What does the modified Sharp-Purser test?

Introduction: The Sharp-Purser Test (SPT) is used to assess for atlantoaxial instability (AI) in patients with rheumatoid arthritis (RA). The test is commonly used by clinicians; however, many experts argue it lacks reliability and validity along with concerns of safety.

When do you use a sharp-Purser test?

The Sharp-Purser test should be performed before the Transverse Ligament Stress Test, because the Sharp-Purser test works to reduce symptoms, while the Transverse Ligament Stress Test works to reproduce symptoms. (“Clinical Testing for the Craniovertebral Hypermobility Syndrome”).

How do you test cervical instability?

The following tests can be used to measure cervical instability but little is known about the diagnostic accuracy of upper cervical spine instability tests:

  1. Sharp-Purser test.
  2. Transverse Ligament Stress Test.
  3. Cervical flexion-rotation test.
  4. Neck Flexor Muscle Endurance Test and Craniocervical flexion test.

How is cervical spondylosis tested?

Imaging tests

  1. Neck X-ray. An X-ray can show abnormalities, such as bone spurs, that indicate cervical spondylosis.
  2. CT scan. A CT scan can provide more detailed imaging, particularly of bones.
  3. MRI. MRI can help pinpoint areas where nerves might be pinched.
  4. Myelography.

What does Spurling’s test for?

The Spurling test is a highly specific provocative test. But it’s not a sensitive test. It’s designed to diagnose a pinched or compressed nerve in your spine. If you believe you have cervical radiculopathy then you should talk to your doctor about performing a Spurling test.

What is Foraminal compression test?

A physical examination technique which reduces the opening of the foramen which may demonstrate if there is pressure upon the exiting spinal nerve. The test is done to detect spinal nerve root involvement, a herniated disc, bulging disc, or foraminal stenosis.

How is atlantoaxial subluxation diagnosed?

Diagnosis of Atlantoaxial Subluxation

  1. Plain x-rays.
  2. MRI to assess the integrity of the ligaments.