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Spurling's test - inconsistencies in clinical practice.

Hayden Jinright1, Natalie Kassoff1, Clay Williams1

  • 1Department of Physical Therapy, College of Health Sciences, University of Kentucky , Lexington, KY, USA.

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Spurling's test shows inconsistent methods and interpretation among physical therapists. This cervical spine assessment is perceived as having moderate to low value for diagnosis and treatment decisions.

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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.