Pemeriksaan Refleks Patologis - Naomi Kharista (1806179900)

Summary

This video, presented by Indomie Karista, a physiotherapy student at a university in Indonesia, demonstrates several pathological reflex tests. It begins with an explanation of the Hoffman reflex test, where the examiner lightly taps the patient's middle finger to check for abnormal thumb and finger flexion. The video also covers the Tromner reflex test, which is similar, and the Babinski reflex test, where the examiner strokes the sole of the patient's foot to observe for toe dorsiflexion. The video is educational, highlighting key techniques for assessing these neurological reflexes.

Takeaways

• 👩‍⚕️ The speaker introduces herself as a physiotherapy student from Indonesia, class of 2018.
• 🧠 The video focuses on demonstrating pathological reflex tests.
• 🖐️ The first reflex test demonstrated is the Hoffman reflex, with the patient sitting relaxed and their fingers slightly flexed.
• 👍 A positive Hoffman reflex is indicated by the flexion of the thumb, index finger, and other fingers after tapping the middle finger's nail.
• 👆 The next test shown is the Tromner reflex, with the patient's middle finger being slightly pinched between the examiner's thumb and index finger.
• ✅ A positive Tromner reflex is also indicated by the flexion of the thumb, index finger, and other fingers.
• 🦶 The Babinski reflex test is demonstrated with the patient lying or sitting relaxed with legs extended.
• 👣 The examiner strokes the lateral part of the patient's foot from the heel to the base of the big toe.
• ☝️ A positive Babinski reflex is indicated by dorsiflexion of the big toe and fanning out of the other toes.
• 🙏 The speaker concludes by thanking the viewers for watching the demonstration.

Q & A

What is the purpose of the video?

The video aims to explain and demonstrate several pathological reflex examinations, such as the Hoffman, Tromner, and Babinski reflex tests.

What is the Hoffman reflex test, and how is it performed?

The Hoffman reflex test is a neurological test used to assess abnormal reflexes. The patient sits relaxed, and the examiner gently holds the patient's middle finger. The examiner then flicks the patient's fingernail, and the test is considered positive if the patient's thumb or other fingers flex.

What is considered a positive result in the Hoffman reflex test?

A positive result occurs when there is flexion of the patient's thumb, index finger, or other fingers following the examiner's flick of the middle finger.

How is the Tromner reflex test similar to the Hoffman reflex test?

Both the Hoffman and Tromner reflex tests involve examining the patient's middle finger, where the examiner flicks or taps the middle finger to observe any reflex movements in the other fingers.

How is the Tromner reflex test performed?

The patient sits relaxed, and the examiner gently pinches the patient's middle finger between their thumb and index finger. The examiner then taps or flicks the tip of the middle finger. A positive result is indicated if there is flexion of the patient's thumb, index finger, or other fingers.

What does a positive result in the Tromner reflex test indicate?

A positive Tromner reflex indicates the presence of abnormal reflexes, similar to the Hoffman reflex, where the thumb or fingers flex in response to the tap on the middle finger.

What is the Babinski reflex test, and how is it performed?

The Babinski reflex test involves the patient lying or sitting relaxed with their legs straight. The examiner strokes the sole of the foot with a reflex hammer, starting from the heel and moving toward the base of the big toe. The test is positive if the big toe dorsiflexes, and the other toes fan out.

What is considered a positive result in the Babinski reflex test?

A positive Babinski reflex is characterized by dorsiflexion of the big toe and fanning of the other toes.

What do positive pathological reflexes, such as in the Hoffman, Tromner, or Babinski tests, indicate?

Positive pathological reflexes often indicate the presence of a neurological disorder affecting the central nervous system, such as upper motor neuron lesions.

Why is it important for the patient to be relaxed during these reflex tests?

It is essential for the patient to be relaxed so that the reflexes can be accurately assessed without any interference from voluntary muscle movements.