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- W1519401295 abstract "textabstractThe plantar reflex is one of the most important physical signs inmedicine. Few patients undergoing a full medical examination can avoidhaving their soles stroked, because an upgoing great toe is regarded as areliable sign of dysfunction of corticospinal nerve fibres. So far, there islittle to justify a new study.One problem is, however, that it can be difficult to determine thedirection of the reflex response: the movements of the great toe may beslight, wavering, inconstant, or masked by voluntary activity. Soon afterthe introduction of the reflex the comment had already been made that' the average ward clerk's notes are quite worthless on the subject of theplantar reflex, though he may make fair notes on the knee jerk and thepupil reflex to light' (Harris, 1903 ). Anyone who is a regular participant inmedical ward rounds knows that controversies about plantar reflexes stillabound today. Decisions in such cases are ususally guided by a mixture ofseniority and ill-defined intuition. This is because the toe response iswidely regarded as an oracle which often speaks in riddles, rather than as adefinite reflex phenomenon, subject to the rules of physiology. But to givethe plantar reflex its proper value, the neurologist must be aware of whatis happening in the spinal cord. Therefore the first leading theme of thisstudy was to ascertain the connections between the roe responses and otherspinal reflexes, and to apply these physiological relationships to theinterpretation of equivocal plantar responses.A review of previous clinical studies about the plantar reflex precedesthe actual experiments. Since Babinski discovered the toe response in 1896,he has been awarded a prominent place on the neurological Olympus, andhis papers on the subject have been canonized (Wilkins and Brody,1967). However, to get full insight into the meaning of Babinski's words,we must connect these with pre-existing concepts, with the subsequentdevelopment of Babinski's own ideas, and with additional clinical andphysiological observations of others." @default.
- W1519401295 created "2016-06-24" @default.
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- W1519401295 date "1977-11-16" @default.
- W1519401295 modified "2023-09-23" @default.
- W1519401295 title "The plantar reflex : a historical, clinical and electromyographic study" @default.
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