Cowell and Phillips suggested that slump stretching may disperse intraneural edema, restore pressure gradients, relieve hypoxia, and improve associated symptoms in neurogenic pain syndromes. There is no strong evidence to explain about mechanical and neurophysiologic mechanisms of slump stretching. Furthermore, it has been suggested that patients with neuropathic pain or nerve root compromise would not benefit from neurodynamic treatment. demonstrated that patients with LBP and lower extremity pain who did not respond to directionally specific trunk exercises and those who did not present with radiculopathy did respond to slump stretching as an intervention. There is no clear consensus on which group of low back pain (LBP) patients might benefit most from this neurodynamic treatment.
ĭuring the last decade, several studies have used neurodynamic tests as treatment that can potentially resolve abnormal physiology within the nervous system. Previous research has demonstrated that the slump test has diagnostic utility in differentiating between neural and non-neural structures, as pain of non-neural origin was not exacerbated by slump stretching. The SLR was found to be more specific (0.89) than the slump test (0.83). The results of the present study showed that the slump test was more sensitive (0.84) than the SLR test (0.52) in patients with lumbar disc herniation. measured the sensitivity and specificity of this test and compared it with the straight leg raise (SLR) test.
#Nerve flossing neck diagrams full
The patient’s ankle is then passively dorsiflexed to a neutral position while the knee is slowly passively extended until full extension is achieved. The clinician/physical therapist then applies gentle overpressure to the upper thoracic and lower cervical spine and maintains this position throughout the examination.
The patient is asked to sit in a slouched position (thoracic and lumbar flexion with a posterior pelvic tilt) and is then requested to actively flex the cervical spine as far as comfortably possible. To perform the slump test, the patient is placed in an erect sitting position with the knees flexed to 90° and the legs hanging off of the side of the examination table. The slump test is a neurodynamic test that is believed to evaluate the mechanosensitivity of the neuromeningeal structures within the vertebral canal. The goal of these tests is to assess the mechanosensitivity of neural structures. Neurodynamic tests are frequently used in the clinical examination of patients with musculoskeletal pain disorders. Low Back Pain, Neurodynamic Technique, Slump Stretching, Review, Meta-analysis Introduction
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