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Spurling's Test

Sensitivity, Specificity
Likelihood Ratio +/-
Spurling’s Test
 aka Foraminal Compression Test
A positive test of pain radiating into the upper extremity towards the same side that the head is laterally flexed would indicate pressure on the nerve root.
The patient should be seated with their neck side bent/rotated towards the ipsilateral side. The examiner should then carefully provide a compression force straight through the head to determine if symptoms are provoked. Repeat on the opposite side. This test could be performed with 3 different steps involving the head in neutral, extension, or extension with rotation
LR+ =
LR- =

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