Speed’s Test of shoulder :

• It is also known as the biceps or straight-arm test.
• This test is performed on to clinic by the doctor/therapist to check the tendinitis of the biceps & labral tear.
• This test is performed when the patient complains of shoulder pain.
• This test is mostly performed with the Yergason’s Test.

What is Purpose of the Speed’s Test of shoulder?

• This Speed’s Test is used the check bicipital tendonitis/superior labral tears.
• It is also used to check the SLAP lesion – II.

How to perform the Speed’s Test of shoulder ?

• Starting position of the patient is the standing/sitting position.
• The examiner resists the shoulder forward flexion by the patient while the patient’s forearm is first supinated, then pronated& the elbow is completely extended
• The test is also be performed by forward flexing the patient’s arm to 90′ & then asking the patient to resist an eccentric movement into extension first with the arm supinated then pronated.

What is the result of the Speed’s Test of the shoulder?

• A positive test is elicited increased tenderness in the bicipital groove especially with the arm supinated.
• It is indicative of bicipital paratenonitis or tendinosis.
• This test is also positive when the patient complains of pain in the bicipital groove or bicipital tendon.

What is Evidence of the Speed’s Test of the shoulder?

• Sensitivity of the Speed’s Test of shoulder = 0.32
• Specificity of the Speed’s Test of shoulder = 0.75
• Positive Likelihood Ratio of the Speed’s Test of shoulder = 1.28
• Negative Likelihood Ratio of the Speed’s Test of shoulder = 0.91

• Speed’s test is more effective than Yergason’s test because the bone moves over more of the tendon during the speed’s Test of shoulder.
• It has been reported that this test may cause pain &, therefore is positive if a SlAP [ type – II ] lesion is present.
• If profound weakness is found on resisted supination, a severe second – or -third-degree means rupture strain of the distal biceps should be suspected.