Spurling's Test: Difference between revisions
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'''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | '''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | ||
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== Purpose<br> == | == Purpose<br> == | ||
To test for a cervical nerve root compression causing cervical radiculopathy< | To test for a cervical nerve root compression causing cervical radiculopathy<ref name="Konin et al">Konin JG, Wiksten DL, Isear JA, &amp;amp; Brader H. Special Tests for Orthopedic Examination. Thorofare: SLACK Incorporated; 2006.</ref> | ||
<br> | <br> | ||
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== Technique == | == Technique == | ||
The patient is seated comfortably 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. <sup> | The patient is seated comfortably 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.<ref name="Konin et al" /><sup></sup> | ||
<br> | <br> | ||
{{#ev:youtube|YwR9EcKN_Jc|300}} | {{#ev:youtube|YwR9EcKN_Jc|300}}<ref>Online Video, http://www.youtube.com/watch?v=YwR9EcKN_Jc, last accessed on 6/4/09</ref> | ||
== Evidence == | == Evidence == | ||
===== Diagnostic Accuracy<sup> | ===== Diagnostic Accuracy<sup></sup><ref name="Flynn et al" /> ===== | ||
Sensitivity= .50 | Sensitivity= .50 | ||
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+LR= 3.5 | +LR= 3.5 | ||
===== Reliability <sup> | ===== Reliability<ref name="Flynn et al" /><sup></sup> ===== | ||
Kappa= .60 | Kappa= .60 | ||
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[http://www.ncbi.nlm.nih.gov/pubmed/15799149 Shah KC, Rajshekhar V. Reliability of diagnosis of soft cervical disc prolapse using Spurling's test. British Journal of Neurosurgery. 2004: 18(5): 480-483.] | [http://www.ncbi.nlm.nih.gov/pubmed/15799149 Shah KC, Rajshekhar V. Reliability of diagnosis of soft cervical disc prolapse using Spurling's test. British Journal of Neurosurgery. 2004: 18(5): 480-483.] | ||
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== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | == Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | ||
<rss> | <rss>http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1P_FVbJaBNrPLU7jGBt_JIZS6HOTmAgPdihWtnfjFvVfxEAQ9|charset=UTF-8|short|max=10</rss> | ||
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== References == | == References == | ||
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<references /> | <references /> | ||
<br>4. Rubinstein SM, Pool JJ, van Tulder MW, Riphagen II, de Vet HC. A systematic review of the diagnostic accuracy of provocative tests of the neck for diagnosing cervical radiculopathy. Eur Spine J. 2007: 16: 307-319. | <br>4. Rubinstein SM, Pool JJ, van Tulder MW, Riphagen II, de Vet HC. A systematic review of the diagnostic accuracy of provocative tests of the neck for diagnosing cervical radiculopathy. Eur Spine J. 2007: 16: 307-319. | ||
Revision as of 22:38, 4 June 2009
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Purpose
[edit | edit source]
To test for a cervical nerve root compression causing cervical radiculopathy[1]
Technique[edit | edit source]
The patient is seated comfortably 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.[1]
Evidence[edit | edit source]
Diagnostic Accuracy[3][edit | edit source]
Sensitivity= .50
Specificity= .88
-LR = .58
+LR= 3.5
Reliability[3][edit | edit source]
Kappa= .60
Resources[edit | edit source]
Tong HC, Haig AJ, Yamakawa K. The Spurling test and cervical radiculopathy. Spine. 2002:27(2):156-9.
Recent Related Research (from Pubmed)[edit | edit source]
Failed to load RSS feed from http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1P_FVbJaBNrPLU7jGBt_JIZS6HOTmAgPdihWtnfjFvVfxEAQ9|charset=UTF-8|short|max=10: Error parsing XML for RSS
References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- ↑ 1.0 1.1 Konin JG, Wiksten DL, Isear JA, &amp; Brader H. Special Tests for Orthopedic Examination. Thorofare: SLACK Incorporated; 2006.
- ↑ Online Video, http://www.youtube.com/watch?v=YwR9EcKN_Jc, last accessed on 6/4/09
- ↑ 3.0 3.1 Cite error: Invalid
<ref>tag; no text was provided for refs namedFlynn et al
4. Rubinstein SM, Pool JJ, van Tulder MW, Riphagen II, de Vet HC. A systematic review of the diagnostic accuracy of provocative tests of the neck for diagnosing cervical radiculopathy. Eur Spine J. 2007: 16: 307-319.
5. Shah KC, Rajshekhar V. Reliability of diagnosis of soft cervical disc prolapse using Spurling's test. British Journal of Neurosurgery. 2004: 18(5): 480-483.
