Speeds Shoulder Test

The patient is seated. A positive test elicits increased tenderness in the bicipital groove.

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Speeds shoulder test

. The examiner must support the arm of the patient at the level of the elbow so that the upper extremity can be as much relaxed as possible. With the patients elbow extended and the forearm in full supination the clinician resists active forward flexion from 0to 60. The purpose of this study was to explore and describe reasons for variation in diagnostic accuracy of clinical tests using Yergasons and Speeds tests in predicting biceps tendon pathology and SLAP lesions.

Patient is seated Patient completely extends their elbow then supinates their arm Therapist stabilizes at the shoulder Patient attempts to flex the elbow while the therapist holds clients forearm and applies resistance. An internet speed test measures the connection speed and quality of your connected device to the internet. Examiner resists shoulder forward flexion by the patient while the patients arm is supinated and the elbow is completely extended.

The Speeds Test was originally designed to detect biceps pain however many have often also used to during their shoulder clinical examination as a SLAP sp. There is a great need for large prospective well-designed studies that examine the diagnostic accuracy of the numerous physical examination tests of the shoulder. Based on pooled data the diagnostic accuracy of the Neer test for impingement the HawkinsKennedy test for impingement and the Speed test for labral pathology is limited.

He concluded that the Speeds test is a non-specific but sensitive test for macroscopic bicepslabral pathology. Prospective blinded study of consecutive patients with a wide spectrum of shoulder conditions. Shoulder arthroscopy was used as the gold standard.

- Crank Test - performed with the patient lying and elevating the shoulder with the elbow flexed at 90 degrees. Speeds Test Biceps or straight arm test This test looks for biceps muscle or tendon pathology. To perform this test both the elbow and the shoulder should be flexed at 90.

The patients arm is forward flexed to 90 degrees and then the patient is asked to resist an eccentric movement into extension first with the arm supinated then pronated. The patient is standing or seated. Clinical demonstration of Speeds test.

This mechanism is similar to the McMurray test for a torn meniscus in the knee. It also access the ability of the transverse humeral ligament to hold the biceps tendon in the bicipital groove. However it is positive with a various number of other shoulder pathologies.

Speeds test was positive in 40 shoulders. Speeds Test Biceps Test Arm is extended behind and the forearm supinated with elbow slightly flexed. The patient experiences greater pain with the arm supinated due to the increased eccentric stress placed across the biceps tendon.

The test was devised in 1931 basically for detecting bicipital tendonitis. The patient is asked to bring the arm into further flexion above 90 against examiners resistance. Speeds Test can be used to assess both the Biceps tendon or a SLAP tear.

Bicepslabral pathology was present in 10 of these patients. The arm is then switched to pronation and the resisted flexion is repeated. It is however now clear that the pains may arise from tenosynovitis tendinopathy or a SLAP lesion.

Patients may still report pain with the. Arms are flexed forward to 90 arms supinated. An axial load is applied while the arm is rotated internally and externally and circumducted.

A positive test is where pain is increased in the shoulder and the patient localizes the pain to the bicepital groove. A click associated with pain makes the test positive.

Shoulder Examination Shoulder Isometric Contraction Positivity