Execution:
- Perform the ULTT/ULNT A/1
- Evaluate if cervical rotation in the painful direction is less than 60°
- Perform the traction/distraction test in case the patient is experiencing arm pain/paresthesia at the moment
- Perform the Spurling’s test
Positive Outcome: Three or more positive tests of the abovementioned test combination
| Study | Reliability | Sn | Sp | LR+ | LR- |
| Wainner et al. (2003) for3 out of 4 positive tests | NA | 39 | 94 | 6.1 | 0.65 |
| Wainner et al. (2003) for4 out of 4 positive tests | NA | 24 | 99 | 30.3 | 0.77 |
| Comment: The Cluster of Wainner can be used to confirm cervical radicular syndrome. However, the confidence intervals were very wide and the study was conducted in secondary care. | |||||
