Babinski-like maneuvres

The late 19th and early 20th century was abound with disclaimers associated with founders of new reflex movements of the great toe. These movements are known by the term 'Babinski like responses'. These responses can be elicited by the following techniques, each with its own eponym.

By stroking the lateral malleolus (Chaddock's sign); squeezing the calf muscle (Gordon's sign); applying pressure along the shin of tibia (Oppenheim sign); pressing the 4th toe downwards and then releasing it with a snap (Gonda's sign); vigorous adduction of the little toe followed by its sudden release (Stransky sign); squeezing the Achilles tendon (Schaefer's sign), flexion of the toes, on quick percussion of the tips of the patients toes with the finger tip (Rossolimo's sign); flexion of the four outer toes induced by tapping the dorsum of the foot in the region of cuboid bone (Mendal Bechtrew sign); giving multiple pinpricks on dorsolateral surface of the foot (Bing's sign); forceful passive plantar flexion of the ankle (Moniz sign); pressing over the dorsal aspect of the metatarsophalangeal joint of the great toe (Throckmortan sign); application of forceful pressure over anterior tibial region (Strumpell sign); scratching the dorsum of the foot along the inner side of the extensor tendon of the great toe (Cornell sign); plantar flexion and fanning of the toes on tapping the mid plantar region of the foot or base of the heel.

Source:
Kumar SP, Ramasubramanian D. (2000). The Babinski sign--a reappraisal. Neurology India. 48(4):314-8


Entry date: December 2, 2005.