This study shows we might need to abandon the VBI testing for our cervical spine patients.

Putting people in these positions may be provocative themselves. And people with neck pain don’t need anymore pain.

“Highlights

Positional testing for vertebrobasilar insufficiency (VBI) is often used by manual therapists.
The VBI tests do not seem to be important in the pre-manipulative screening.
The rationale and value of the VBI tests should be questioned.
A negative VBI test can easily be wrongly interpreted as ‘safe to manipulate’.
The use of the VBI tests cannot be recommended and should be abandoned.”