Speeds Test: Difference between revisions

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== Purpose<br> ==
== Purpose  ==


Speed's Test is used to test for [[SLAP Lesion|superior labral tears]] or [[Biceps Tendonitis|bicipital tendonitis]].<br>  
Speed's Test is used to test for [[SLAP Lesion|superior labral tears]] or [[Biceps Tendonitis|bicipital tendonitis]].<br>  


== Technique<br> ==
== Technique  ==


To perform the Speed's Test, the examiner places the patients arm in shoulder flexion, external rotation, full elbow extension, and forearm supination; manual resistance is then applied by the examiner in a downward direction.<ref>Dutton, M. (2008). Orthopaedic: Examination, evaluation, and intervention (2nd ed.). New York: The McGraw-Hill Companies, Inc.</ref> The test is considered to be positive if pain in the bicipital tendon or bicipital groove is reproduced.<br> <br>  
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.<ref>Dutton, M. (2008). Orthopaedic: Examination, evaluation, and intervention (2nd ed.). New York: The McGraw-Hill Companies, Inc.</ref> The test is considered to be positive if pain in the bicipital tendon or bicipital groove is reproduced.<br>  


{| width="100%" cellspacing="1" cellpadding="1" border="0" align="center"
<clinicallyrelevant id="83864953" title="Speed Test" /><ref>Clinically Relevant. Speed's Test ⎟ Biceps Pathology.  https://members.physio-pedia.com/techniques/examination-techniques/?test=147 </ref><br>
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| {{#ev:youtube|N00gA4Pvsbw|300}}
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| <ref>online video, http://www.youtube.com/watch?v=N00gA4Pvsbw&amp;amp;feature=related, last accessed 1/24/09</ref>
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== Evidence  ==
== Evidence  ==
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See [[Test Diagnostics|test diagnostics]] page for explanation of statistics.  
See [[Test Diagnostics|test diagnostics]] page for explanation of statistics.  
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== References<br>  ==
== References ==


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[[Category:Articles]] [[Category:Special_Test]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:Shoulder]]
[[Category:Special_Tests]]  
[[Category:Shoulder]]  
[[Category:Shoulder - Assessment and Examination]]
[[Category:Musculoskeletal/Orthopaedics]]
[[Category:Sports Medicine]]
[[Category:Athlete Assessment]]
[[Category:Assessment]]
[[Category:Shoulder - Special Tests]]

Latest revision as of 22:54, 31 January 2021

Purpose[edit | edit source]

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

Technique[edit | edit source]

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.

Speed Test video provided by Clinically Relevant

[2]

Evidence[edit | edit source]

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[edit | edit source]

  1. Dutton, M. (2008). Orthopaedic: Examination, evaluation, and intervention (2nd ed.). New York: The McGraw-Hill Companies, Inc.
  2. Clinically Relevant. Speed's Test ⎟ Biceps Pathology. https://members.physio-pedia.com/techniques/examination-techniques/?test=147
  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