Reflexes 2: Normal Deep Tendon Reflexes – Clinical Grading

Reflexes 2+ (or “2”) denotes normal deep tendon reflexes (DTRs) elicited at multiple sites with a reflex hammer, without pathologic reflexes.

Standard DTRs Tested

• Biceps (C5–C6)
• Triceps (C7–C8)
• Patellar/knee-jerk (L2–L4)
• Ankle/Achilles (S1–S2)

Grading Scale

• 0 – absent
• 1+ – diminished/hypoactive
• 2+ – normal
• 3+ – brisk/hyperactive (may be normal)
• 4+ – clonus (pathologic)

Pathologic Reflexes (Not Present in “2+”)

Babinski, Hoffman, clonus – indicate upper motor neuron lesions.

“Reflexes 2” is a normal, reassuring finding.