HOFFMANN'S SIGN OR REFLEX FOR CERVICAL SPONDYLOTIC MYELOPATHY (CSM) Next to fractures, another red flag we have to screen for in the cervical spine is cervical spondylotic myelopathy (CSM), which is an encroachment of the spinal cord at cervical level by degenerative changes (uncinate process and facet joint osteophytosis, ossification or hypertrophy of the posterior longitudinal ligament and the ligamntum flavum or subluxations of the vertebral body). If the spinal cord is compressed, our patie

ADHD & Writing Struggles? This Reflex Might Be to Blame ✍️🧠 If your ADHD child avoids writing or tires out quickly, it could be due to a retained primitive reflex called the Palmar Grasp Reflex. This reflex makes it harder for the hands to move independently — making writing feel like a full-body effort 😣✏️ ⸻ 🧪 Quick Palmar Reflex Test at Home: 1️⃣ Ask your child to lay their hand flat 2️⃣ Draw an “X” at the base of the palm 3️⃣ 👉 If the fingers curl involuntarily = reflex is still active Th