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  • Writer's pictureRobin R Varghese, PT.

Speed's Test

  • Speed's Test is a common orthopedic test(1) used to test for superior labral tears or bicipital tendonitis.(2)

  • Originally the Speed’s test was designed to test for tenosynovitis of the long biceps tendon but is now being used for several pathologies of the biceps.(1)

  • The Speed's Test is often combined with the Yergason's Test to detect bicipital tendonitis.(2)

Test Position: Patient must be in standing position


Technique: 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.(2) 


Test Result: The test is considered to be positive if pain in the bicipital tendon or bicipital groove is reproduced.(2)


Evidence (2):

Sensitivity

  0.32

Specificity

  0.75

Positive Likelihood Ratio

  1.28

Negative Likelihood Ratio

  0.91

 

Understanding the test: When a patient’s arm is placed in the examining position for the Speed’s test and downward pressure is applied, the biceps tendon acts like a suspensor cable from its insertion on the superior labrum to the arm. Increased tension in this cable and any inflammation if present; is thought to result in pain in the proximal shoulder. So in both cases, the test is positive if patient reports pain in the bicipital groove where the long tendon of the biceps enters the shoulder capsule(1)


 

At Valley Healing Hands, we provide the best Physical Therapy treatment for biceps tendinopathy and other shoulder related conditions. We provide the best atmosphere for our patients with a one on one ratio for the best quality of care needed for them. We assure maximum outcomes and return to regular as well as sports routine. Our physical therapist are highly qualified and will plan an individualized treatment routine, customized to your specific needs. Our patients are highly satisfied with our services. You can learn about what they have to say about us here and get connected to us here. Our patients love us and you too will!!!! 



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