Slump test

The slump test is an orthopedic test used to determine if a patient has sciatic nerve impingement.

Purpose

The purpose of this test its 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.

The slump test consists of several different steps:

First, the patient slumps forward, rounding the shoulders^[1] so the examiner will then apply pressure to the trunk flexion.
Next, the patient brings chin to chest and the knee is then actively extended.
Afterwards, the ankle is dorsiflexed. If pain is produced during any of the step the examiner does not have to continue the test.

The test has several modification all of which use different sequences of motions that create tension on the dural sheath.^[2]

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.^[1] This test can have a lot of false-positives and should be used with other orthopedic test to make the final diagnosis.

History

Chrales Lasegue is credited for creating the slump test. Used with the Bragard maneuver, it has been considered the gold standard in the medical community.^[3]

References

^ ^a ^b Special Test for Orthopedic Examination. Slack Incorporated.
^ Chad Starkey, PhD, LAT (2010). Orthopedic and Athletic Injury Examination Handbook (2 ed.). F.A. Davis.{{cite book}}: CS1 maint: multiple names: authors list (link)
^ "Slump Test".

[Special_Test-1] Special Test for Orthopedic Examination. Slack Incorporated.

[2] Chad Starkey, PhD, LAT (2010). Orthopedic and Athletic Injury Examination Handbook (2 ed.). F.A. Davis.{{cite book}}: CS1 maint: multiple names: authors list (link)

[3] "Slump Test".

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