Title: Bone Wizardry / OMM Mastery / 18.Special Tests / I.Cervical Spine
Tags: #BW_OMM::Content::Diagnosis #BW_OMM::Region::Cervical #BW_OMM::Type::Cloze BoneWizardry bonewizardry-free omm omt

Q: A seated patient has the C-spine extended and sidebent to the side being tested, then the physician applies downward pressure on the crown of the head. This is the:
[...]
A: Spurling test
Q: When performing the Spurling test the patient notes pain that radiates into the ipsilateral arm, what does this indicate?
[...]
A: Positive test; The patient has a radiculopathy
Comment 2: The pain's distribution can help localize the affected nerve root.
Topic: Cervical Spine
Review Links: - Bone Wizardry cervical OMM
- Practice: Cervical Special Tests QBank
Show outside sources
- HVLA cervical vertebrae
- StatPearls Spurling test
- Cleveland Clinic Spurling test
- APTA cervical arterial dysfunction screen
- AAFP neck pain evaluation
Bone Wizardry Lock: The Spurling closes the ipsilateral foramen by stacking extension, sidebending, and axial compression. Ipsilateral arm pain on loading confirms nerve root compromise at that level.

Q: The vertebral artery / cervical arterial dysfunction screen assesses [...] insufficiency.
A: vertebral artery
Q: The patient is supine. The physician holds the neck in flexion for ten seconds, then extension for ten seconds, then repeats through all cervical positions. This is the:
[...]
A: vertebral artery / cervical arterial dysfunction screen
Comment 2: This attempts to mobilize the C-Spine. A positive test results when the patient complains of dizziness, visual changes, lightheadedness, or eye nystagmus occurs.
Topic: Cervical Spine
Review Links: - Bone Wizardry cervical OMM
- Practice: Cervical Special Tests QBank
Show outside sources
- HVLA cervical vertebrae
- StatPearls Spurling test
- Cleveland Clinic Spurling test
- APTA cervical arterial dysfunction screen
- AAFP neck pain evaluation
Bone Wizardry Lock: A positive arterial screen means the vertebral artery is being compressed during positional neck stress. Dizziness, visual changes, or nystagmus in any neck position is a contraindication to cervical HVLA.