Oppenheim Test: Difference between revisions

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


To test for the presence of an upper motor neuron lesion and is part of the standard neurological examination.  
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.
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 ==
{{#ev:youtube|TfrGYDIB_PE|400}}<ref>https://www.youtube.com/watch?v=TfrGYDIB_PE (Accessed Feb 19, 2016)</ref>


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.
== Response ==
 
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) ==
<div class="researchbox"><rss>put here!|charset=UTF-8|short|max=10</rss></div>


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


<references />  
<references />  


 
[[Category:Assessment]]  
[[Category:Assessment]] [[Category:Neurology]]
[[Category:Neurology]]
[[Category:Primary Contact]]

Latest revision as of 18:54, 5 December 2018

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]

[2]

Response[edit | edit source]

References[edit | edit source]

  1. 1.0 1.1 1.2 1.3 Magee DJ (2014). Orthopedic Physical Assessment (6th Ed): pg 597.
  2. https://www.youtube.com/watch?v=TfrGYDIB_PE (Accessed Feb 19, 2016)