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OBriens Test

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Other Names

Scapular Assistance Test
Clinical demonstration of O'Brien's Test[1]
  • Active Compression Test
  • O'Brien's Test
  • O'Brien's Active Compression Test

Purpose


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
    • Pain or clicking when in pronated position that improves in supination position

Pathology


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

  1. Manske, Robert, and Todd Ellenbecker. "Current concepts in shoulder examination of the overhead athlete." International journal of sports physical therapy 8.5 (2013): 554.
  2. 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.
  3. 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.
  4. 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
  5. 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.
  6. 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
Authors:
Last edited:
19 February 2024 14:21:32
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