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The Speed’s test is performed when pathology of the long head of the biceps tendon is suspected. It can also be used when assessing for SLAP lesions.
The Speed’s test is also called by many names including the biceps test, the biceps tension test, the biceps tendon test and the straight arm test.
To perform this test, ask the patient to flex the shoulder to 90 degrees with the elbow extended and the palm facing upward. Apply a downward pressure over the patient’s wrist and asks the patient to resist.
Pain felt over the long head of the biceps tendon in the anterior upper arm is considered positive and suggests biceps tendinopathy. If the test produces a deep shoulder pain, this may indicate a Superior Labrum Anterior- Posterior tear commonly referred to as a SLAP lesion.
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