SPEED'S TEST

ALSO KNOWN AS

  •  Biceps test
  •  Straight arm test

 PURPOSE

  •  Identifies pathology of biceps tendon in bicipital groove
  • Identifies unstable superior labral anterior posterior (SLAP) lesions.

 TECHNIQUE

 position of patient

 Standing or sitting with affected shoulder in 60 – 90 ° of forward flexion. The elbow should be fully extended & forearm supinated.

 position of therapist

 Standing beside the patien on the affected side, one hand stabilizes the patient’s shoulder while the other is placed on the anterior surface of the lower forearm.

 Action

 The patient is asked to maintain the start position as downward pressure on the lower forearm is applied by the clinician.

 Positive test

 Pain localized to the bicipital groove may indicate a tendinopathy or a true tenosynovitis of the long head of biceps. Deeper-seated pain may implicate biceps/labral complex injury.

CLINICAL CONTEXT

None have found Speed’s test particularly useful at ruling biceps tendon pathology or unstable SLAP lesions either in or out .

Sensitivity = 0.32

Specificity = 0.75

Positive likelihood ratio = 1.28

Negative likelihood ratio = 0.91

CLINICAL TIP

  • POPEYE SIGN stands as a more standard indicator for the rupture of long head of biceps tendon. 
  • Marked bulge seen just above the elbow on biceps contraction is popeye sign. 
  • Muscle more proximally is notably absent. 







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YERGASON'S TEST

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