Monday, January 28, 2013

Slump Test

Purpose: To assess for movement restriction/impingement of the dura and spinal cord and/or nerve roots. Modifications test for cervical and lumbar nerve roots, sciatic nerve, obturator nerve and femoral nerve impingements.
Patient/Therapist Position and Procedure: Pt is seated on edge of table, feet hanging off the table. Pt is instructed to “slump” over into thoracic and lumbar flexion. Pt has hands behind his/her back. Pt is asked to keep neck and head in neutral (no flexion). If there are no reproduction of neurological symptoms, the PT progresses to the slump test modifications.

*Note- Unaffected leg should always be tested first.


Interpretation: + indication when pain is reproduced with comparable symptoms; if pt is unable to extend (affected) knee due to pain and then the pain is relieved when overpressure of the cervical spine is released the pt actively extends their neck.

Statistics: Sensitivity 84%, Specificity 83%






References:

Magee, David and Sueki, Derrick. Orthopedic Physical Assessment Atlas and Video: Selected Special Tests and Movements. Musculoskeletal Rehabilitation Series. 2011.

Javid Majlesi, MD, Halit Togay, MD, et. Al.  “The Sensitivity and Specificity of the Slump and the Straight Leg Raising Tests in Patients with Lumbar Disc Herniation.” JCR: Journal of Clinical Rheumatology. Volume 14, Number 2, April 2008. Pgs. 87-92.






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