pull test

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Indications

Procedure

  • the patient stands in front of the examiner with his/her back to the examiner
  • he/she is told to prepare for a quick tug backward, enough to upset their balance
  • the correct response to the tug is a quick compensatory backward step
  • a patient with Parkinson's disease or parkinsonism at risk for backward falls will fail to take an adequate backward step & will fall into the hands of the examiner

More general terms

References

  1. Jump up to: 1.0 1.1 Medical Knowledge Self Assessment Program (MKSAP) 16 American College of Physicians, Philadelphia 2012
  2. Jump up to: 2.0 2.1 Munhoz RP, Li JY, Kurtinecz M Evaluation of the pull test technique in assessing postural instability in Parkinson's disease. Neurology. 2004 Jan 13;62(1):125-7 PMID: https://www.ncbi.nlm.nih.gov/pubmed/14718714