Physical examination maneuver

Physical Exam

Babinski Reflex

also known as Plantar reflex
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Video coming September 2026

How to Perform

Run a blunt point firmly along the lateral sole of the foot from the heel toward the ball, then curve medially across the metatarsal pads. A positive (extensor) response is upward movement (dorsiflexion) of the big toe, often with fanning of the other toes; the normal response is downward flexion of the toes.

How to Interpret

Showing 1 of 5 findings

Upper Motor Neuron Lesion

Babinski reflex positive
Rule in
Very helpful
Rule out
Somewhat helpful
Evidence:Limited

References

  • Isaza Jaramillo SP, Uribe Uribe CS, García Jimenez FA, Cornejo-Ochoa W, Álvarez Restrepo JF, Román GC. Accuracy of the Babinski sign in the identification of pyramidal tract dysfunction. J Neurol Sci. 2014 Aug 15;343(1-2):66-8. doi:10.1016/j.jns.2014.05.028. PMID 24906707
  • Babinski J. Sur le réflexe cutané plantaire dans certaines affections organiques du système nerveux central. C R Soc Biol (Paris). 1896;3:207-208.

Related Systems / Regions

Lower ExtremitiesNeurological

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