Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Comparison of Effect of Different Sensitizing Maneuvers on Slump Test between Normal and overweight Young Adults


Affiliations
1 Dr. Balabhai Nanavati Hospital, Vile Parle, Mumbai
2 PT School and Center, Seth GSMC & KEMH, Parel, Mumbai, India
     

   Subscribe/Renew Journal


Background: Slump test, a neurodynamic test was used to test the mechanical movement of the neurological tissues and to test their sensitivity to mechanical stress. Various studies have been conducted to test the responses to slump test in normal young healthy adults. There is paucity of literature on the use of slump test in overweight young adults. Therefore the current study aims at finding out if increased tissue interface due to increased tissue mass in overweight young adults had an effect on normal neural tissue mobility as compared to normal young adults.

Aims: To compare the effect of different sensitizing maneuvers on slump test between normal and overweight young adults. Objectives: To measure the active knee extension deficit angle pre and post addition of sensitizing maneuvers in normal and overweight young adults and compare them. Settings and design: One time comparative study carried out at tertiary care hospital, Mumbai.

Materials and Method: 200 young healthy adults within the age group of 20-40 years were randomly selected for the study, of which 100 had a normal B.M.I.i.e.18.5-24.9 and 100 had overweight B.M.I. i.e.25-29.9.The outcome measure used was the goniometric active knee extension deficit angle. The readings were taken in four positions namely cervical spine neutral with ankle neutral, cervical spine neutral with ankle dorsiflexion, cervical spine flexion with ankle neutral, cervical spine flexion with ankle dorsiflexion and compared on both sides.

Statistical analysis: Mann-Whitney'U' test was used to analyze the active knee extension deficit angle score between the normal and overweight groups in all four positions.

Results: The mean active knee extension deficit angle score between the normal and overweight groups in all four positions was statistically significant (p<0.0001).

Conclusion: From the study it can be concluded that the neural tissue extensibility was reduced in overweight young adults as compared to age matched normal young adults.However, in both the groups the active knee extension deficit angle was below 30 degrees which is considered clinically normal.


Keywords

Sensitizing Maneuvers, Slump Test, Normal, Overweight, Young Adults, B.m.i., Active Knee Extension Deficit Angle
Subscription Login to verify subscription
User
Notifications
Font Size


  • Mobilization of the nervous system- by David.S.Butler-pages-3,35,36,37,139.

  • Orthopaedic Physical Assessment 4th Edition-byDavid .J.Magee.

  • Michael Shacklock-Clinical Neurodynamics, Anew system of musculoskeletal treatment 2005-17,18,32,33,34,141,142,143,144,145.

  • Cynthia C. Norkin Measurement of Joint Motion:A guide to Goniometry Second Edition.

  • Exercise physiology,energy nutrition and humanperformance (4th Edition) by Mcardle, William D.

  • Johnson EK and Chiarello CM performed a studyon” The Slump Test :The Effects of head & lowerextremity position on knee extension.”-Journal ofOrthopedic Physical Therapy, December 1997.

  • Neil Tucker, Duncan Reid, Peter McNairperformed a study on” Reliability andMeasurement Error of Active Knee ExtensionRange of Motion in a Modified Slump TestPosition: A Pilot Study “- Journal of Manual &Manipulative Therapy,2007.

  • Steven Z. George performed a study on”Characteristics of Patients With Lower ExtremitySymptoms Treated With Slump Stretching: ACase Series” -Journal of orthopaedic and sportsphysical therapy, August 2008.

  • Lee Herrington, Katie Bendixa, CatherineCornwella,Nicol Fieldena,Karena Hankeyaperformed a study on “What is normal responseto structural differentiation within slump test andstraight leg raise test?”-Journal of Manualtherapy-August 2008.

  • Kate Elissa Kuilart,Melanie Woollam,ElizabethBarling and Nicholas Lucas performed a studyon”The active knee extension test and slump testin subjects with perceived hamstring tightness.”-International Journal of Osteopathic Medicine.Vol8, Issue 3,September 2005.

  • Lee Herrington performed a study on” What is anormal neurogenic response to the slump test?”-Australian Journal Of Physiotherapy,1997.

  • Michel W Coppieters performed a study on”Theimpact of neurodynamic testing on the perceptionof experimentally induced muscle pain”Vol 10,Issue 1,pages 52-60,Manual therapy-International Journal of Musculoskeletal Therapy,Feb 2005.

  • Kathleen Philip performed a study on “The intertherapistreliability of slump test”-The AustralianJournal of Physiotherapy,1989.

