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Chiropractic Research Review

Use of the Slump Test in the Clinical Environment

Despite the relatively rare appearance of serious spinous pathologies in chiropractic offices, such ominous conditions must always be considered as part of the clinical evaluation process for the safety of the patient.

A physical examination procedure known as the slump test is one method of screening for ominous pathology before focusing on more common pathologies of mechanical origin.

This paper explains and illustrates the slump test as a means of evaluating patients with spinal and lower extremity complaints, particularly as a means of screening for malignant tumors and other pathological manifestations in the spinal column. Photographic illustrations are used to present all the steps of the procedure, which localizes potential pathology to specific regions or structures by placing traction on the neuromeningeal tract from head to foot.

The author suggests that although multiple steps, similarities with other tests, and interpretation variances make the slump test more complicated than other examination procedures, these factors also provide the test with great versatility, reliability and efficiency. The author recommends that clinicians "strive to understand the intricacies of the slump test and incorporate the procedure into all spinal and lower extremity evaluations."

Miller KJ. The slump test: clinical applications and interpretations. Chiropractic Technique, Nov. 1999:11(4), pp157-63.
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Chiropractic Research Review

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