HOFFMANN'S SIGN OR REFLEX FOR CERVICAL SPONDYLOTIC MYELOPATHY (CSM) Next to fractures, another red flag we have to screen for in the cervical spine is cervical spondylotic myelopathy (CSM), which is an encroachment of the spinal cord at cervical level by degenerative changes (uncinate process and facet joint osteophytosis, ossification or hypertrophy of the posterior longitudinal ligament and the ligamntum flavum or subluxations of the vertebral body). If the spinal cord is compressed, our patie
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Hoffmann's Sign | Hoffmann Reflex to Assess Upper Motor Neuron Lesions
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Hoffmann's Sign
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Cervical Myelopathy - Inverted Brachioradialis Reflex : The fingers flex when the radius is tapped, but there is no reflex contraction in brachioradialis. The triceps jerk is brisk. This is because the lower motor neurones and pyramidal tracts are damaged at the C5–6 level, producing lower motor neurone signs at that level and upper motor neurone signs below. Common causes of Cervical Myelopathy include Cervical Spondylosis, Cervical cord compression due to tumor, abscess, Trauma to cervical spi
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Hoffman sign evaluates for cervical myelopathies and upper motor neuron lesions. The examiner repeatedly flicks the volar or dorsal surface of the middle finger and observes the response. A positive test is identified by reflex contraction of the thumb and index finger. Sensitivity for cervical myelopathy is 58%, specificity 78% 🔗👇 Link Below 👇🔗 -- Read: https://wikism.org/Hoffman_Sign -- Watch: https://www.youtube.com/watch?v=uN6rlE9FZY8 -- #SportsMedicine #Orthopedics #PhysicalTherapy #Ath
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