it can be directly relayed to a motor neuron, or it may involve an interneuron that then communicates with a motor neuron. The motor neuron carries the signal away from the spinal cord to an effector, typically a muscle or gland, which then produces the reflex action. This rapid system ensures your body reacts quickly to environmental changes.

Testing Common Reflexes at Home

Testing reflexes at home requires gentle technique and careful observation. This ensures accurate results and prevents injury.

Patellar Reflex (Knee-Jerk)

Sit on the edge of a sturdy chair or table, allowing your lower legs to dangle freely. Locate the patellar tendon, which is the firm cord just below your kneecap. Gently but firmly tap this tendon with the side of your hand or a soft object, observing the forward kick of your lower leg.

Pupillary Light Reflex

Find a dimly lit room and use a small flashlight, such as from a smartphone. Observe the size of your partner’s pupils. Shine the light into one eye from the side for a few seconds, then remove it, noting how the pupil constricts (gets smaller) in response to the light. Observe a consensual response, where the pupil in the other eye constricts simultaneously.

Ankle Reflex (Achilles)

Kneel on a chair with your feet dangling over the edge, or lie down with your foot slightly bent and supported. Locate the Achilles tendon, the thick cord just above your heel. Gently tap this tendon with the side of your hand, observing for a downward pointing of the foot. Always compare responses on both sides of the body for consistency.

Interpreting Reflex Responses

A normal reflex response is a prompt and moderate reaction. For the patellar reflex, this means a distinct, swift kick of the lower leg. In the pupillary light reflex, a normal response is a quick and noticeable constriction of both pupils when light is introduced. The ankle reflex should result in a slight, downward movement of the foot.

Responses can vary, falling into a spectrum of diminished (hyporeflexia) or exaggerated (hyperreflexia) reactions. A diminished response means the reflex is weaker or absent. Conversely, an exaggerated response indicates an overly strong or prolonged reaction.

When to Seek Professional Medical Advice

Home reflex testing serves as an informational exercise and should not replace professional medical evaluation. The strength of reflexes can naturally vary among individuals, and not all variations indicate a health concern.

However, consistent absence, significant exaggeration, or noticeable asymmetry (differences between the left and right sides of the body) in reflex responses warrant attention. If you observe any concerning changes, or if these observations are accompanied by other symptoms like muscle weakness, coordination issues, or altered sensation, consult a healthcare professional. A doctor can properly interpret reflex findings within your overall health context and provide an accurate diagnosis.