Vídeo 4 prueba de espurling
El objetivo de exámenes adicionales es descartar el origen de la columna cervical.
Prueba de Spurling: para examinar la radiculopatía
De pie detrás del paciente sentado, el médico tratante mueve la cabeza en extensión, flexión lateral y rotación contralateral, y luego aplica presión axial a la columna cervical. El objetivo es crear compresión de la raíz del nervio cervical.
La prueba es positiva cuando aparecen los síntomas:
– aparición de dolor local, por ejemplo, artritis, procesos degenerativos
– dolor que se irradia en dirección a la extremidad superior, por ejemplo, afectación de la raíz nerviosa
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