Speeds Test: Difference between revisions

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'''Original Editor '''- [[User:Tyler Shultz|Tyler Shultz]]
'''Original Editor '''- [[User:Tyler Shultz|Tyler Shultz]]


'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}      
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}   
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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>  


{{#ev:youtube|m1hbZQ7SdkY}}<ref>Physiotutors. Speed's Test ⎟ Biceps Pathology.  https://www.youtube.com/watch?v=m1hbZQ7SdkYref </ref>
{{#ev:youtube|m1hbZQ7SdkY}}<ref>Physiotutors. Speed's Test ⎟ Biceps Pathology.  https://www.youtube.com/watch?v=m1hbZQ7SdkYref </ref><br>


== 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 ==
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
 
<rss>http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1NukREZ</rss>
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== References<br> ==


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[[Category:Special_Tests]] [[Category:Shoulder Special Tests]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:Shoulder]] [[Category:Videos]]
[[Category:Special_Tests]] [[Category:Shoulder]] [[Category:Shoulder Special Tests]] [[Category:Musculoskeletal/Orthopaedics]]

Revision as of 06:50, 6 December 2017

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.

[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. Physiotutors. Speed's Test ⎟ Biceps Pathology. https://www.youtube.com/watch?v=m1hbZQ7SdkYref
  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