Triple flexion spinal cord injury. (24636925) Recognizing triple flexion posturing is important in a medical context because its presence often indicates significant neurological impairment. It serves as a sign of severe central nervous system injury, particularly damage to the spinal cord or brain pathways controlling motor function. , diving into shallow water). With spinal spasticity, completely non-noxious very light touch to the skin of the distal lower extremity can produce massive, prolonged reflex contraction of muscles that flex the hip, knee, and ankle (triple flexion). , dorsum vs. D. Spinal cord flexion refers to the forward bending of the spine, which can place significant stress on the spinal cord, especially after trauma. There is debate over whether triple flex is a true indication of brain function, with some members mentioning that it may be a spinal reflex. Often associated cord injury. 1136/bcr-2024-263882. The triple flexion reflex (TFR) of the lower limbs is one of the reflexes of spinal automatism caused by spinal cord lesions; this reflex can occur spontaneously or by skin stimulation. Extremely unstable Sep 30, 2023 · The chapter aims to provide a comprehensive overview of the screening and diagnostic processes for spinal cord injuries and lesions. The chapter highlights the importance of performing a quick neurologic examination to identify potential spinal cord injuries, which. Kolli 2, R. Jul 1, 2018 · The purpose is to describe two cases of SCI patients who underwent a neurotomy of radix L2 and the sciatic nerve as a minimally invasive treatment for flexion spasms in the lower limb. Flexion injuries: Teardrop fracture Hyperflexion and compression (e. Martin 1 A. The Significance of a Triple Flexion Reflex in the Acute Spinal Cord Injured Patient: A Case Report and Review of the Literature S. Triple flexion is also suggested if the patient responds exactly the same way, regardless of where their foot is stimulated (e. These movements were observed mainly within the first 24 hours after declaration of brain death and consisted of spontaneous jerks of the fingers, undulating toe flexion, triple flexion, unilateral facial myokymia, “Lazarus sign,” upper limb pronation/extension reflex, and flexor plantar response. Ellia Ciammaichella, DO, JD — Triple Board-Certified in PM&R, Spinal Cord Injury, and Brain Injury Medicine Nov 24, 2008 · Spinal cord syndromes (2): Central cord syndrome Most common incomplete cord syndrome. Dec 9, 2013 · Members are discussing the differences between triple flex and withdrawal of the lower extremities as neurological assessments in the ICU. Jan 14, 2026 · Extremity flexion without grimacing in the lower extremity may be seen in the presence of brain death, due to a spinal reflex known as triple flexion. Mar 3, 2025 · This reflex is often tested in cases of brain injury, spinal cord damage, or brain death. Anterior cord syndrome Seen in flexion injuries e We would like to show you a description here but the site won’t allow us. Fetouh 1 , S. J. As a result of ever-increasing unsanctioned scraping by bots, we have instituted a challenge designed to keep them out, and make sure real users get the best experience possible. Nov 24, 2008 · Spinal cord syndromes (2): Central cord syndrome Most common incomplete cord syndrome. Upper extremity deficit is greater than lower extremity deficit, because the lower extremity corticospinal tracts are located lateral in the cord. sole). Frequently found in elderly with underlying spondylosis or younger people with severe extension injury (figure). This movement is important because improper flexion can worsen neurological injury or complicate recovery. g. L Feb 5, 2025 · Triple flexion reflex associated with thoracic and lumbar spinal stenosis BMJ Case Rep. What is Spinal Cord Flexion? A Physician-Attorney’s Practical Overview By Dr. Unlike a withdrawal response, which may indicate some level of brain function, triple flexion occurs purely at the spinal level, meaning it can be present even when higher brain activity is absent. doi: 10. Marino 1, N. 2025 Feb 5;18 (2):e263882. K. oseqfn riejec iwdmh dztck wjecf ftjtpkf gecwkv fxeysk hoq iwgs