Term
| • Pronated forearm examiner grasp middle finger and hand then flicks the distal end of the middle finger stretches the flexor elicits a flex reflex, |
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Definition
Hoffman’s sign
Positive sign indicates a hyperactive reflex only and may indicate a lesion in pyramidal tract |
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Term
| Grasp patients wrist and tap plantar surface of the tip of the index and middle finger, Positive sign is elicited if the patient flexes all of the fingers, |
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Definition
Trommer’s sign
Positive sign indicates a hyperactive reflex only, Indicates corticospinal tract disease |
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Term
| Reflex hammer tap the Palmar surface of the MCP joint, Positive sign patient flexes all of the fingers, |
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Definition
Rossolimo’s hand sign
Indicates pyramidal tract disease |
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Term
| Grasp patient wrist and put pressure on palmaris longus tendon, Positive sign is elicited if the patient flexes the wrist and extend the fingers, |
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Definition
Chaddock’s wrist sign
Indicates pyramidal tract disease |
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Term
| Patient supine stroke the sole of the foot with end of reflex hammer. Begin lateral aspect of the heel in a sweeping motion to the base of the big toe, Positive sign is evident if the patient dorsiflexes the great tow and fans the rest of the digits, |
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Definition
Babinski’s sign
Indicates corticospinal motor system lesion, Normal in infants 12-16 months |
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Term
| Patient supine stroke the medial side of the tibia end of reflex hammer, Positive sign is extension of the great toe, |
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Definition
Oppenheim’s sign
Indicates a corticospinal motor system lesion |
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Term
| Patient supine stroke the lateral malleolous with end of the reflex hammer, Positive sign extension of the great toe, |
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Definition
Chaddock’s foot sign
Indicates a corticospinal motor system lesion |
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Term
| Patient supine tap the metatarsal head, Positive sign is plantar flexion of the toes, |
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Definition
Rossolimo’s foot sign
If this sign and a Babinski sign is present indicates pyramidal tract disease, Normal in children age 2 months to 3 years |
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Term
| Patient supine and foot hanging off the table squeeze the achilles tendon, Positive sign is extension of the great toe, |
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Definition
Schaffer’s sign
Indicates lesion of pyramidal tract |
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