Oppenheim Test

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.

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

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References[edit | edit source]

  1. 1.0 1.1 Magee DJ. Orthopedic Physical Assessment (5th Ed). 2008.