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a normal mass reflex in a young infant (up to 3 to 4 months of age) elicited by a sudden loud noise, such as by striking the table next to the child, or raising the head slightly and allowing it to drop. A normal response consists of flexion of the legs, an embracing posture of the arms, and usually a brief cry. Also called startle reflex.
With the lower leg hanging freely off the edge of the bench, the knee jerk is tested by striking the quadriceps tendon directly with the reflex hammer. Repeat and compare to the other leg. The knee jerk reflex is mediated by the L3 and L4 nerve roots, mainly L4. Insult to the cerebellum may lead to pendular reflexes. Pendular reflexes are not brisk but involve less damping of the limb movement than is usually observed when a deep tendon reflex is elicited.