Radiculopathy
Cervical Radiculopathy

Spurling Test
Spurlings Test: The patient is seated and lateral flexes + extends the cervical spine. The practitioner applies axial pressure through the top of the head. A + test is reproduction of radicular pain or numbness down the UE. Sensativity: 30%, Specificity: 93%
Tong H, Haig AJ, Yamakawa K. The Spurling Test and Cervical Radiculopathy. Spine; 27: 156-59.
Distraction Test: Patient is supine and examiner applies a traction force to the cervical spine. A + test is resolution of symptoms. Sensativity:44% Specificity:90%

ULTT median nerve bias
Cluster diagnosis for cervical radiculopathy
Wainner et al found a 99% specificity and + likehood ratio of 30.3 for cervical radiculopathy when a patient had:
- + ULTT of median nerve
- cervical rotation < 60deg
- + Distraction Test
- + Spurlings Test
Wainner RS, Irrgang JJ, Delitto A. Reliability and Diagnostic Accuracy of the Clinical Examination and Patients Self-Report Measures for Cervical Radiculopathy. Spine; 28: 52-62.
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