MS with positive Hoffman's sign and Babinski test

This patient was initially sent to PT for altered gait. She has what appears to be some spasticity in the leg and has difficulty dorsiflexing the ankle. She has a 10 year history of mild MS. The Hoffman's Sign and Babinski test should make you suspicious of an underlying upper motor neuron lesion.

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#MultipleSclerosis#Hoffman'sSign#Babinski

[OrthoEvalPal]

With the Hoffman's sign it is positIve if the thumb and index finger come together when middle finger is flicked. Babinski is positive when great toe extends and toes splay

[angelacombs]

Thank you for referring to her as a young lady. ❤

[MsHEADbanging]

Thank you! I am a medical student and videos like these are the best! I have been struggling with the pinching of the middle finger, I can't seem to get it right.

[dsmmetaanalysis_research]

Thank you for your demonstration 😊.But it's the wrong way to elicit a babinski sign with the sharp end of your clinical hammer 😊. Anybody can use a large blunt car key or wooden blunt stick. Thank you and kind regards~ 🌼

[Entrojoe]

If it moves does that mean there is an issue? Or is it that if it doesn't move an issue may be present.

[Shadow-qskq]

Hi paul I enjoy watching your videos. I tried this on myself because I have some mnd symptoms but nothing happens does this have any significance?

[tessarolomed]

What if only the thumb moves and only on one hand?

[ignaciovallejo]

In my opinion, not a conclusive positive Hoffman´s sign.

[paddymcmullan]

hello, im worried about the checks my docs have been doing, im having a lot of problems with arm pain BOTH arms, its been going on for around 9 weeks . its driving me nuts, i feel like ive done 10 rounds of boxing where ive punched my self out and my arms are heavy, tired, weak sore and burning, its got to the stage i cant lift my 1 and a half year old daughter out of her cot has any one any ideas, i also noticed my blood pressure and pules has went up over this time although the gps have never check my blood pressure ive my own machine, they say tennis elbow but im worried its not as inm getting weaker and weaker, and reply welcome expect trolls who think they are funny but they are just being A$$holes and need to get a life lol