WESLEYAN

AN AUTONOMOUS METHODIST UNIVERSITY

COLLEGE OF NURSING AND ALLIED MEDICAL SCIENCES

PERFORMANCE EVALUATION TOOL
TEST OF PLANTAR OR BABINSKI REFLEX

NAME OF STUDENT: __________________________

Block #______

Procedure: TEST OF PLANTAR OR BABINSKI REFLEX

Procedure Rationale 3 2 1 REMARKS

Purpose:
1. To determine the presence or absence of Plantar or
Babinski Reflex.
Assessment:
1.Inquire if the client has history of presence of pain and
numbness in the lower extremities, as well as onset and
aggravating and alleviating factors.
Planning:
1. Prepare the client.
2. Prepare equipment/materials to be used:
i. Percussion hammer
ii. Pin or key
1 Explain to the client what you are going to do, why it is
necessary, and how he or she can cooperate. Discuss how the
results will be used in planning further care or treatments.
2 Wash hands and observe appropriate infection control
procedures.
3 Provide for client privacy.
4 Use a moderately sharp object such as percussion hammer, key
or dull end of the pin or applicator stick.
5 Stroke the lateral border of the sole of the client’s foot, starting
at the heel, continuing to the ball of the foot.
6 Proceed across the ball of the foot toward the big toe.

7 Observe the response

Normally all 5 toes bend down which if negative Babinski’s.
8 In an abnormal response, the toes spread outward and the big
toe moves upward.
9 Secure patient’s comfort and safety.

10 Document all the findings

Evaluation:
1. Follow detailed procedures and describe reflex responses
appropriately based on the “Scale for Grading Reflex
Responses”.
2. Report significant deviations from normal to the physician.

Student’s Signature:_______________ Instructor’ Signature________________

Date:_____ Date:__________

Comments/Suggestions:_______________________________________________________
 WESLEYAN
AN AUTONOMOUS METHODIST UNIVERSITY

COLLEGE OF NURSING AND ALLIED MEDICAL SCIENCES

PERFORMANCE EVALUATION TOOL
GROSS MOTOR AND BALANCE TESTS

NAME OF STUDENT: __________________________

Block #______

Procedure: GROSS MOTOR AND BALANCE TESTS

Procedure Rationale 3 2 1 REMARKS
Purpose:
1. To examine proprioception and cerebellar function.
Assessment:
1.Inquire if the client has history of loss of consciousness, or
fainting.
Planning:
1. Prepare the client.
2. Prepare the area/room to be used
1 Explain to the client what you are going to do, why it is
necessary, and how he or she can cooperate. Discuss how the
results will be used in planning further care or treatments.
2 Provide for client privacy.
3 Walking Gait
Ask the client to walk across the room and back, and
assess the client’s gait.
4 Romberg’s Test
Ask the client to stand with feet together and arms resting at
the sides, first with eyes open, then closed.
5 Standing On One Foot w/ Eyes Closed
Ask the client to close his eyes and stand on one foot. Then
the other. Stand close to the client during this test.
6 Heel – Toe Walking
Ask the client to walk a straight line placing the heel of one
foot directly in front of the toes of the other foot.
7 Toe or Heel Walking
Ask the client to walk several steps on the toes then on the
heels.
8 Secure patient’s comfort and safety.

9 Document all the findings.

Evaluation:
1.Assess the client’s posture, gait, and balance, as well as
identify any variations from normal.

2. Report significant deviations from normal to the physician.

Student’s Signature:_______________ Instructor’ Signature________________
Date:_____ Date:__________

Comments/Suggestions:__________________________________________________________