Neurotension tests.

[Jbeas]

Can a patient present with a positive Slump test, but have a negative SLR? If so, Why?

[Sillevis]

Did you built up the slump from the lower leg or from neck region? One would expect that the SLR which is paret of the slump would be positive in both. If however the neuro tension is caused above the lumbar spine the SLR would not pick that up.

[Jbeas]

So if the patient has a positive SLUMP test, but negative SLR should the test even be considered if we are treating a LE radicular problem if there is no tension at the lumbar levels and only evoked with tension above that when the slump is used? In other words what would it validate during my assessment?