Normal sensory and range of motion (ROM) responses during Thoracic Slump Test (ST) in asymptomatic subjects

ABSTRACT Background Disk herniation is common—it is seen in up to a quarter of magnetic resonance imaging (MRI) and can be detected even in asymptomatic adults. The slump test has become widely advocated as a neural tissue provocation test for clinical assessment of patients with spinal and lower limb pain. The purpose of this study was to determine the sensory and terminal knee extension limitation responses produced during slump test on radiculopathy affected and unaffected limb in patients with lumbar disk herniation. Objectives To compare the sensory and knee range of motion (ROM) responses produced during slump test on affected and unaffected limb. Materials and methods Fifty patients, 25 to 45 years of age chronic disk herniation patients with unilateral radiculopathy with/without lower backache. Patient underwent standardized history and physical examination followed by slump test. Outcomes included terminal knee extension limitations and sensory response produced in terms of intensity numeric rating scale (NRS), nature and location (pain drawings). Results During slump test end position, NRS score and restricted terminal knee ROM comparative results were highly significant (p < 0.001). Based on nature and location of sensory response, maximum number of subjects in affected limb had pain in center of lower back radiating to whole lower limb and for unaffected limb stretch at back of knee. Conclusion In this study, it was suggested that though sensory and knee ROM responses are present in both affected and unaffected limb but the radiculopathy affected limb was more affected in terms of intensity of pain and limitation of motion. How to cite this article Aggarwal A, Jayakrishnan S, Singh A. Sensory and Knee Range of Motion Responses of Slump Test on Unaffected and Radiculopathy Affected Limb in Patients with Lumbar Disk Herniation. J Postgrad Med Edu Res 2016;50(1): 1-4.

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Relationship of Body Mass Index, Ankle Dorsiflexion, and Foot Pronation on Plantar Fascia Thickness in Healthy, Asymptomatic Subjects

Journal of the American Podiatric Medical Association ◽

10.7547/0980379 ◽

2008 ◽

Vol 98 (5) ◽

pp. 379-385 ◽

Cited By ~ 18

Author(s):

Javier Pascual Huerta ◽

Juan Maria Alarcón García ◽

Eva Cosin Matamoros ◽

Julia Cosin Matamoros ◽

Teresa Díaz Martínez

Keyword(s):

Body Mass Index ◽

Range Of Motion ◽

Ankle Joint ◽

Body Mass ◽

Plantar Fasciitis ◽

Plantar Fascia ◽

Ankle Dorsiflexion ◽

Ankle Joint Dorsiflexion ◽

Foot Pronation ◽

Asymptomatic Subjects

Background: We sought to investigate the thickness of plantar fascia, measured by means of ultrasonographic evaluation in healthy, asymptomatic subjects, and its relationship to body mass index, ankle joint dorsiflexion range of motion, and foot pronation in static stance. Methods: One hundred two feet of 51 healthy volunteers were examined. Sonographic evaluation with a 10-MHz linear array transducer was performed 1 and 2 cm distal to its insertion. Physical examination was also performed to assess body mass index, ankle joint dorsiflexion, and degree of foot pronation in static stance. Both examinations were performed in a blinded manner. Results: Body mass index showed moderate correlation with plantar fascia thickness at the 1- and 2-cm locations. Ankle dorsiflexion range of motion showed no correlation at either location. Foot pronation showed an inverse correlation with plantar fascia thickness at the 2-cm location and no correlation at the 1-cm location. Conclusion: Body mass index and foot supination at the subtalar joint are related to increased thickness at the plantar fascia in healthy, asymptomatic subjects. Although the changes in thickness were small compared with those in patients with symptomatic plantar fasciitis, they could play a role in the mechanical properties of plantar fascia and in the development of plantar fasciitis. (J Am Podiatr Med Assoc 98(5): 379–385, 2008)

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