Whipple Test: Difference between revisions

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=== Technique ===
=== Technique ===
Step1.  Patient position standing or sitting.
'''Step1.''' Patient position standing or sitting.


Step2. Ask the patient to flex the arm 90 degree and adducted till the hand is opposite the other shoulder.
'''Step2.''' Ask the patient to flex the arm 90 degree and adducted till the hand is opposite the other shoulder.


Step3. Therapist applies downward force while patient resist.
'''Step3.''' Therapist applies downward force while patient resist.


Step4. Pain in the shoulder considered as positive sign and indicated as partial rotator cuff tear or superior labrum tear.
'''Step4.''' Pain in the shoulder considered as positive sign and indicated as partial rotator cuff tear or superior labrum tear.


<div class="row">
<div class="row">
   <div class="col-md-6"> {{#ev:youtube|8YqGdwOluGo|300}} <div class="text-right"><ref>Whipple Test (CR).  
   <div class="col-md-6"> {{#ev:youtube|8YqGdwOluGo|300}} <div class="text-right"><ref>Whipple Test (CR).  
CRTechnologies. Available from: https://youtu.be/8YqGdwOluGo </ref></div></div>
CRTechnologies. Available from: https://youtu.be/8YqGdwOluGo </ref></div></div>





Revision as of 14:57, 16 August 2020

Purpose[edit | edit source]

Whipple test is used to examine the partial rotator cuff tears and or superior labrum tear[1].

Technique[edit | edit source]

Step1. Patient position standing or sitting.

Step2. Ask the patient to flex the arm 90 degree and adducted till the hand is opposite the other shoulder.

Step3. Therapist applies downward force while patient resist.

Step4. Pain in the shoulder considered as positive sign and indicated as partial rotator cuff tear or superior labrum tear.



Evidence[edit | edit source]

In partial supraspinatus tendon tear whipple test shows sensitivity of 88.6% and a specificity of 29.4%. Which is less effective than empty can test and full can test[3].

References[edit | edit source]

  1. David J. Magee. Orthopedic Physical Assessment. 6th edition. Elsevier. 2014.
  2. Whipple Test (CR). CRTechnologies. Available from: https://youtu.be/8YqGdwOluGo
  3. Ackmann T, Schneider KN, Schorn D, Rickert C, Gosheger G, Liem D. Comparison of efficacy of supraspinatus tendon tears diagnostic tests: a prospective study on the "full-can," the "empty-can," and the "Whipple" tests [published online ahead of print, 2019 Nov 5]. Musculoskelet Surg. 2019;10.1007/s12306-019-00631-0. doi:10.1007/s12306-019-00631-0