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Babinski Reflex

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Jenn,

Here's a definition of the Babinski Reflex from

http://www.medterms.com/script/main/art.asp?articlekey=7172

Babinski reflex: An important neurologic test based, believe it or

not, upon what the big toe does when the sole of the foot is

stimulated. If the big toe goes up, that may mean trouble.

The Babinski reflex is obtained by stimulating the external portion

(the outside) of the sole. The examiner begins the stimulation back

at the heel and goes forward to the base of the toes. There are

diverse ways to elicit Babinski response. A useful way that requires

no special equipment is with firm pressure from the examiner's

thumb. Just stroke the sole firmly with the thumb from back to front

along the outside edge.

Care must be taken not to overdo it. Too vigorous stimulation may

cause withdrawal of the foot or toe, which can be mistaken as a

Babinski response.

The Babinski reflex is characterized by extension of the great toe

and also by fanning of the other toes.

Most newborn babies are not neurologically mature and therefore show

a Babinski response. Upon stimulation of the sole, they extend the

great toe . Many young infants do this, too, and it is perfectly

normal. However, in time during infancy the Babinski response

vanishes and, under normal circumstances, should never return.

A Babinski response in an older child or adult is abnormal. It is a

sign of a problem in the central nervous system (CNS), most likely

in a part called the pyramidal tract.

Asymmetry of the Babinski response -- when it is present on one side

but not the other -- is abnormal. It is a sign not merely of trouble

but helps to lateralize that trouble (tell which side of the CNS is

involved).

The Babinski reflex is known by a number of other names: the plantar

response (because the sole is the plantar surface of the foot), the

toe or big toe sign or phenomenon, the Babinski phenomenon or sign.

(It is wrong to say that the Babinski reflex is positive or

negative; it is present or absent).

Babinski, despite the Slavic sound of the name, was French: ph

Francois Felix Babinski (1857-1932). He will never be forgotten in

medicine, thanks to the reflex he found.

Hope this sheds some light for you.

Gretchen

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