Cervical spine

Question 1

Spurlings test

Answer 1

Rest elbows on shoulders
Apply force down
E + comp (don’t continue if pain)
E + R to unaffected side + comp
E + R to affected side + comp

Question 2

What does it test - Spurlings

Answer 2

Local sprain/strain, joint damage, facet irritation, cervical sublux

Question 3

+Ve test - Spurlings

Answer 3

Radicular P and/or altered sensation in dermatomal distribution

Local neck pain- not +ve

Question 4

Jackson’s compression

Answer 4

Pt rotate head to one side
Apply force down on head
Repeat with head rotated to other side

Question 5

What does it test - Jackson’s compression test

Answer 5

Increased pressure on nerve roots (DJD, osteophytes, radiculopathy)

Question 6

+Ve - compression test

Answer 6

Peripheral P and/or altered sensation (radiation down arm- dermatomal)

Question 7

Distraction

Answer 7

Cup chin, support occiput Lift head

Question 8

What does it test for - distraction

Answer 8

Muscle, ligament, or capsule
Increased pressure on nerve roots
Facet irritation, DJD

Question 9

+ve - distraction

Answer 9

Relief of symptoms