Slump Test 2 – Obturator Nerve Bias

Purpose of Slump Test 2 – Obturator Nerve Bias: To determine if the tension along the obturator nerve contributes to the neurologic symptoms associated with radiculopathy (1, 2). Patient position: High sitting (as upright as tolerated) with hands behind the back. Examiner position: Standing beside the patient, at the side of the limb to be tested. Procedure: Perform the limb/joint positioning sequence in the following … Continue reading Slump Test 2 – Obturator Nerve Bias

Slump Test 1

Slump Test 1 – Spinal Cord, Sciatic Nerve, Cervical, and Lumbar Nerve Root Bias Purpose of Slump Test 1: To determine if the tension along the spinal cord, sciatic nerve, and cervical and lumbar nerve roots contribute to the neurologic symptoms associated with radiculopathy (1). Patient position: High sitting (as upright as tolerated) with hands behind the back. Examiner position: Standing beside the patient, at … Continue reading Slump Test 1

Problems with back pain: Natural history and disability.

Prevalence rates grew by 17% globally between 2005 and 2015 (Hurwitz 2018). A first episode of low back pain occurring within a year is estimated to occur between 6.3% and 15.4% of the time, with estimates for the incidence of any episode occurring within a year as high as 36%. In the general population, low back pain is thought to affect 23.2% of people within … Continue reading Problems with back pain: Natural history and disability.

Role of MRI in spine physical therapy practice: An updated evidence.

This blog summarise the most recent evidence on the association between several MRI picture characteristics and low back pain (LBP). Recent data on the use of MRI in spine physical therapy is based on a study done by JW van der Graaf et al, 2023: In an MRI, there are a variety of different characteristics that could be related to LBP. In contrast, a number … Continue reading Role of MRI in spine physical therapy practice: An updated evidence.

Spinal manipulation and mobilization in the right direction: part 2

Finding the best way to manipulate or mobilize the spine in patients with severe radiculopathies can be difficult for many physiotherapists. There are two ways to determine the right direction. The first is the H-reflex approach, which Mohamed Sabahhi described (Abdulwahab and Sabbahi, 2000; Ali Ashraf and Sabbahi, 2001; Ali and Sabbahi, 2000), Another one is the Robin McKenzie-described pre-manipulative testing (McKenzie R 1981). Both … Continue reading Spinal manipulation and mobilization in the right direction: part 2