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Patient Slump Test Evaluation Form
Patient Information
Jayden Smith
42
Name: ___
Age: ___Gender:
Male
Female
OtherChronic lower back pain
Medical Condition: ___Pain and stiffness in the lower back,
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How to fill out patient slump test evaluation

How to fill out patient slump test evaluation
01
Have the patient sit comfortably on an examination table or chair with their legs hanging over the edge.
02
Instruct the patient to maintain an upright posture with their back straight.
03
Have the patient flex their neck forward while keeping their chin tucked in.
04
Ask the patient to slowly extend one knee at a time, while keeping the other knee bent.
05
Apply overpressure to the ankle of the extended leg, while observing for any symptoms such as pain or tingling.
06
Repeat the process on the other leg to complete the evaluation.
Who needs patient slump test evaluation?
01
Patients experiencing lower back pain, sciatica, or symptoms of nerve compression may benefit from a patient slump test evaluation.
02
Healthcare professionals such as physical therapists and chiropractors may also use this evaluation to assess nerve function and diagnose musculoskeletal conditions.
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What is patient slump test evaluation?
Patient slump test evaluation is a physical examination maneuver used to assess nerve root irritation or compression in the lumbar spine.
Who is required to file patient slump test evaluation?
Healthcare professionals such as physical therapists, chiropractors, or doctors may perform and file patient slump test evaluation.
How to fill out patient slump test evaluation?
Patient slump test evaluation involves detailed documentation of the patient's medical history, physical examination findings, and interpretation of the test results.
What is the purpose of patient slump test evaluation?
The purpose of patient slump test evaluation is to diagnose nerve root pathology in patients experiencing lower back and leg pain.
What information must be reported on patient slump test evaluation?
Patient demographics, medical history, description of symptoms, physical examination findings, interpretation of the test results, and any recommendations for further treatment.
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