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Speeds Test

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Other Names

  • Speeds Test
  • Straight Arm Test
  • Speed's Test

Purpose

  • Evaluate the cause of shoulder pain

Description

Clinical demonstration of Speed's test[1]
  • The patient is standing or seated
  • Arms are flexed forward to 90°, arms supinated
  • The patient is asked to bring the arm into further flexion above 90° against examiners resistance
  • The arm is then switched to pronation and the resisted flexion is repeated
  • Positive test
    • Pain with flexion especially in pronation suggests biceps etiology
    • Vague shoulder pain may suggest SLAP tear

Pathology


Evidence

  • Biceps Tendon Etiology[2]
    • Sensitivity: 90%
    • Specificity: 14%
    • LR+: 1.0
    • LR-: 0.71

See Also


References

  1. Gill HS, El Rassi G, Bahk MS, Castillo RC, McFarland EG. Physical Examination for Partial Tears of the Biceps Tendon. The American Journal of Sports Medicine. 2007;35(8):1334-1340.
  2. Bennet WF. Specificity of the Speed’s Test: Arthroscopic technique for evaluating the biceps tendon at the level of the bicipital groove.Arthroscopy.1998;14:789-796.
Created by:
John Kiel on 11 July 2019 15:28:51
Authors:
Last edited:
1 June 2021 00:28:54
Category: