How to Do Nerve Glides: The Slump Test Progression
Nerve glides, particularly effective for those suffering from nerve tension such as sciatica, are a valuable technique in a physical therapist's toolkit. In this post, we'll discuss two critical nerve glide exercises: the slump test and its progression.
The slump test begins with the patient in a seated slump position, hands behind the back, fully flexed in the neck and back to place tension on the nerves. From here, the patient moves into dorsiflexion at the ankle and extends their leg until nerve tension is felt.
This represents the maximum tension on the nerve and spinal cord, extending from the head to the foot. To alleviate tension, the patient can either plantarflex at the ankle or extend their neck and gaze forward. This test itself can become an exercise, with tension and release applied at the foot or head, depending on the individual's comfort and needs.
As the patient's condition improves and they become comfortable with more standing positions, we can then progress to the next exercise. This involves the patient standing and moving into a lunge position with their front foot plantarflexed, arms swept back, and neck flexed gazing back towards their hands. This creates tension through the back of the leg and spinal cord. Stepping in and out of the lunge a few times will help them get used to bending forward.
If this exercise causes discomfort, there are modifications that can be made, such as having the patient look forward or maintain a more neutral spine, focusing on the leg and foot instead.
The purpose of these nerve glides is not only to relieve tension but also to gradually help patients become more comfortable with forward bending movements in their daily activities and workouts.