Quantifying deep tendon reflexes using Doppler ultrasound: The novel TAP method - 25/11/25
Doi : 10.1016/j.ajem.2025.08.058
Hamid Shokoohi, MD, MPH a, ⁎ 
, Alexander G. Belaia, MD a , Kwabena Asimeng Danso, MD a , Lucius L. Xuan, MS b , Andrew S. Liteplo, MD a
, Alexander G. Belaia, MD a , Kwabena Asimeng Danso, MD a , Lucius L. Xuan, MS b , Andrew S. Liteplo, MD a a Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States of America
b Tufts University School of Medicine, Boston, MA, United States of America
⁎ Corresponding author at: Department of Emergency Medicine, Massachusetts General Hospital, 125 Nashua Street Suite 2424, Boston, MA 02114, United States of America. Department of Emergency Medicine Massachusetts General Hospital 125 Nashua Street Suite 2424 Boston MA 02114 United States of America
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Plan
| ☆ | TAP was performed on three adult subjects: two healthy controls (28M, 26F) and a 23-year-old male who presented to the ED with new-onset tremor, palpitations, and 4+ reflexes. Labs confirmed thyrotoxicosis (TSH 0.01 mIU/L, T3 230 ng/dL). Reflexes were evaluated at the patellar and triceps tendons. Using a Mindray TEX system with a linear transducer (12–3 MHz) for PW Doppler and a Sonosite Xporte with a phased array (5–1 MHz) for TDI, the ultrasound probe was positioned longitudinally over the tendon and muscle belly. ( Fig. 1 ) Tendon strikes were delivered using a Queen Square reflex hammer by the same examiner for consistency, and each tendon was tested three times with short rest intervals. |
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Elsevier Inc. Tous droits réservés.
Vol 98
P. 364-366 - décembre 2025 Retour au numéro
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