KEMPS TEST OR EXTENSION QUADRANT TEST FOR INTERFORAMINAL LUMBAR STENOSIS Next to the cluster of Cook and the 2-stage treadmill test that we saw yesterday, the Kemps or Extension Quadrant Test can be used in case you suspect INTERFORAMINAL lumbar stenosis. The biomechanical reasoning behind it is that you are narrowing the intervertebral foramen on the effected side, by having you patient perform extension, ipsilateral lateral flexion and ipsilateral rotation. You can compare this to the Spurling

SPURLING'S TEST FOR RADICULAR SYNDROME A second highly specific test for radicular pain originating from the cervical spine is the Spurling's Test. The latest systematic review by Thoomes et al. (2018) report a sensitivity ranging from 38-97% and a high specificity ranging from 89-100%. But what is the best way to conduct the Spurling Test? Originally, the test was described with lateral bending and axial compression, but several modifications have been proposed. Anekstein et al. (2011) examined