Speed Test of the Shoulder

 Speed Test of the Shoulder

What is Speed Test?

Speed Test (also called Palm-Up Test or Straight Arm Test) is used to evaluate Biceps tendinitis and Superior labral anterior and posterior lesions (Slap Lesion).

It was first described by Crenshaw and Kilgore in 1966.

See Also: SLAP Lesion

How it’s Performed?

Speed Test

What does a positive Speed Test mean?

Sensitivity & Specificity

In an arthroscopic analysis that included biceps tendinitis and superior labral anterior and posterior lesions (SLAP Lesion) as positive findings, Bennett found that the Speed test had a sensitivity and Specificity as following 1:

In a number of studies, the sensitivity of the Speed’s test in biceps tendon disorders was found to be higher than that of the Yergason’s test.

Because Speed’s test has been shown to be highly sensitive but not specific to biceps pathology, it should be used as an aid in the evaluation of a bicipital lesion but not as diagnostic of such a lesion.

Reference

  1. W F Bennett: Specificity of the Speed’s test: arthroscopic technique for evaluating the biceps tendon at the level of the bicipital groove. Arthroscopy. Nov-Dec 1998;14(8):789-96. doi: 10.1016/s0749-8063(98)70012-x. PMID: 9848587.
  2. Holtby R, Razmjou H. Accuracy of the Speed’s and Yergason’s tests in detecting biceps pathology and SLAP lesions: comparison with arthroscopic findings. Arthroscopy. 2004;20:231-236
  3. Campbel’s Operative Orthopaedics 13th Ed Book.
  4. Clinical Tests for the Musculoskeletal System, Third Edition book.
  5. Mark Dutton, Pt . Dutton’s Orthopaedic Examination, Evaluation, And Intervention, 3rd Edition Book.
  6. Millers Review of Orthopaedics, 7th Edition Book.

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