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This is Brent at the Brookbush Institute, in this video
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we're going over the special or
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orthopedic test for the shoulder, the
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biceps load 2, which is designed with
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the intent of helping to indicate a
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diagnosis of a SLAP lesion or a superior
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labrum tear from anterior to posterior.
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I'm going to have my friend Brian come out,
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he's going to help me demonstrate this
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test. Now this test isn't particularly
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difficult to perform, we're going to use
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the biceps tendon to pull on the
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superior labrum a bit. The best position
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to do that in ends up being the
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apprehension position of the shoulder,
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named after the apprehension test, which
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is about a hundred and twenty degrees of
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shoulder abduction as well as maximal
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external rotation, and then we're going
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to go ahead and flex the elbow to 90
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degrees. From this position I'm going to
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have Brian go ahead and try to either
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resist the force I create, kind of
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pulling him back this way, or I could
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ask him to curl in towards his head, kind
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of showing off his biceps brachii. Go
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ahead and pull in, and if that caused
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pain or his symptoms that would be a
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positive biceps load 2. So once again
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really easy you're just going to go
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ahead and bring somebody back into this
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apprehension position, which is about 120
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degrees of shoulder abduction, maximal
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external rotation, 90 degrees of an elbow
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flexion, and have them make a bicep for
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you. Go ahead and do that, good and you
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can see Brian's strong. Did you feel any
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pain? No pain, so that's a negative biceps
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load 2 thanks Brian. Now this is one of
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our better labral tear tests, this test
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ends up being fairly specific, fairly
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sensitive. It's not included in many of
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the labral test clusters, but if I was
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going to use one labral tear test as
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like a screen as in a quick screening,
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this would probably be it. It actually
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has much better numbers than some of the
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other tests we use for labral tears, like
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Speeds or the O'Brien's
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test, or Yerguson's. I hope you guys
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enjoyed this video, make sure you add
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this assessment into your repertoire,
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because at the end of the day it's
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accurate assessment that makes you a
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great practitioner, not just learning a
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bunch of techniques. It's all about
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implementation, all about having an
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accurate diagnosis, accurate hypothesis
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so that you can match all this stuff up.
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I look forward to seeing you guys ask
