What reflex is tested by a sharp forcible flick of the Dr’s thumb against the patient’s middle finger? If the patient’s fingers flex and the their thumb adducts, What does this indicate?
T/F: Hoffman sign indicates a lesion above C5 in the Spinothalamic tract.
False; above C5 in the CORTICOSPINAL tract
T/F: A Positive Tromner sign indicates a lesion below C5 in the Corticospinal tract.
False; above C5
What reflex is tested by tapping the volar surface of the middle finger? A positive would show flexion of the fingers and adduction of the thumb. What type of lesion is indicated?
T/F: Positive Tromner and Hoffman signs indicate UMNLs.
What reflex is tested by tapping the ball of the foot or the tips of the toes and would result in plantar flexion of the toes? What type of lesion is indicated?
Rossolimo Sign of the Foot;
What reflex is tested by stroking the lateral malleolus from heel to toe?
T/F: When assessing for a Chaddock sign, the foot should not move in healthy patient.
True; abnormal shows dorsiflexion of the great toe and flaring of the other toes.
What type of lesion is indicated by a positive Chaddock sign?
What reflex is tested by stroking the tibial surface from superior to inferior?
T/F: When assessing for an Oppenheim sign, the patient’s great toe should dorsiflex and the other toes should flare.
False; this is the abnormal finding. Normally, the foot/toes should not move
What reflex is assessed by squeezing the calf?
An UMNL can cause a positive Gordon sign. What does that look like?
dorsiflexion of the great toe and flaring of the other toes; normally the foot/toes won’t move during the exam
What sign/reflex is assessed by squeezing the achilles tendon?
T/F: An abnormal finding when testing for the Babinski, Chaddock, Oppenheim, Gordon, and/or Schaefer signs would be dorsiflexion of the great toe and flaring of the other toes. This would indicate a LMNL.
False; this is the common abnormal finding but it indicates an UMNL
What spinal tract is indcated by an abnormal response when testing for any of these pathological reflexes?