Biceps Load 2 - Shoulder Special/Orthopedic Test for Superior Labrum (SLAP Tear) and Biceps Tendon Integrity

Biceps Load 2 - Shoulder Special/Orthopedic Test, commonly referred to as SLAP Tear Test, is used to assess the integrity of the superior labrum and biceps tendon, typically in cases of shoulder instability or impingement. During the test, the patient is asked to bend their elbow and press the back of the hand against the side of the head, while the other hand stabilizes the shoulder joint. The examiner will then apply a downward force to the

Transcript

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This is Brent at the Brookbush Institute, in this video
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...blank
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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