Oppenheim Test: Difference between revisions
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Using either the opposite end of a reflex hammer or the examiners own thumb nail, scratch along the crest of the patient's tibia in a downward motion.<ref name="Magee">Magee DJ. Orthopedic Physical Assessment (5th Ed). 2008.</ref> | Using either the opposite end of a reflex hammer or the examiners own thumb nail, scratch along the crest of the patient's tibia in a downward motion.<ref name="Magee">Magee DJ. Orthopedic Physical Assessment (5th Ed). 2008.</ref> | ||
== Response == | == Response == | ||
A normal (negative) response is no reaction to the shin scratch. An abnormal (positive) response to the skin scratch is a Babinksi Sign/Plantar Response, that being extension of the big toe and fanning of the other toes. | *A normal (negative) response is no reaction to the shin scratch. | ||
*An abnormal (positive) response to the skin scratch is a [http://www.physio-pedia.com/Plantar_Response Babinksi Sign/Plantar Response], that being extension of the big toe and fanning of the other toes. | |||
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | == Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == |
Revision as of 19:35, 19 February 2016
Original Editor - Evan Thomas
Top Contributors - Evan Thomas, WikiSysop, Redisha Jakibanjar and Claire Knott
Purpose[edit | edit source]
To test for the presence of an upper motor neuron lesion and is part of the standard neurological examination.[1]
Technique[edit | edit source]
Setup[edit | edit source]
Patient positioned in sitting or supine. The examiner grasps the lower leg with one hand.
Procedure[edit | edit source]
Using either the opposite end of a reflex hammer or the examiners own thumb nail, scratch along the crest of the patient's tibia in a downward motion.[1]
Response[edit | edit source]
- A normal (negative) response is no reaction to the shin scratch.
- An abnormal (positive) response to the skin scratch is a Babinksi Sign/Plantar Response, that being extension of the big toe and fanning of the other toes.