Purpose of Test: A provocative test that assesses for long head of the biceps tendon pathology and SLAP lesions.
Test Position: Sitting.
Performing the Test: The examiner stands next to the patient on the testing side. The patient’s elbow is flexed to 90 degrees and resting in a pronated position. The patient is instructed to supinate the forearm and externally rotate at the shoulder while the examiner applies a pronation force, resisting the supination. While performing the test, the examiner is palpating the biceps tendon at the bicipital groove. The test is considered positive if you have localized pain at the bicipital groove or a snapping of the biceps tendon out of the bicipital groove.
Importance of Test: From our clinical experiences, many patients with subacromial impingement syndrome often have subsequent bicep’s tenden aggravation. It is important test the irritability of the bicep’s tendon when assessing a shoulder patient. Both Speed’s Test and Yergagon’s Test attempt to discriminate between bicipital tendon pathologies. An article written by Calis et al, “Diagnostic values of clinical diagnostic tests in subacromial impingement syndrome,” found that the sensitivity of Speed’s test was greater than Yergason’s due to greater tendon movement of the bicep’s tendon out of the bicipital groove.
Note: these tests should only be performed by properly trained health care practitioners.
Reference: Naredo E, et al. (2001). Comparison of physical examination and ultrasonographic findings. Ann Rheum Dis. 61.2. 132-136. Web. 10 Dec 2012.