Spurling's test - inconsistencies in clinical practice.

Area of Science:

• Orthopaedic Physical Therapy
• Spinal Diagnostics

Background:

• Spurling's test is commonly used in physical therapy for cervical spine conditions.
• Clinical decision-making relies on accurate diagnostic tests for effective treatment.

Purpose of the Study:

• To investigate the methodology, interpretation, and perceived clinical value of Spurling's test.
• To identify inconsistencies in the application and understanding of Spurling's test among physical therapists.

Main Methods:

• An anonymous web-based survey was distributed to physical therapists.
• Participants reviewed video demonstrations and answered questions on test technique, interpretation, and perceived value.

Main Results:

• No single method for Spurling's test was preferred by a majority of participants.
• A significant portion (67%) interpreted proximal symptom provocation alone as a positive test.
• Spurling's test was rated as having moderate to low value for diagnosis, classification, and treatment.

Conclusions:

• Inconsistencies in Spurling's test methodology and interpretation are prevalent in physical therapy practice.
• Clarification of interpretation criteria could reduce practice variance and improve diagnostic utility.
• Further research is needed to identify an optimal test methodology.