Slump Test: Difference between revisions
No edit summary |
No edit summary |
||
| Line 28: | Line 28: | ||
Repeat test on opposite side. | Repeat test on opposite side. | ||
Overpressure can be applied during any of the test positions. | Overpressure can be applied during any of the test positions. | ||
{{#ev:youtube|8Qknf8yyMFQ}}<br> | {{#ev:youtube|8Qknf8yyMFQ}}<br> | ||
<ref>Online Video, http://www.youtube.com/watch?v=8Qknf8yyMFQ</ref> | |||
== Evidence == | == Evidence == | ||
Revision as of 23:09, 2 June 2009
Be the first to edit this page and have your name permanently included as the originating editor, see the editing pages tutorial for help.
|
Original Editor - Your name will be added here if you created the original content for this page. Lead Editors - If you would like to be a lead editor on this page, please contact us. |
Purpose
[edit | edit source]
The Slump Test is a neural tension test used to detect altered neurodynamics or neural tissue sensitivity.[1]
Technique[2]
[edit | edit source]
A positive sign for the Slump Test is reproduction of pain that is unrelieved by a change in tension of the dura.
To begin the test, have the patient seated with hands behind back to achieve a neutral spine. The first step is to have the patient slump forward at the thoracic and lumbar spine. If this position is negative, have the patient flex the neck by placing the chin on the chest and then extending one knee as much as possible.
If this position causes pain, have the patient extend the neck into neutral. If the patient is still unable to extend the knee due to pain, the test is considered positive.
If extending the knee does not cause pain, ask the patient to actively dorsiflex the ankle. If dorsiflexion causes pain, have the patient slightly flex the knee while still dorsiflexing. If the pain is reproduced, the test is considered positive.
Repeat test on opposite side.
Overpressure can be applied during any of the test positions.
Evidence[edit | edit source]
In patients with lumbar disc herniations, sensitivity was found to be 0.84 and specificity 0.83.[4]
Resources[edit | edit source]
add any relevant resources here
References
[edit | edit source]
- ↑ Flynn TW, Cleland JA, Whitman JM. Users' Guide to the Musculoskeletal Examination: Fundamentals for the Evidence-Based Clinician. Buckner: Evidence in Motion; 2008.
- ↑ Dutton M. Orthopaedic Examination, Evaluation and Intervention. 2nd ed. New York: McGraw-Hill Companies, Inc.; 2008.
- ↑ Online Video, http://www.youtube.com/watch?v=8Qknf8yyMFQ
- ↑ Majlesi J, Togay H, Unalan H, Toprak S. The sensitivity and specificity of the Slump and the Straight Leg Raising tests in patients with lumbar disc herniation. J Clin Rheumatol. Apr 2008;14(2):87-91.
| The content on or accessible through Physiopedia is for informational purposes only. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. Read more. |
