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Maximum Cervical Compression Test
The Maximum Cervical compression test is used to detect nerve root involvement in the cervical spine. This test is also known by other names, including the Foraminal Compression test and Spurling’s test. This test should not be used if a significant cervical injury is suspected.
With the patient in the seated position, tilt and rotate the patient’s neck to the side of involvement. Place your hands on top of the head and gradually build a downward pressure to compress the cervical spine.
The test is considered positive if it reproduces or exacerbates radicular symptoms, suggesting nerve root compression. If the test only produces localized neck pain, involvement of the structures of the vertebral motion segments such as the facet joints should be considered.
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