Biceps Load Test

The biceps load test is used to find out the integrity of the superior labrum of the shoulder to see if there is a labral or SLAP tear. This test assesses the integrity of the superior labrum.

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The arm is abducted to 120 externally rotated maximally elbow in 90 flexion and forearm supinated.

Biceps load test

. Therapist passively externally rotates the shoulder until the patient becomes apprehensive. The biceps load test II is very sensitive and specific for SLAP lesions and has high positive- and negative-predictive values. Biceps load test I Kims test 1 Purpose.

At maximal external rotation and with the forearm in supinated position the patient is instructed to perform a biceps. To assess the integrity of the superior glenoid labrum in patients with recurrent shoulder dislocations and. The test is positive when the patient complains of pain during resisted elbow flexion 1.

The Biceps Load 2 test is used to identify labral tears SLAP Lesions To perform the Biceps Load 2 test position the patient in supine and stand on the side to be tested. Purpose of the Test edit edit source The Biceps Load II test is designed to detect SLAP lesions in the shoulder. Physical Exam Shoulder References Kim SH et al.

Biceps Load II Test SLAP Lesion. Positive Test edit edit source A positive test is defined as pain experienced during resisted elbow flexion or pain exacerbation during resisted elbow flexion. De therapeut brengt de schouder van de patint in 90 graden abductie en maximale exorotatie.

With the shoulder in an abducted externally rotated. We describe the biceps load test for evaluating the integrity of the superior glenoid labrum in shoulders with recurrent anterior dislocations. Labral tests - Biceps load test.

Patient is supine with shoulder abducted to 90 degrees and externally rotated and forearm is supinated. The patients arm is abducted to 90 externally rotated and the forearm is supinated. It is important to remember that the biceps tendon attaches to the superior labrum and supraglenoid tubercle.

The biceps load 2 was specifically designed to evaluate SLAP lesions. When the examiner applies a resistive force to elbow flexion the biceps tendon contracts and pulls on the injured superior labrum creating pain and a sense of instability in the glenohumeral joint. If the test reproduces pain then active elbow flexion against resistance should decrease the patients discomfort.

The test is negative if the patient reports no pain or if the pain is reduced by the resisted elbow flexion or if the pre-existing pain is unchanged during elevation and. Labrum test - Biceps load test. Biceps Load Test 1.

The biceps load test II had a sensitivity of 897 a specificity of 969 a positive-predictive value of 921 a negative-predictive value of 955 and a kappa coefficient of 0815. Importance of Test. The patient in supine position.

Biceps Load II Test SLAP Lesion - YouTube. Like the original biceps load test of Kim biceps load test I the biceps load test II also has high reproducibility between examiners which is. The biceps load test is used to find out the integrity of the superior labrum of the shoulder to see if there is a labral or SLAP tear.

With the shoulder in an abducted externally rotated position and the forearm supinated active flexion of the elbow against resistance relieves the discomfort of a standard apprehension test for anterior shoulder instability. If this test position reproduces pain then perform active elbow flexion against resistance. With the biceps load test a positive test doesnt always mean there is a tear and a negative doesnt necessarily mean there isnt one.

Diagnostic Properties edit edit source Sensitivity. The therapist places the shoulder at 90 degrees of abduction and maximally externally rotation. A clinical test for superior labrum anterior and posterior lesions in shoulders with recurrent anterior dislocations.

The examiner will hold the patients wrist and elbow elevating the arm to 120 degrees of abduction positioning the elbow at 90 degrees of flexion. De patint ligt in ruglig. Bij maximale exorotatie en met de onderarm in supinatie wordt de patint gevraagd om een biceps aanspanning te.

The patient is tested in supine. Kim et al 1999 designed the biceps load test to evaluate the integrity ofthe superior glenoid labrum in shoulders with recurrent dislocations. Biceps Load Test 2.

We describe the biceps load test for evaluating the integrity of the superior glenoid labrum in shoulders with recurrent anterior dislocations.

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