Brudzinski’s test – Meningeal stretch test

Purpose: 

To test for irritation to the meninges by placing a stretch through them.

Test procedure:

• The patient lies supine.

• The examiner stands next to the patient’s head.

• The examiner gradually flexes the patients head and neck towards the patient’s chest.

• Observe the patient’s knees and their face for evidence of pain.

 

Test findings:

Positive if the patient involuntarily flexes their hips and knees to lessen traction forces.

Signifies meningeal irritation / meningitis.