Models of Reflex Hammer
Prior to the development of specialized reflex hammers, hammers specific for percussion of the chest were used to elicit reflexes. However, this proved to be cumbersome, as the weight of the chest percussion hammer was insufficient to generate an adequate stimulus for a reflex.
Starting in the late 19th century, several models of specific reflex hammers were created:
- The Taylor or tomahawk reflex hammer was designed by John Madison Taylor in 1888 and is the most well known reflex hammer in the USA. It consists of a triangular rubber component which is attached to a flat metallic handle. The traditional Taylor hammer is significantly lighter in weight when compared to the heavier European hammers.
- The Queen Square reflex hammer was designed for use at the National Hospital for Nervous Diseases (now the National Hospital for Neurology and Neurosurgery) in Queen Square, London. It was originally made with a bamboo or cane handle of varying length, of average 25 to 40 centimetres, attached to a 5 centimetre metal disk with a plastic bumper. The Queen Square hammer is also now made with plastic molds, and often has a sharp tapered end to allow for testing of plantar reflexes though this is no longer recommended due to tightened infection control. It is the reflex hammer of choice of the UK neurologist.
- The Babinski reflex hammer was designed by Joseph Babiński in 1912 and is similar to the Queen Square hammer, except that it has a metallic handle that is often detachable. Babinski hammers can also be telescoping, allowing for compact storage. Babinski's hammer was popularized in clinical use in America by the neurologist Abraham Rabiner, who was given the instrument as a peace offering by Babinski after the two brawled at a black tie affair in Vienna.
- The Trömner reflex hammer was designed by Ernst Trömner. This model is shaped like a two-headed mallet. The larger mallet is used to elicit tendon stretch reflexes, and the smaller mallet is used to elicit percussion myotonia.
- Other reflex hammer types include the Buck, Berliner and Stookey reflex hammers.
There are numerous models available from various commercial sources.
Read more about this topic: Reflex Hammer
Famous quotes containing the words models of, models, reflex and/or hammer:
“Today it is not the classroom nor the classics which are the repositories of models of eloquence, but the ad agencies.”
—Marshall McLuhan (1911–1980)
“Today it is not the classroom nor the classics which are the repositories of models of eloquence, but the ad agencies.”
—Marshall McLuhan (1911–1980)
“No sooner does a great man depart, and leave his character as public property, than a crowd of little men rushes towards it. There they are gathered together, blinking up to it with such vision as they have, scanning it from afar, hovering round it this way and that, each cunningly endeavouring, by all arts, to catch some reflex of it in the little mirror of himself.”
—Thomas Carlyle (1795–1881)
“In going where you have to go, and doing what you have to do, and seeing what you have to see, you dull and blunt the instrument you write with. But I would rather have it bent and dulled and know I had to put it on the grindstone again and hammer it into shape and put a whetstone to it, and know that I had something to write about, than to have it bright and shining and nothing to say, or smooth and well oiled in the closet, but unused.”
—Ernest Hemingway (1899–1961)