What is the slump test for sciatica?
The slump test is an orthopedic test used to determine if a patient has sciatic nerve impingement. The purpose of this test is to place tension on the dural sheath of the sciatic nerve. Patient should be sitting on the edge of the table while the examiner is by the side of the patient.
What is a slump test?
Slump Test. With the flexed lumbar spine and hip completed simultaneously with the extended LE, the sciatic nerve and its respective nerve roots are put on tension to detect the potential of a disc herniation. The results of the test should be interpreted based on the patient's pain/symptoms for which they are seeking treatment.
How accurate is the slump test for lumbar hernia?
Diagnostic Accuracy for Lumbar Disc Herniation: Sensitivity: .84. Specificity: .83. (“The sensitivity and specificity of the SLUMP and straight leg raised tests in patients with lumbar disc herniation”). Importance of Test: This test's results can be interpreted in multiple ways.
What is a neural tension test?
Like other neural tension tests, the test may indicate if a patient is experiencing symptoms related to nerves adhering to various tissues while travelling throughout the body. The patient may experience stretching, pain, or other neurological sensation in the area of adhesions. Another use for the test is detecting lumbar disc herniations.
What nerve is being tested in slump test 2?
With the flexed lumbar spine and hip completed simultaneously with the extended LE, the sciatic nerve and its respective nerve roots are put on tension to detect the potential of a disc herniation. The results of the test should be interpreted based on the patient's pain/symptoms for which they are seeking treatment.
What does the slump test tell you?
A concrete slump test measures the consistency of a concrete batch to see how easily the concrete will flow. The test not only observes consistency between batches, but it also identifies defects in a mix, giving the operator a chance to amend the mix before it is poured on site.
How do you test for sciatic nerve?
0:110:55Slump test for Sciatic Nerve pain - YouTubeYouTubeStart of suggested clipEnd of suggested clipThe patient sits on the edge of the table hands behind the back they slump down putting chin toMoreThe patient sits on the edge of the table hands behind the back they slump down putting chin to chest. Then lift the toes up and straighten one leg. This position stretches the sciatic nerve.
Why is slump test done?
The concrete slump test measures the consistency of fresh concrete before it sets. It is performed to check the workability of freshly made concrete, and therefore the ease with which concrete flows. It can also be used as an indicator of an improperly mixed batch.
How do you test for lumbar instability?
Rocking test also showed high sensitivity (95.56%) as well as high positive predictive value (93.47%). Hence, rocking test proved a strong clinical examination commodity for accurate diagnosis of lumbar instability....Table 5.Lumbar instability positiveLumbar instability negativeRocking test negative221 more row
What is the significance of shear slump?
Shear slump: If one-half of the cone slides down in an inclined plane, it is called a shear slump. Shear slump indicates lack of cohesion in the concrete mix. Shear slump may occur in the case of a harsh mix. Collapse slump: In this case, fresh concrete collapses completely.
How do you test for lumbar radiculopathy?
The optimal imaging modality for the evaluation of radiculopathy is MRI of the lumbar spine without contrast, which can show compression of the nerve root (see Figure 2). Contrast-enhanced MRI may be useful or indicated in cases where a tumor, infection, or prior surgery has occurred.
How do you test for S1 radiculopathy?
For S1 radiculopathy the clinician emphasised the straight leg raise test, the ankle reflex, sensory loss in the S1 dermatome, and the muscle power for hip extension, knee flexion, ankle plantarflexion, and ankle eversion.
How do you test for femoral nerve damage?
To diagnose femoral nerve dysfunction, your doctor may:Take a detailed medical history.Give you a physical examination.Order electromyography to see how well your affected nerves and muscles function.Perform nerve conduction tests to test function in specific nerves.Order an MRI to check for injuries or tumors.
What is the difference between slump test and compression test?
Compressive strength testing is the best means available to determine the variability of concrete. 4. Slump tests also checks for variation of construction materials in mix, mainly water-cement ratio.
What are the 4 types of slump?
Types of Concrete SlumpTrue Slump.Shear Slump.Collapse Slump.
What does slump measure concrete?
A concrete slump test is used to determine the correct water content in a batch of concrete. “Slump” is the distance, measured in inches, the concrete settles after the slump cone is removed.
What is the ideal value of slump?
What is the ideal value of slump? Answer 1 In case of a dry sample, slump will be in the range of 25-50 mm that is 1-2 inches. But in case of a wet concrete, the slump may vary from 150-175 mm or say 6-7 inches.
What are the 4 types of slump?
Types of Concrete SlumpTrue Slump.Shear Slump.Collapse Slump.
What do you mean by slump?
to drop or fall heavily; collapse: Suddenly she slumped to the floor. to assume a slouching, bowed, or bent position or posture: Stand up straight and don't slump! to decrease or fall suddenly and markedly, as prices or the market. to decline or deteriorate, as health, business, quality, or efficiency.
What is a slump test?
What is Slump Test? Slump Test is a neural physical examination that is used for detecting disc bulging / herniation of the lumbar spine or irritation of the dura of the spinal cord.
What does a positive slump test mean?
The Slump test is considered to be positive if the patient is then able to extend the knee further without pain or with less pain, indicating that neural structures are affected . During the course of the test, pains may occur that must be defined in the differential diagnosis, these include: Facet joint arthritis.
Which test has a high sensitivity and specificity?
