Slump Test: Difference between revisions
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== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | |||
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Revision as of 20:45, 4 June 2009
Original Editor - Your name will be added here if you created the original content for this page.
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Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
References will automatically be added here, see adding references tutorial.
Purpose
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The Slump Test is a neural tension test used to detect altered neurodynamics or neural tissue sensitivity.[1]
Technique[2]
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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
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- ↑ 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.
