"PERFECT" Hoffman's Sign with Paul Marquis PT

Published 2018-10-03
This video is a great example of a positive Hoffman's sign. For more videos on real patients with different diagnoses check out our video playlist here:
Listen to the OEP Podcast show, go here:orthoevalpal.com/

All Comments (21)
  • @TPRM1
    Thanks. Just here for a quick refresh. Once examined a retired neurology professor in his 90s. He told me, in his soft, clipped RP, that he was “having some extrapyramidal signs...” *Gulp*. Anyway, I did a full neuro exam, and when I got to Hoffman’s test, he said, “Ah, I see you’ve been well taught.” Thanks, Prof 😊
  • A positive Hoffmann’s reflex and finger jerks suggest hypertonia, but can occur in healthy individuals, and are not useful signs in isolation. In cerebellar diseases, the reflexes may be pendular, and muscle contraction and relaxation tend to be slow, but these are not sensitive or specific to cerebellar signs
  • @juliegreen9000
    I’m just shocked this isn’t normal. I never realized it was abnormal
  • I have hoffman sign in both hand, i have it for as long as i can remember , don't know it was pathological, I don't have any muscle wasting or anything serious, i'm 26
  • @Michael-yx3qw
    Do all ALS patients exhibit Hoffmans sign if their symptoms started in the hand/arm?
  • @ScarlettDuchess
    I have this both sides although the left side is worse (have a pronator drift on that side). Three consecutive flicks of the middle finger and my thumb and index finger touch each other. If I move my neck and do this test my thumb and index finger touch each other in one flick.
  • I have had a neck pain for 3 months now with weird feeling in my left arm and leg with headaches. Anyone has an idea?
  • @coleryan3301
    What were some generalized interventions you did with her? -SPT