Cervical Spine - Special Tests

Question 1

What are the two positions (steps) for Spurling’s Quadrant test?

Answer 1

compress in neutral

then in extension and rotation

Question 2

With Spurling’s, pain on the concave side that’s very local that also appears as a bit less pain when the same area is on the convex side would be indicative of…

Answer 2

facet joint/meniscoid irritation

Question 3

The end position for maximal cervical compression test is…

Answer 3

head in lateral flexion, extension, and ipsilateral rotation

Question 4

For the VAT test, if you bring the client’s head into extension, R lat flexion and R rotation, and you get a (+) test, then the vertebral artery on which side is affected?

Answer 4

contralateral side to the movements

Question 5

Normal end feel for the lateral flexion alar ligament stress test would be…

Answer 5

strong capsular end feel/solid stop

Question 6

With the rotational alar ligament stress test, if you get a (+) test when rotating to the L, then which side of the alar ligament is likely affected?

Answer 6

the R side (contralateral)

Question 7

Which ULTT is this? depress & abduct shoulder to 10*, extend elbow, supinate forearm, extend wrist, fingers, and thumb, laterally rotate at the shoulder, and have patient contralaterally flex the head.

Answer 7

2 (for median/musculocutaneous/axillary nerve)

Question 8

Which ULTT is this? depress and abduct shoulder to 10*, extend elbow, pronate forearm, flex and ulnarly deviate the hand, flex fingers/thumb, medially rotate at the shoulder, and have patient contralaterally flex the head.

Answer 8

ULTT3 (radial)