Babinski Reflex Technique in Normal Patient

Video Description

This video describes the proper technique to test for an abnormal Babinski reflex. If the test is abnormal, it is considered "Babinski positive".

Dimar et al review 104 patients with cervical myelepathy. They found 10 patients (9.6%) had a positive Babinski sign.

Here is the breakdown of other physical exam findings on presentation in their cohort of myelopathic patients: "66 patients (63.5%) reported gait disturbance, 18 (17.3%) had handwriting changes, 33 (31.7%) complained of deterioration of dexterity, 56 (53.8%) had grasp weakness, 7 (6.7%) had bowel and bladder complaints, 27 (26.0%) had a positive Hoffmann sign, 10 (9.6%) had sustained clonus, and 10 (9.6%) had a positive Babinski sign."

Dimar JR 2nd, Bratcher KR, Brock DC, Glassman SD, Campbell MJ, Carreon LY. Instrumented open-door laminoplasty as treatment for cervical myelopathy in 104 patients. Am J Orthop (Belle Mead NJ). 2009 Jul;38(7):E123-8. PubMed PMID: 19714281.