  • Jeremy Walsh performed a study” Slump Test:Sensory Responses in Asymptomatic Subjects” -Journal of Manual & Manipulative Therapy,2007.

  • Lew P.C. performed a study on “Relationshipbetween the cervical component of the slump testand change in hamstring muscle tension” -Manual therapy, May 1997.

  • Fidel performed a study on “Cervical SpineSensitizing Maneuvers During the Slump Test”and the effect of repeated knee extension duringthe slump test- Journal of Manual & ManipulativeTherapy,1996.

  • Jeremy Walsh performed a study on “Slump test:Sensory responses in asymptomatic subjects”-Journal of Manual and Manipulative therapy,2007.

  • Werner RA, Jacobson JA, Jamadar DA performeda study on “Influence of body mass index onmedian nerve function, carpal canal pressure, andcross-sectional area of the median nerve”-ArqNeuropsiquiatr. 2006 June; 64(2A):277-82.

  • Yeung E performed a study on” The response tothe slump test in a group of female whiplashpatients” - The Australian Journal ofPhysiotherapy,1997.

  • D Scott Davis, Beth Anderson, Mary GraceCarson performed a study on”Upper limb neuraltension and Seated Slump tests : The false positiverate among healthy young adults without cervicalor lumbar symptoms.”- Journal of Manual &Manipulative Therapy,2008.

  • Park performed a study on “Obesity effect onmale active joint range of motion” – Ergonomics-2010 Jan; 53(1):102-8.

  • Maitland G.D. The Slump test :examination andtreatment. Australian journal ofPhysiotherapy.1985;Vol 31(6):215-219.

  • Sunderland S. Neural fibrosis. In: Sunderland S. Nerve injuries and their repair: A criticalappraisal. Edinburgh: Churchill Livingstone,1991:213-19.

  • Sunderland S. Friction trauma and nerveentrapment lesions. In: Sunderland S. Nerveinjuries and their repair: A critical appraisal. Edinburgh: Churchill Livingstone, 1991: 159-172


Abstract Views: 725

PDF Views: 0




  • Comparison of Effect of Different Sensitizing Maneuvers on Slump Test between Normal and overweight Young Adults

Abstract Views: 725  |  PDF Views: 0

Authors

Meenakshi Venkateswaran
Dr. Balabhai Nanavati Hospital, Vile Parle, Mumbai
Jyotsna Thosar
PT School and Center, Seth GSMC & KEMH, Parel, Mumbai, India
Amita Mehta
PT School and Center, Seth GSMC & KEMH, Parel, Mumbai, India

Abstract


Background: Slump test, a neurodynamic test was used to test the mechanical movement of the neurological tissues and to test their sensitivity to mechanical stress. Various studies have been conducted to test the responses to slump test in normal young healthy adults. There is paucity of literature on the use of slump test in overweight young adults. Therefore the current study aims at finding out if increased tissue interface due to increased tissue mass in overweight young adults had an effect on normal neural tissue mobility as compared to normal young adults.

Aims: To compare the effect of different sensitizing maneuvers on slump test between normal and overweight young adults. Objectives: To measure the active knee extension deficit angle pre and post addition of sensitizing maneuvers in normal and overweight young adults and compare them. Settings and design: One time comparative study carried out at tertiary care hospital, Mumbai.

Materials and Method: 200 young healthy adults within the age group of 20-40 years were randomly selected for the study, of which 100 had a normal B.M.I.i.e.18.5-24.9 and 100 had overweight B.M.I. i.e.25-29.9.The outcome measure used was the goniometric active knee extension deficit angle. The readings were taken in four positions namely cervical spine neutral with ankle neutral, cervical spine neutral with ankle dorsiflexion, cervical spine flexion with ankle neutral, cervical spine flexion with ankle dorsiflexion and compared on both sides.

Statistical analysis: Mann-Whitney'U' test was used to analyze the active knee extension deficit angle score between the normal and overweight groups in all four positions.

Results: The mean active knee extension deficit angle score between the normal and overweight groups in all four positions was statistically significant (p<0.0001).

Conclusion: From the study it can be concluded that the neural tissue extensibility was reduced in overweight young adults as compared to age matched normal young adults.However, in both the groups the active knee extension deficit angle was below 30 degrees which is considered clinically normal.


Keywords


Sensitizing Maneuvers, Slump Test, Normal, Overweight, Young Adults, B.m.i., Active Knee Extension Deficit Angle

References