Speeds Test

Original Editor - Tyler Shultz

Top Contributors - Tyler Shultz, Rachael Lowe, Kai A. Sigel, Tomer Yona and Naomi O'Reilly

Purpose

Speed's Test is used to test for superior labral tears or bicipital tendonitis.

Technique

To perform the Speed's Test, the examiner places the patient's arm in shoulder flexion, external rotation, full elbow extension, and forearm supination; manual resistance is then applied by the examiner in a downward direction.[1] The test is considered to be positive if pain in the bicipital tendon or bicipital groove is reproduced.

[2]

Evidence

Diagnostic Test Properties for detecting SLAP with Speed's Test[3]
Sensitivity   0.32
Specificity   0.75
Positive Likelihood Ratio   1.28
Negative Likelihood Ratio   0.91


Test Item Cluster: The Speed's Test is often combined with the Yergason's Test to detect bicipital tendonitis.

See test diagnostics page for explanation of statistics.

References

  1. Dutton, M. (2008). Orthopaedic: Examination, evaluation, and intervention (2nd ed.). New York: The McGraw-Hill Companies, Inc.
  2. Physiotutors. Speed's Test ⎟ Biceps Pathology. https://www.youtube.com/watch?v=gbG_O9Gv8aQ
  3. Holtby, R., Razmjou, H. (2004). Accuracy of the Speed's and Yergason's test in detecting bicpes pathology and SLAP lesions: comparison with arthroscopic findings. Arthroscopy: The Journal of Arthroscopic and Related Surgery, 20(3), 231-236