Yes, it is called Hoffmans test, but the middle finger is and he flicks it down, as he is flicking it down, jus the end flange of it, he is looking to see if the index of thumb move involuntarily, it they do it is positive for ALS or (forget the other condition) but if the patient has known spinal condition it tells them where the nerve is impinged at, like the c spine vrs the thoracic or lumbar, if positive it is in the c spine,,, well am off soon, not sure what will happen, just had to get a tooth infection an was told yesterday could go either way, might have to stay or could be sent to get dental work before he does anything...