Biceps Load II Test
Original Editor - Christopher Covert
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Purpose
The Biceps Load II test is designed to detect SLAP lesions in the shoulder.[1] [2]
Technique
The patient is in the supine position with the shoulder in 120 degrees of elevation and full external rotation, while the elbow is in 90 degrees of flexion, and the forearm in supination. The patient is then asked to flex the elbow as the clinician provides resistance.[1]
Positive Test
A positive test is defined as pain experienced during resisted elbow flexion or pain exacerbation during resisted elbow flexion.[1]
Evidence
- Sensitivity: 27.6
- Specificity: 77.8
- Positive Likelihood Ratio: 1.24
- Negative Likelihood Ratio: 0.93[2]
- Reliability: Kappa = 0.815[1]
A combination of Biceps Load I, Biceps Load II, and O’Brien’s test were found to be the most sensitive and specific at 0.992 for sensitivity and 0.999 for specificity.[4]
References
- ↑ 1.0 1.1 1.2 1.3 Kim SH, Ha KI, Ahn JH, Kim SH, Choi HJ. Biceps load test II: a clinical test for SLAP lesions of the shoulder. Arthroscopy 2001 February; 17(2):160-164.
- ↑ 2.0 2.1 Somerville L, Willits K, Johnson A, Litchfield R, LeBel ME, Moro J, et al. Clinical Assessment of Physical Examination Maneuvers for Superior Labral Anterior to Posterior Lesions. The Surgery Journal. 2017 Oct;03(04):e154–62.
- ↑ Clinically Relevant Technologies, http://www.youtube.com/watch?v=h2IyvaCEYpk; Accessed May 2011
- ↑ Clark RC, Chandler CC, Fuqua AC, Glymph KN, Lambert GC, Rigney KJ. USE of CLINICAL TEST CLUSTERS VERSUS ADVANCED IMAGING STUDIES in the MANAGEMENT of PATIENTS with a SUSPECTED SLAP TEAR. International Journal of Sports Physical Therapy. 2019 Jun;14(3):345–52.