The occiput to wall distance tests for ankylosing spondylitis and can be used to track its progression

Performing the Test

  1. Ask the patient to stand with their back against a wall
  2. Positive test: patient unable to place occiput on wall, distance from wall should be measured to track progression


  1. Baxter S, ed., McScheffrey G, ed. Toronto Notes: Comprehensive Medical Reference & Review for MCCQE 1 & USMLE 2. 26th ed. Toronto: Toronto Notes for Medical Students Inc; 2010.
  2. Hurley K. OSCE and Clinical Skills Handbook. Halifax: Elsevier Canada; 2005.