The Pronator Drift Test (Barre’s Sign): 1. Ask the person to stand or sit up straight. 2. Have them close their eyes and stretch both arms straight out in front, palms up, like they’re holding a tray. 3. Tell them to hold that position for 20-30 seconds. WATCH CLOSELY. Here’s what it means: · NORMAL: Arms stay steady, level, and palms mostly up. · PYRAMIDAL DRIFT (e.g., possible stroke, MS): One arm slowly drifts down and the palm rotates inward (pronates). This suggests weakness on that side, a

▶️ Pronator Drift (Pyramidal Drift) on Physical Exam ◀️ | Manual of Medicine

Video : Testing for "Pronator Drift" in "Stroke". The patient is asked to hold both arms fully extended at shoulder level in front of them, with the palms upwards, and hold the position. If they are unable to maintain the position the result is positive. Closing the eyes accentuates the effect, because the brain is deprived of visual information about the position of the body and must rely on proprioception. If a forearm pronates with downward motion, then the person is said to have pronator dri