Speed’s Test

Execution:

  1. Patient is standing
  2. The patient extends the elbow and fully supinates the forearm
  3. Version 1: Patient flexes his shoulder from 0 to 60° against resistance by the examiner
  4. Version 2/most common: Patient brings his shoulder to 90° and resists downward pressure by the examiner

 

Positive Outcome: Pain provoked in the bicipital groove where the tendon of the long head of the biceps enters the joint capsule

Study

Reliability Sn Sp LR+

LR-

Hegedus et al. (2012)

NA 20 78 1.03 0.87

Jain et al. (2017)

NA 75 45 1.35

0.56

Gismervik et al. (2017) NA 20 88 1.67

0.91

Ebinger et al. (2008) NA 60 38 0.97

1.05

Cardoso et al. (2019) NA 61 71 2.09

0.55

Cook et al. (2012) NA 50 54 1.1

0.93

Somerville et al. (2017) NA 27.6 21 0.95

1.02

Comment: The Speeds test also tests for paratenonitis or tendinosis of the long biceps tendon, but performs equally weak for both the detection of SLAP lesions and biceps pathology