A New Method of Eliciting Pyramidal Tract Impairment in Adults
Background: To suggest a new way of eliciting pyramidal tract dysfunction in adults since the most widely utilized plantar reflex, which is the Babinski reflex, has limitations with different reliability and consistency among different examiners.  Materials and methods: 168...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Pensoft Publishers
2020-03-01
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| Series: | Folia Medica |
| Subjects: | |
| Online Access: | https://foliamedica.bg/article/47768/download/pdf/ |
| _version_ | 1818642214359662592 |
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| author | Ferdnand C. Osuagwu Ronald Bradley Usha Pasupuleti Devakinanda Pasupuleti |
| author_facet | Ferdnand C. Osuagwu Ronald Bradley Usha Pasupuleti Devakinanda Pasupuleti |
| author_sort | Ferdnand C. Osuagwu |
| collection | DOAJ |
| description | Background: To suggest a new way of eliciting pyramidal tract dysfunction in adults since the most widely utilized plantar reflex, which is the Babinski reflex, has limitations with different reliability and consistency among different examiners.  Materials and methods: 168 adult subjects were examined for the new sign in addition. It consists of just an observation of the patient’s feet and toes in a conscious patient looking for the extension of the great toe along with fanning, spreading and plantar flexion of the small toes either at rest or when patient elevates one leg up at a time. Results: We were able to observe the extension of the great toe along with fanning, spreading and plantar flexion of the small toes in patients with impairment of pyramidal tract. The specificity was 94% while the sensitivity was 96%. Conclusion: Pyramidal tract lesion in adults can be elicited by this new test that observes the extension of the great toe along with fanning, spreading and plantar flexion of the small toes in patients. We suggest this sign as a complement to established signs like Babinski reflex. |
| first_indexed | 2024-12-16T23:39:30Z |
| format | Article |
| id | doaj.art-6f3af56ce325405fa604efae6a3d940e |
| institution | Directory Open Access Journal |
| issn | 1314-2143 |
| language | English |
| last_indexed | 2024-12-16T23:39:30Z |
| publishDate | 2020-03-01 |
| publisher | Pensoft Publishers |
| record_format | Article |
| series | Folia Medica |
| spelling | doaj.art-6f3af56ce325405fa604efae6a3d940e2022-12-21T22:11:38ZengPensoft PublishersFolia Medica1314-21432020-03-01621656910.3897/folmed.62.e4776847768A New Method of Eliciting Pyramidal Tract Impairment in AdultsFerdnand C. Osuagwu0Ronald Bradley1Usha Pasupuleti2Devakinanda Pasupuleti3Central Michigan University College of MedicineCentral Michigan University College of MedicineMichigan State UniversityCentral Michigan University College of MedicineBackground: To suggest a new way of eliciting pyramidal tract dysfunction in adults since the most widely utilized plantar reflex, which is the Babinski reflex, has limitations with different reliability and consistency among different examiners.  Materials and methods: 168 adult subjects were examined for the new sign in addition. It consists of just an observation of the patient’s feet and toes in a conscious patient looking for the extension of the great toe along with fanning, spreading and plantar flexion of the small toes either at rest or when patient elevates one leg up at a time. Results: We were able to observe the extension of the great toe along with fanning, spreading and plantar flexion of the small toes in patients with impairment of pyramidal tract. The specificity was 94% while the sensitivity was 96%. Conclusion: Pyramidal tract lesion in adults can be elicited by this new test that observes the extension of the great toe along with fanning, spreading and plantar flexion of the small toes in patients. We suggest this sign as a complement to established signs like Babinski reflex.https://foliamedica.bg/article/47768/download/pdf/Babinskiextensor plantar responsepyramidal sig |
| spellingShingle | Ferdnand C. Osuagwu Ronald Bradley Usha Pasupuleti Devakinanda Pasupuleti A New Method of Eliciting Pyramidal Tract Impairment in Adults Folia Medica Babinski extensor plantar response pyramidal sig |
| title | A New Method of Eliciting Pyramidal Tract Impairment in Adults |
| title_full | A New Method of Eliciting Pyramidal Tract Impairment in Adults |
| title_fullStr | A New Method of Eliciting Pyramidal Tract Impairment in Adults |
| title_full_unstemmed | A New Method of Eliciting Pyramidal Tract Impairment in Adults |
| title_short | A New Method of Eliciting Pyramidal Tract Impairment in Adults |
| title_sort | new method of eliciting pyramidal tract impairment in adults |
| topic | Babinski extensor plantar response pyramidal sig |
| url | https://foliamedica.bg/article/47768/download/pdf/ |
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