Speeds Test: Difference between revisions

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== Expert Opinion  ==


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== Purpose<br>  ==
== Purpose<br>  ==


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<br>  ==


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>
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>  
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<br> '''Test Item Cluster: '''The Speed's Test is often combined with the [[Yergasons Test|Yergason's Test]] to detect bicipital tendonitis.
<br> '''Test Item Cluster: '''The Speed's Test is often combined with the [[Yergasons Test|Yergason's Test]] to detect bicipital tendonitis.  


See [[Test Diagnostics|test diagnostics]] page for explanation of statistics.
See [[Test Diagnostics|test diagnostics]] page for explanation of statistics.  


== References<br>  ==
== References<br>  ==


<references />   {{Template:Disclaimer}}
<references /> {{Template:Disclaimer}}  


<br> <br>
[[Category:Articles]] [[Category:Special Test]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:Shoulder]]

Revision as of 23:11, 24 March 2009

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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 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.[1] The test is considered to be positive if pain in the bicipital tendon or bicipital groove is reproduced.

[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. online video, http://www.youtube.com/watch?v=N00gA4Pvsbw&feature=related, last accessed 1/24/09
  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
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