Red Flags & Special Considerations

Reproduction of cord symptoms. Classic for: Upper Motor Neuron Lesion.

Kernig’s: Resistance or pain when extending knee Brudzinski: Involuntary movement of knee/hip flexion with resistance to leg extension when flexing neck. Classic for: Meningeal Inflammation.

Observational finding (supported postures) which may be related to meningitis.

Umbilicus moves cephalically. Classic for: Spinal cord lesion.

Reproduction of symptoms. Classic for: Identifying potential compression fracture.

Reproduction of nerve symptoms. Classic for: Neuropathy.

Reduced ability to discriminate points assessing sensory function and potential damage to a peripheral nerve or posterior column-medial lemniscus pathway.