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Pathologic Reflexes
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Terms in this set (6)
Babinski
Method of Testing
-Stroke lateral aspect and across ball of foot
Abnormal Response (positive reflex)
-extension of great toe, fanning of toes
Indications
-Corticospinal (pyramidal) tract disease (e.g. Stroke, trauma)
Oppenheim
Method of Testing
-Using heavy pressure with your thumb and index finger, stroke anterior medial tibial muscle
Abnormal Response (positive reflex)
-extension of great toe, fanning of toes
Indications
-Corticospinal (pyramidal) tract disease (e.g. Stroke, trauma)
Gordon
Method of Testing
-Firmly squeeze calf muscle
Abnormal Response (positive reflex)
-extension of great toe, fanning of toes
Indications
-Corticospinal (pyramidal) tract disease (e.g. Stroke, trauma)
Hoffmann
Method of Testing
-with patient's hand relaxed, wrist dorsiflexed, and fingers slightly flexed
-sharply flick nail of distal phalanx of middle or index finger
Abnormal Response (positive reflex)
-Clawing of fingers and thumb
Indications
-Corticospinal (pyramidal) tract disease (e.g. Stroke, trauma)
Kernig
Method of Testing
-in flat laying supine position raise leg straight or flex thigh on abdomen and extend knee
Abnormal Response (positive reflex)
-Resistance to straightening due to hamstring spasm
-pain down posterior thigh
Indications
meningeal irritation (e.g. meningitis infection)
Brudzinski
Method of Testing
-with one hand under neck and the other hand on person's chest, sharply flex chin on chest and watch hips and knees
Abnormal Response (positive reflex)
-Resistance and pain in neck, with flexion of hips and knees
Indications
Meningeal irritation (e.g. meningitis infection)
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