The Taylor Hammer
This is the most commonly carried hammer which most people have seen
used when they go to the doctor. It is also incorrectly called "the
traingle hammer", "the rubber hammer", and I've even heard it referred
to as "the tomahawk".
John Madison Taylor (1855-1931) graduated medical school from University
of Pennsylvania in 1878, and then practiced pediatrics, neurology, and
physical medicine in Philadelphia.
Taylor displayed his hammer at the February 27, 1888 meeting of the
Philadelphia Neurological Soceity. It was well described in the minutes
of the meeting:
[Taylor's hammer] was devised to serve
as nearly as possible all ends for which a hammer is likely to be
called into use by clinicians...In shape it is a cone flattened on
the opposite side, with apex and base carefully beveled or rounded,
of ab out the thickness throughout of the human index finger. The
material is moderately soft rubber. It is held by an encircling band
of metal midway between the apex and base transversely, and from it,
on the edge, depends the straight handle. The handle is rigid though
light, it being Dr. Taylor's opinion that this had better be under
the full control of the wilder. If elastic as recommended by some,
an element of uncertainty enters in the degree of force used in the
blow. The special feature of this hammer is that the shape of teh
striking surface is like the outer surface of the extended hand, palm
downward, which is most often used in obtaining tendon jerk. The rounded
apex is adopted to reach the biceps tendon at the bend of the arm
[and according to S. Weir Mitchell, "to get muscle respones by direct
blow on the muscle."] .... This little tool will also well serve to
elicit chest sounds, to percuss the abdomen, and in fact, is useful
whenever an elastic hammer is needed. The material being of soft rubber,
the blow does not hurt the intercepting fingers as does the hammer
usually employed to strike the tendons and muscles."
The original version had an open loop handle,
but around 1920 they were designed with a solid handle with a pointed
tip for eliciting cutaneous reflexes.
Primary reference: Lanska, DJ; Neurology Nov 1989 p1542-9;
The History of Reflex Hammers
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History
of the reflex hammer
The Taylor Hammer
The Krauss Hammer
The Troemner Hammer
The Berliner Hammer
The Babinski / Rabiner Hammer
The Queen Square Hammer
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