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Slump test

Discussion in 'General Issues and Discussion Forum' started by paula-j., Feb 27, 2006.

  1. paula-j.

    paula-j. Member


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    For those of you who routinely use this test (for vague lateral ankle pain). I'm interested in how you place the patient ie with patient on a plinth or on a chair? also do you find that it is difficult to perform on older patients, for instance getting them to knee extended position and then having to dorsiflex the foot?
    Thanks, Paula
     
  2. Craig Payne

    Craig Payne Moderator

    Articles:
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  3. Atlas

    Atlas Well-Known Member


    If you are thinking about the slump test, you are thinking that the neuromeningeal interface is underpinning signs and symptoms.

    Recently, physical therapists have become quite conservative with this test, opting for sliding/gliding rather than outright stretching. As always, you have to pick your patient/condition.

    There are many variations in relation to neuromenigeal mobilising. There is the mandatory classic variation that Craig describes, and yes, it does involve extreme postures (cervico-thoraco-lumbar flexion; hip flexon; knee extension etc.), and hence again, pick your patient.

    Other variations of neuromeningeal mobilising include:
    - slump +/- distal biases.....targetting superficial peroneal nerve etc.
    - straight-leg-raise +/- lumbar rotation that doesn't involve lumbar flexion etc.



    The key is first diagnosing that a neuromeningeal problem exists first. That is the hard part.
     
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