Speeds Test

Expert Opinion[edit | edit source]

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

Technique
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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 2.05
Negative Likelihood Ratio 0.72


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

References
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  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