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Spurling Sign
Aka: Spurling Sign, Spurling Test, Axial Compression of Cervical Spine, Shoulder Abduction Sign, Vertex Compression Test
- See Also
- Cervical Disc Provocative Test
- Indications
- Suspected Cervical Radiculopathy
- Technique
- Patient bends neck to ipsilateral side, performing neck lateral flexion and extension)
- Examiner pushes down on head (axial compression of neural foramina)
- Interpretation
- Pain on axial compression suggests foraminal stenosis and nerve root irritation on the side of the rotation
- Pain may then be relieved by raising arm on the affected side overhead (Shoulder Abduction Sign)
- Efficacy
- High Test Sensitivity and Specificity
- References
- Shah (2004) Br J Neurosurg 18(5): 480-3 [PubMed]