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THE PLANTAR REFLEX - RePub

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TABLE XVI<br />

FREQUENCY OF V ARlO US SIGNS ON <strong>THE</strong> SIDE OF A UNILATERAL<br />

BABINSKI RESPONSE IN 50 PATIENTS<br />

1. Flexion reflex<br />

- exaggerated 58%<br />

- symmetrical 38%<br />

- diminished 4%<br />

2. Weakness<br />

- paralysis of foot<br />

- marked weakness (MRC 1-4) of foot<br />

- slight weakness of foot<br />

- only proximal weakness<br />

- no weakness<br />

3. Loss of skill<br />

- with paralysis or marked weakness<br />

of foot ( 44%)<br />

- with slight weakness of foot (32%)<br />

- with only proximal weakness (14%)<br />

- with no weakness (10%)<br />

- no loss of skill<br />

28%}<br />

16%<br />

32%<br />

14%}<br />

10%<br />

44%<br />

30%}<br />

12%<br />

4%<br />

10%<br />

weakness of foot: 76%<br />

no weakness of foot: 24%<br />

no weakness of foot but<br />

loss of skill: 16%<br />

4. Associated dorsiflexion of great toe<br />

a) on ipsilateral<br />

hip flexion<br />

- not possible<br />

- positive<br />

- bilaterally positive<br />

- positive on control side<br />

- negative<br />

5. Tone<br />

- increased in ankle (at least)<br />

- increased in knee only<br />

- symmetrical<br />

- decreased in knee only<br />

- decreased in ankle<br />

14%<br />

14%<br />

20%<br />

18%<br />

34%<br />

b) on contralateral<br />

hip flexion<br />

2%<br />

18%<br />

4%<br />

6%<br />

70%<br />

10%<br />

6%<br />

62%<br />

8%<br />

14%<br />

c) on contralateral<br />

rapid toe movementJ<br />

2%<br />

2%<br />

2%<br />

14%<br />

80%<br />

6. Tendon reflexes<br />

- increase of ankle jerk only<br />

- increase of ankle jerk plus other<br />

reflexes<br />

- only other reflexes increased<br />

- symmetrical<br />

- only other reflexes decreased<br />

- ankle jerk decreased<br />

10%1<br />

'<br />

60% ,-<br />

4%<br />

22%<br />

2%<br />

2%<br />

74%<br />

(cont. next paRe)<br />

124

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