Cervical Myelopathy Tests
Individuals with cervical myelopathy typically present with a cluster of upper motor neuron signs such as:
- Unsteady gait
- Reflexes > 2+
- Hoffmann’s Sign: Tap the nail of the 3rd or 4th digit with the thumb and index finger relaxed but not touching. A + test is involuntary flexing of the thumb and index finger.
- Babinski Sign: a blunt instrument is rubbed along the lateral aspect of the heel to the toes. A + test is dorsiflexion of the big toe and fanning of the other toes.
- wasting of the hands, loss of dexterity, nonspecific weakness
If a patient presents with signs and symptoms of cervical myelopathy, it is important to refer to a physician for further assessment. MRI, CT scan or myelography is necessary for confirmation.