Slump Test for a More Precise Diagnosis of Sciatica: ASingle Centre Experience

Abstract

The accurate diagnosis of sciatica remains a challenge in clinical practice, often leading to delayed or inappropriate management. The slump test is a neurological physical examination used to find disc bulging, herniation at lumbar spine, or irritation of the spinal cord dura. It is a combination of other neuro-meningeal tests, namely, the seated straight leg raise, neck flexion, and lumbar slumping. It is a neurodynamic assessment that helps evaluate the sensitivity and integrity of the neural structures involved in the lower back and lower limb regions. This paper reported the use of slump test for a more precise diagnosis of sciatica using a single centre experience. From our experience, the slump test showed to be a valuable diagnostic tool for precise identification of sciatica in a single centre setting. Its high diagnostic accuracy, sensitivity, and specificity suggest that it can aid in early and accurate diagnosis, facilitating timely intervention and appropriate management of patients with sciatica. Incorporating the Slump Test into the diagnostic protocol for sciatica can enhance clinical decisionmaking and improve patient outcomes. Further prospective studies are warranted to validate these findings and assess the utility of the Slump Test in larger patient populations.