ADJUSTABLE HEAD CAN BE ORIENTED IN TWO DIRECTIONS EXTRA LONG HANDLE ACCURATELY AND EFFECTIVELY ELICITS MUSCLE STRETCH REFLEXES, SUPERFICIAL OR CUTANEOUS REFLEXES, AS WELL AS PLANTAR AND ABDOMINAL REFLEXES, WITH LESS EFFORT AND GREATER PATIENT COMFORT. MADE IN HIGH STAINLESS STEEL SAME AS PICTURE G.S BABINSKI NEUROLOGICAL REFLEX HAMMER WITH BUILT-IN BRUSH FOR CUTANEOUS AND SUPERFICIAL RESPONSES - BLACK BEST QUALITY