A prospective case control study by Javid Majlesi that was done on 75 patients with complaints suggestive of lumbar disc herniation, he found that the slump test has a high Sensitivity and Specificity as following 2:
Can a sciatic nerve test cause pain?
The test can cause impingement or irritation of the dura and/ or nerve roots, with pain radiating down into the areas supplied by the sciatic nerve. If the patient is unable to extend the knee because of pain, the examiner reduces the pressure on the cervical spine and asks the patient to slowly raise the head.
What nerves are used to detect disc herniation?
Another use for the test is detecting lumbar disc herniations. With the flexed lumbar spine and hip completed simultaneously with the extended LE, the sciatic nerve and its respective nerve roots are put on tension to detect the potential of a disc herniation.
What does a neural tension test show?
Like other neural tension tests, the test may indicate if a patient is experiencing symptoms related to nerves adhering to various tissues while travelling throughout the body. The patient may experience stretching, pain, or other neurological sensation in the area of adhesions.
What should the results of a pain test be interpreted based on?
The results of the test should be interpreted based on the patient's pain/symptoms for which they are seeking treatment. Note: tests should only be performed by a properly trained health care practitioner.
What is a slump test?
The SLUMP test is a highly sensitive test that can elicit positive neural tension in even asymptomatic individuals. The test can be used in conjunction with other neural tension testing (straight leg raise) and is often a great concordant (asterisk) sign to demonstrate within treatment progress.
How to perform the same order of events with every patient?
Proper Start Position: 1) The patient sits upright with their popliteal creases against the back of the plinth. 2) The therapist presses the knees together and releases them to maintain a neutral position of the lower extremities.
How to do a lumbar flexion test?
Performing the Test: 1) Have the patient slowly slouch from their thorax spine (this will also create lumbar flexion) 2) SLOWLY flex the head toward the sternum. 3) SLOWLY begin extending the knee*. 4) SLOWLY dorsiflex the ankle*.
Is neural tension positive?
Remember, neural tension is only positive if their is a side to side difference, reproduces their primary complaint of pain, and if symptoms change by moving a distant component. Turn the SLUMP Test into a Treatment: Fortunately, setup and treatment for positive neural tension findings can be very similar.
Purpose
The purpose of this test is to place tension on the dural sheath of the sciatic nerve.
Procedure
Patient should be sitting on the edge of the table while the examiner is by the side of the patient.
Mechanism
The dural sheath around the sciatic nerve is being stressed or stretched as the patient changes positions.
Results
Positive sign is any kind of sciatic pain (radiating, sharp, shooting pain) or reproduction of other neurological symptoms. This indicates impingement of the sciatic nerve, dural lining, spinal cord, or nerve roots. This test can have a lot of false-positives and should be used with other orthopedic test to make the final diagnosis.
History
Charles Lasègue is credited for creating the slump test. Used with the Bragard maneuver, it has been considered the gold standard in the medical community.
External links
Website for photo explanation of testing procedures http://www.chiroaccess.com/assets/ChiroACCESS/Medium/Slump_Test.jpg
21 OF THE MOST USEFUL ORTHOPAEDIC TESTS IN CLINICAL PRACTICE
Van Der Windt DA, Simons E, Riphagen II, Ammendolia C, Verhagen AP, Laslett M, Devillé W, Deyo RA, Bouter LM, de Vet HC, Aertgeerts B. Physical examination for lumbar radiculopathy due to disc herniation in patients with low‐back pain. Cochrane database of systematic reviews. 2010 (2).BibTeXEndNoteRefManRefWorks
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What it measures
The Slump Test is a progressive series of maneuvers designed to provide traction to the lumbar nerve roots and to place the sciatic nerve roots under increasing tension. ( 1)
Target Population
The Slump Test is for individuals with radiating pain in a dermatome and with suspicion of lumbar neural/dural involvement, such as disc herniation. ( 1 - 3)
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How does the slump test work?
Big Picture: The slump test works by increasing tension on the spinal cord and spinal nerves by means of a pulling force. The reasoning is that if a space-occupying condition/lesion is already compressing the nervous system structures, then pulling on the nerves by means of the test will likely tether the spinal nerves against this space-occupying ...
Is sensory symptom in upper extremity positive?
Referral of sensory symptoms into the upper extremity is considered a positive result for either a space-occupying lesion of the cervical spine and/or TOS. (If sensory symptoms refer into the lower extremity, the result is positive for a space-occupying condition/lesion of the lumbar spine.)
What is a slump test in physical therapy?
To perform the slump test, the patient is put into a provocative position to recreate symptoms related to neurological pain. This pain may be caused by a herniated disc, neural tension, or other altered neurodynamics.
What does a positive slump test mean?
A positive slump test tells us that neurological structures are involved. Additional information from the history and clinical exam are necessary to determine if the pain is coming from a disc, neurological tension, or some other altered neurodynamics.
What is femoral nerve entrapment and how is the slump test involved?
Not all slump tests are created equal. “A slump isn’t always a slump. In the case of the femoral slump test, there are some shared principles but the structure being tested is entirely different,” Shay said. “The femoral slump test is looking exclusively at the femoral nerve.”
How accurate is the slump test?
The slump test has acceptable sensitivity and specificity. sensitivity.’ These terms refer to the test’s ability to correctly identify those with positive findings while ‘specificity’ is the test’s ability to correctly identify those without positive findings. In diagnostic testing, having a high sensitivity and specificity is ideal.
