Oppenheim Test: Difference between revisions

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Patient positioned in sitting or supine. The examiner grasps the lower leg with one hand.
Patient positioned in sitting or supine. The examiner grasps the lower leg with one hand.


=== Procedure ===
=== Procedure ===


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.
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 ==

Revision as of 19:34, 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.

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.

Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

  1. Magee DJ. Orthopedic Physical Assessment (5th Ed). 2008.