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Assessment - Reflex Exam - Comparing Babinski Response Present and Absent
The neurologic examination. What does it mean when an adult tests positive for the Babinski reflex? Neurological anatomy in relation to clinical medicine. If this test is conducted on a child older than 2 or an adult and the toes respond like those of a child under two years old, this can indicate an underlying neurological issue. Landau has addressed very nicely this question of an initial flexor movement of the toe followed by extension: The reason for beginning laterally is that in some cases the response is abnormal laterally and then becomes normal as the midline is approached. The Babinski sign is the most reliable, and the one most likely to be present initially. The reason for the graded stimuli is twofold: How is it tested? There is disagreement about whether the response is plantar flexion or dorsiflexion in the majority of newborns Hogan and Milligan, ; Ross et al. Mechanistically, they differ significantly; the finger flexor reflex is a simple monosynaptic spinal reflex involving the flexor digitorum profundus that is normally fully inhibited by upper motor neurons. Kenneth Walker.
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