Sharp Purser Test
- Sharp-Purser Test
- Sharp Purser Test
- Assess the integrity of the Transverse Ligament, Atlanto-Axial Joint and upper cervical spine instability.
- The patient is is in the seated position
- The head is slightly flexed
- Examiner places one hand on the forehead, other hand is placed on spinous process of C2
- A posteriorly directed force is applied to the forehead while the other hand stabilizes the SP of C2
- There should be a clear end point
- Positive Test:
- Sliding movement
- Decrease in symptoms
- Uitvlugt et al
- Sensitivity: 69%
- Specificity: 96%
- LR-: 0.32
- LR+: 17.3
- Mintken, Paul E., Lisa Metrick, and Timothy Flynn. "Upper cervical ligament testing in a patient with os odontoideum presenting with headaches." journal of orthopaedic & sports physical therapy 38.8 (2008): 465-475.
- Uitvlugt G, Indenbaum S. Clinical assessment of atlantoaxial instability using the Sharp-Purser test. Arthritis Rheum. 1988 Jul;31(7):918-22. PubMed PMID: 3395385.