The topping test causes the patient's head to be biased toward the affected side. The examiner's left palm is placed on the top of the patient's head, and the right hand clenches the fist and rubs the left hand back. The patient has radiation pain or numbness, indicating that the force is transmitted downward to the intervertebral foramen, and there is root damage. For people with severe root pain, the examiner can use the overlapping hands on the top of the head and pressurize under the pressure to induce or aggravate the symptoms. There may be abnormal pain during the examination, and the situation should be reported to the doctor truthfully.

Basic Information

Specialist classification: growth and development check classification: other inspection

Applicable gender: whether men and women apply fasting: not fasting

Analysis results:

Below normal:

Normal value:
no

Above normal:

negative:
The examiner only had a slight soreness or no abnormal pain as normal.

Positive:
Radioactive pain or increased initial symptoms of the affected limb during compression were positive for the test. Often manifested as cervical spondylosis.

Tips: If there is abnormal pain during the examination, you should report the situation to the doctor truthfully. Normal value

The examiner only had a slight soreness or no abnormal pain as normal.

Clinical significance

Abnormal results: radioactive pain in the affected limb during extrusion or aggravation of the original symptoms was positive for the test. Often manifested as cervical spondylosis.

People who need to be examined: Patients with cervical spondylosis need to be examined.

Positive results may be diseases: cervical spondylotic myelopathy, vertebral artery type cervical spondylosis, sympathetic cervical spondylosis, cervical spondylotic radiculopathy, cervical spondylosis considerations

Contraindications before examination: Relevant examinations may be performed when necessary, especially for fractured patients.

Requirements for inspection: Relaxation during the examination, there may be abnormal pain during the examination, and the situation should be truthfully reflected.

Inspection process

The patient sits, the head and neck are upright, the doctor presses down on the patient's head, or covers the top of the patient's head with the left palm. The right hand clenches the fist and presses or hits the back of the left hand. The force of the hit should be moderate. Too large, if the patient has neck and shoulder pain, or numbness and soreness of the upper extremity radiation can be considered abnormal.

Not suitable for the crowd

Inappropriate crowd: pregnant women.

Adverse reactions and risks

Nothing.