Friday, December 17, 2010

The slump test as a myofascial tension test


In recent times I have finally managed to gain hold of a copy of the renowned anatomy trains by Thomas Myers. I recently finished reading the chapter in regards to the superficial back line (SBL). For those of you who have not read the book the SBL is a continuous connection between myofascial structures from the plantar fascia to the galea aponeurotica (scalp fascia). Reading about the continuity of the SBL got me thinking about the Slump Test. From my experience (which is very little at the moment) the Slump test is one of the most commonly performed special tests and possibly the most commonly performed neural tension test (given the prevalence of low back pain). 



                                                                       Slump Test


The slump test is deemed to fall in the category of a neural tension test as each progressive manoeuvre gradually increases tension within the neural tissue of the spinal cord and peripheral nerves of the lower limb. However, in light of the SBL, it would appear that a positive result in this test would not exclusively be a sign of neural tension (given that tension would also accumulate along the course of the SBL). Therefore, the Slump test should also be considered a myofascial tension test with a positive possibly indicating pathology of the myofascial tissues that contribute to the formation of the SBL. I am sure this same thinking can be applied in other ways.









   Superficial Back Line

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