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Hoffman Test
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0:22
YouTube
Rory Murphy MD, Neurosurgeon
What does a positive Hoffman Sign look like?
The Hoffman sign involuntary flexion movement of the thumb and or index finger when flicking the fingernail of the middle finger down. The reflexive pathway causes the thumb to flex and adduct quickly. A positive Hoffman sign indicates an upper motor neuron lesion and corticospinal pathway dysfunction likely due to cervical cord compression ...
7.1K views
Sep 7, 2022
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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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Oct 30, 2018
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Ak Nursing Academy on Instagram: "The Hoffmann test is a neurological reflex test where a doctor flicks the patient's middle fingernail downward to check for an involuntary finger response. A positive result, where the thumb and index finger flex, can indicate an upper motor neuron lesion in the cervical spine, such as those caused by spinal cord compression. While it's a useful screening tool, a positive sign isn't always definitive, as up to 3% of healthy individuals may have a positive reflex
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Ak Nursing Academy on Instagram: "The Hoffmann test is a neurological reflex test where a doctor flicks the patient's middle fingernail downward to check for an involuntary finger response. A positive result, where the thumb and index finger flex, can indicate an upper motor neuron lesion in the cervical spine, such as those caused by spinal cord compression. While it's a useful screening tool, a positive sign isn't always definitive, as up to 3% of healthy individuals may have a positive reflex
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