Biceps load test of shoulder

Biceps load test of shoulder

ByVaishali Ladva
  • It is also known as the Kim test II.
  • It is designed to check the integrity of the superior labrum.
  • This test Procedure is like an apprehension & crank test.

Purpose of the Biceps load test:

  • This test is designed to detect the SLAP lesions in the shoulder.
  • It also checks the integrity of to superior labrum.
  • This test also detects superior labral anterior & posterior means SLAP lesions in the glenohumeral joint.

How to perform this Biceps load test?

  • Patient Position of to test: Supine lying or sitting position.
  • Examiner Position of to test: Standing or Sitting position beside to patient’s affected side.

The procedure to test:

  • In the supine position, the examiner gently grasps the patient’s elbow & wrist of the affected side.
  • Next, elevate to affected arm up to 120 degrees & externally rotate means lateral rotate the arm till to maximal point when to patient tolerated to rotation or pain.
  • During this situation hold the elbow in 90 degrees of flexion& forearm into a fully supinated position.
  • Next, ask the to patient for doing the flex the elbow while the examine is resist the flexion.

Interpretation of this Biceps load test:

Biceps load test
Biceps load test
  • This test is positive when the patient complains of pain during resisted elbow flexion.
  • This test is negative when the patient reports no pain.
  • If to pain is reduced by resisted elbow flexion.
  • If pre-existing pain is unchanged during elevation & external rotation means lateral rotation of the affected arm.
  • If apprehension decrease or the patient feels more comfortable, this test is negative for SLAP lesions.
  • If the apprehension remains the same or the shoulder becomes more painful.
  • This test is considered positive for SLAP lesions in the presence of recurrent.

Diagnostic Properties of this Biceps load test:

  • Sensitivity of this test = 0.897
  • Specificity of this test =0.966
  • Positive Likelihood Ratio means [ LR + ] of this test =30
  • Negative Likelihood Ratio means [ LR -] of this test = 0.10
  • Reliability of this test: Kappa = 0.815
Vaishali Ladva
Author: Vaishali Ladva

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