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OBriens Test
From WikiSM
Other Names
- Active Compression Test
- O'Brien's Test
- O'Brien's Active Compression Test
Purpose
Clinical demonstration of O'Brien's Test[1]
- Evaluate Glenoid Labrum
- Evaluate Acromioclavicular Joint
Description
- Patient is seated or standing
- Shoulder flexed to 90°
- Patient internally rotates the shoulder and pronates the forearm
- The instructor then asks the patient to apply an upward force against instructor resistance
- The patient then externally rotates the shoulder and supinates the forearm
- The instructor then applies an upward force again against resistance
- A positive test is pain or clicking when in pronated position that improves in supination position
Pathology
- Glenoid Labral Tears
- Acromioclavicular Joint Pain
- Acromioclavicular Joint Separation
- Acromioclavicular Joint Arthritis
Evidence
- Specificity: 28-73% [2]
- Sensitivity: 63-94% [3]
- Acromioclavicular Etiology [4]
- Sensitivity: 41% - 100%
- Specificity: 95% - 97%
- LR+: 8.2 - 33.3
- LR-: 0.00 - 0.62
- Overall Accuracy: 92%[5]
- Glenoid Labrum Tear [6]
- Sensitivity: 63% - 100%
- Specificity: 73% - 98%
- LR+: 2.30 - 50.0
- LR-: 0.00 - 0.51
See Also
References
- ↑ Manske, Robert, and Todd Ellenbecker. "Current concepts in shoulder examination of the overhead athlete." International journal of sports physical therapy 8.5 (2013): 554.
- ↑ Ebinger, Nina et al. “A new SLAP test: the supine flexion resistance test.” Arthroscopy: The Journal of Arthroscopic Related Surgery: Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association 24.5 (2008): 500-5.
- ↑ Guanche, Carlos A, and Donald C Jones. “Clinical testing for tears of the glenoid labrum.” Arthroscopy: The Journal of Arthroscopic Related Surgery: Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association 19.5: 517-23.
- ↑ Flynn, T.W., Cleland, J.A., Whitman, J.M. (2008). User's guide to the musculoskeletal examination: Fundamentals for the evidence-based clinician. Buckner, Kentucky: Evidence in Motion
- ↑ Chronopoulos E, Kim TK, Park HB, Ashenbrenner D, McFarland EG. Diagnostic value of physical tests for isolated chronic acromioclavicular lesions. Am J Sports Med. 2004 Apr-May;32(3):655-61.
- ↑ Flynn, T.W., Cleland, J.A., Whitman, J.M. (2008). User's guide to the musculoskeletal examination: Fundamentals for the evidence-based clinician. Buckner, Kentucky: Evidence in Motion
Created by:
John Kiel on 9 July 2019 13:20:09
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Last edited:
13 April 2022 11:10:13
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