Video – Slump Test

Videos to help you sharpen your examination skills.
Educators are welcome to play these videos in class directly from this website.
Copyright © All rights reserved. Chiropractic Online CE ™ and Educom Continuing Education™

Video Playback Issues: If videos don’t play, it could be because you’ve remained on this web page for too long or you’ve lost your Internet connection. To resolve this issue, simply “refresh” or “reload” this web page.

No Sound?  If you’re playing a video and the sound isn’t working, it may be because the sound is off. When playing a video from a desktop computer, you will see a series of vertical bars at the bottom right corner of the video. When the vertical bars are blue, it means the sound is on (see image 1 below). If the vertical bars are grey, it means the sound is off (see image 2). To turn on the sound of a video, click on each vertical grey bar until all the bars become blue. On smaller devices such as a tablet or a phone, simply increase the volume of the device to be able to hear a video.

Select Exam Videos by Region Below

Select Exam Videos by Title Below

Slump Test

The Slump Test is designed to detect tension in the neuromeningeal tract via the combined movements of the spine and lower extremity. This test is typically used for a suspected lumbar disc herniation causing radiculopathy but it can be used for suspected lesions throughout the spine.

This test is performed in several stages that involve placing the patient in a series of positions to gradually and progressively stretch the neural structures. At each stage of the test, stop, and ask the patient if there is a reproduction or exacerbation of their symptoms. If so, this would constitute a positive result and no further testing is required.

To begin the test, the patient sits on the examination table with the hands behind the back. Place one hand on the patient’s upper thoracic spine and the other under the patient’s chin.

Ask the patient to slump forward while you continue to support the patient’s chin to keep the neck in a neutral position. If no symptoms are experienced, remove your hand from the chin and ask the patient to bring the chin toward the chest.

If no symptoms are experienced, apply pressure over the upper back and head to help sustain the slumped position and ask the patient to extend the knee on the involved side. If no symptoms are experienced, assist the patient to perform ankle dorsiflexion.  If the knee remains in its extended position and there is no reproduction or exacerbation of symptoms the Slump test is considered negative. On the other hand, if the patient is unable to maintain the knee extension and reports posterior thigh or leg pain it may be due to either neural or muscle tension.

To differentiate, release the pressure over the head and upper back and ask the patient to extend the neck. This reduces neuromeningeal traction. Ask the patient to reattempt full knee extension. If the patient is now able to increase knee extension, the Slump test is considered positive and suggests the presence of tension in the neuromeningeal tract.  If the patient is still unable to increase knee extension, muscle tightness should be considered as the cause.

A Chiropractic Online CE™ Production. Copyright © Educom Pty Ltd.

Please read the Disclaimer and Copyright statements at the bottom of this web page.

Disclaimer:  The Chiropractic Online CE  website (including the text, graphics and videos that appear on the chiropracticonlinece.com) are designed to offer users general health information for educational purposes only. The general health information furnished on this site is not intended to replace personal consultation with a qualified healthcare professional. You must always seek the advice of a healthcare professional for questions related to your disease, disease symptoms, and appropriate therapeutic treatments.

Copyright © Educom Pty Ltd: All material on this website (including the text, graphics, videos and downloadable files) are owned by or licensed to Educom Pty Ltd and is subject to copyright and other intellectual property rights under international conventions.