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This is Brent of the Brookbush Institute, and
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in this video we're going over the
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Speed's Test. It's a special, or
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orthopedic test that helps us in the
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diagnosis of labral tears, slap lesions,
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which is a type of label tear, biciptal
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tendinosis, and/or transverse
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ligament ruptures. I'm going to have
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my friend, Brian, come out. He's going to
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help me demonstrate the Speed's Test. Now,
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this isn't a complicated test. All I'm going to have
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Brian do is go ahead and turn his palm up,
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lock his elbow, and with palm up and
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elbow locked have him raise his
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arm against my resistance. I'm going to
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resist the first 60 degrees of flexion, and then I'll
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ask Brian, "How did that feel?" No pain. No
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pain. So, as long as he didn't get pain in
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his bicipital groove, that's considered a
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negative test. If you guys aren't quite sure
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where your bicipital groove is, here's a really
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quick tip for palpation. If you put
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your thumb over the anterior humorous,
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internally and externally rotate the arm,
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you'll start to feel these two bumps
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come under your thumb. Those two bumps, or
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your tubercles, are your greater and
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lesser tubercles, and they'll just kind of
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thump-thump, thump-thump underneath your
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thumb. Right between those two would
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be your bicipital groove, so I
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can feel his bicipital groove right there.
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Alright, so I'm going to keep my thumb
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there and just go ahead and do this test one
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more time. Go ahead. Palm up, elbow locked.
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Go ahead and push up. I'm going to resist
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that first 60 degrees of flexion. Now,
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let's say this time Brian said that hurt.
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That hurt. Where did it hurt? Right there.
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Right there. Okay, so that's a positive
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Speed's Test. I can further confirm my
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findings by having him
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turn palm down, keep elbow locked, and do
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the same thing.
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How'd that feel? Less pain. If he says
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less pain, that's actually further
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confirming our findings, at least
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according to certain texts. Most research
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only uses the 60 degrees of flexion test
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by itself, noting that if somebody has
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pain in their bicipital groove, that is
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a positive indicator of something going
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on here involving either the labrum or the
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biceps tendon. Let's give you guys a lateral
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view. One thing you do have to be
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careful with- you guys notice I take this
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hand and I kind of stabilize the scapula
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and torso and then put my thumb over
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that bicipital groove, that's so I
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obviously know if he's feeling pain
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there. I can kind of just point to my
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thumb and ask, "Do you feel pain under my
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thumb?" And then I can use this hand to
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prevent him from cheating, because what
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you'll see is sometimes when people have
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shoulder pain, they do something that
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looks a little bit like that cheat curl
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that you've seen in the gym. This
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whole thing. We want to make sure he
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stays up and he's just raising up at the
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arm so that we are testing shoulder
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flexion here. How'd that feel? Fine. Fine,
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alright. So, we're pretty sure that
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Brian has a negative Speed's test altogether.
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Thanks, Brian. Now, if I'm doing
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the Speed's Test, please understand
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that I've probably done a subjective
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evaluation that's given me some
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indication that a labral tear is
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possible. So, we're probably thinking more
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towards acute injuries than chronic
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injuries. We're probably thinking
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something that would have to do with
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either throwing, landing on a shoulder or
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some sort of impact injury. Brian's
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and Jiu Jitsu, which isn't necessarily a
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throwing sport, but you do end up with
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your arm locked back in this position.
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It's very easy to end up in some
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sort of acute trauma where you land on
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that shoulder, so we definitely have a
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possibility with Brian. I probably would
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have already taken him through my
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Impingement Clusters, my rotator cuff
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cluster, and I'm getting a set of
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positives and negatives that I'm just
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not happy with. So, now I'm looking for a
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better diagnosis than what I currently
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have, which would where these labral tests
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come in. Now, labral tests, in general, for
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human movement professionals are kind of
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a screening. We're going to see if this
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person can actually be helped by us or if
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we should refer out for further
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diagnostic testing, for example, maybe an
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MRI. If somebody does have a labral tear,
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these are often things that have to be
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surgically treated. So, there you guys
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have it. Speed's Test is one of several
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labral tear tests that we're going to go
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over in the next several videos. If you
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have any questions, please leave them in
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the comments section below. I look
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forward to hearing from you.