Nxt Gen PT Evidence: Medical screening is one of the most important aspects of clinical care. We must determine who is appropriate for our interventions and who would benefit from a referral.
One condition that we need to screen for is cervical myelopathy. Individuals with cervical myelopathy typically present with a cluster of upper motor neuron signs such as:
- Unsteady gait
- Reflexes > 2+
- Hoffmann’s Sign: Tap the nail of the 3rd or 4th digit with the thumb and index finger relaxed but not touching. A + test is involuntary flexing of the thumb and index finger.
- Babinski Sign: a blunt instrument is rubbed along the lateral aspect of the heel to the toes. A + test is dorsiflexion of the big toe and fanning of the other toes.
- wasting of the hands, loss of dexterity, nonspecific weakness
|Brought to you by Nxt Gen PT Institute of PT|
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