Practically, further work needs to be done to simplify the setup especially the tapping-induced output responses and substitute them with more convenient measures, such as reflex-mediated limb movement or tendon bounce-back force [ 21], which may make tendon reflex evaluations more conveniently done and suitable for clinical setting.
(The ATTAIN [Abatacept Trial in Treatment of Anti-TNF INadequate responders] [ 10] and REFLEX [Randomized Evaluation of Long-Term Efficacy of Rituximab] [ 17] trials reported similar ACR responses for abatacept and rituximab, respectively).
In the REFLEX (Randomized Evaluation of Long-Term Efficacy of Rituximab in RA) trial, Cohen and colleagues [ 9] evaluated primary efficacy and safety at 24 weeks in patients with active RA and an inadequate response to one or more anti-TNFα agents.
The neurological examination [ 49] included gait assessment, testing of cranial nerve reflexes, and an evaluation of the scratch test response.
Quantitative evaluation of reflex and voluntary activity in children with spasticity.
For evaluation of reflex effects the subtracted data traces were analyzed in all instances.
Thirdly, we chose to study PF because fatigue-induced neuromuscular adjustments have previously been documented in this particular muscle group after intense cycling (Racinais and Girard 2012), hence allowing a careful evaluation of reflex responses.
Visual assessments were performed, including visual reflex, acuity and field evaluations, to determine the scope of visual deterioration, and the findings were compared with the results after surgery.
There are standardised tests to measure sensory laryngeal dysfunction such as cough reflex sensitivity testing, Fibreoptic Endoscopic Evaluation with Sensory Testing (FEEST) and hypertonic saline challenge.
All patients with either GCS < 5, absence of one or more brain steam reflex, in any time of evaluation died without any neurological recovery.
It is crucial to have an overview of the patient's clinical conditions, including the results of general and neurological examinations (mental status, cranial nerves, motor system, reflexes, sensory and cerebellar system evaluation), but the quality of this overview will depend on the quality of the clinician information provided.
