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Introduction: Students will be evaluated for examination of reflexes. They should know method of biceps tendon reflex testing along with interpretation. The deep tendon reflex (DTR) are tested by tapping sharply over the muscle tendon with a standard reflex hammer or with the tips of the therapist's fingers. DTRs are increased in UMN syndrome (e.g., stroke) and decreased in LMN syndrome (e.g., peripheral neuropathy, nerve root compression), cerebellar syndrome, and muscle disease. Reflex spread (the extension of the response beyond the muscle normally expected to contract) is indicative of UMN syndrome. Because each DTR arises from specific spinal segments, an absent reflex can be used to identify the level of a spinal lesion (e.g., radiculopathy).