Oppenheim Test: Difference between revisions

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'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}  
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}  
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== Purpose  ==
== Purpose  ==


To test for the presence of an upper motor neuron lesion. This test is part of the standard neurological examination.<ref name="Magee" />
To test for the presence of an upper motor neuron lesion. This test is part of the standard neurological examination.<ref name="Magee" />  


== Technique  ==
== Technique  ==


=== Setup ===
=== Setup ===


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.<ref name="Magee">Magee DJ (2014). Orthopedic Physical Assessment (6th Ed): pg 597.</ref>
Using either the opposite end of a reflex hammer or thumbnail, the examiner uses his/her other hand to scratch along the crest of the patient's tibia in a downward motion.<ref name="Magee">Magee DJ (2014). Orthopedic Physical Assessment (6th Ed): pg 597.</ref>  


== Response  ==
== Response  ==


*A normal (negative) response is no reaction<ref name="Magee" />  
*A normal (negative) response is no reaction<ref name="Magee" />  
*An abnormal (positive) response 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.<ref name="Magee" />
*An abnormal (positive) response is a [http://www.physio-pedia.com/Plantar_Response Babinksi Sign/Plantar Response], that being great toe extension and fanning of the other toes.<ref name="Magee" />


== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
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== References  ==
== References  ==


<references />  
<references />  


[[Category:Assessment]] [[Category:Neurology]]
[[Category:Assessment]] [[Category:Neurology]]

Revision as of 08:27, 20 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. This test 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 thumbnail, the examiner uses his/her other hand to 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[1]
  • An abnormal (positive) response is a Babinksi Sign/Plantar Response, that being great toe extension and fanning of the other toes.[1]

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

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References[edit | edit source]

  1. 1.0 1.1 1.2 1.3 Magee DJ (2014). Orthopedic Physical Assessment (6th Ed): pg 597.