Spurling's Test: Difference between revisions
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== Technique == | == Technique == | ||
The patient is seated comfortable while examiner stands behind the patient. Examiner interlocks fingers and rests the volar aspect of both hands on top of the patient's head. The examiner laterally flexes the patient's neck approximately 30 degrees to the affected side and then applies a downward axial compression making sure not to laterally flex the patient's neck any further. | The patient is seated comfortable while examiner stands behind the patient. Examiner interlocks fingers and rests the volar aspect of both hands on top of the patient's head. The examiner laterally flexes the patient's neck approximately 30 degrees to the affected side and then applies a downward axial compression making sure not to laterally flex the patient's neck any further. | ||
Video Link: [http://www.youtube.com/watch?v=YwR9EcKN_Jc http://www.youtube.com/watch?v=YwR9EcKN_Jc] | |||
{{#ev:youtubev=YwR9EcKN_Jc|300}} | |||
== Evidence == | == Evidence == | ||
Revision as of 00:44, 2 June 2009
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Purpose
[edit | edit source]
To test for a cervical nerve root compression causing cervical radiculopathy
Technique[edit | edit source]
The patient is seated comfortable while examiner stands behind the patient. Examiner interlocks fingers and rests the volar aspect of both hands on top of the patient's head. The examiner laterally flexes the patient's neck approximately 30 degrees to the affected side and then applies a downward axial compression making sure not to laterally flex the patient's neck any further.
Video Link: http://www.youtube.com/watch?v=YwR9EcKN_Jc
Evidence[edit | edit source]
Reliability Info
0.50 (0.28–0.72) Sensitivity
0.93 (0.83–0.98) Specificity
Sensitivity of 92%
Specificity of 95%
Positive Predictive Value (PPV) of 96.4%
Negative Predictive Value (NPV) of 90.9%
Resources[edit | edit source]
add any relevant resources here
References
[edit | edit source]
Konin, J. G., Wiksten, D. L., Jerome A. Isear, J., & Brader, H. (2006). Special Tests for Orthopedic Examination (3rd ed.). Thorofare: SLACK Incorporated.
Rubinstein, S. M., Pool, J. J. M., Tulder, M. W. v., Riphagen, I. I., & Vet, H. C. W. d. (2007). A systematic review of the diagnostic accuracy of provocative tests of the neck for diagnosing cervical radiculopathy. Eur Spine J, 16, 307-319.
Shah, K. C., & Rajshekhar, V. (2004). Reliability of diagnosis of soft cervical disc prolapse using Spurling's test. British Journal of Neurosurgery, 18(5), 480-483.
