Athletic Training & Sports Medicine Center

  
 

Examination Links:

  • Alphabetical Listing
of Examinations
  • Head
  • Cervical Spine
    • Spurling's Test
    • Distraction
    • Quandrant
    • Tinels' Sign
  • Thoracic Spine
    • Sagittal Plane ROM Test
    • Frontal Plane ROM Test
    • Transverse Plane ROM Test
  • Lumbar Spine
    • Straight Leg Raise Test
    • Sciatic Nerve Palpation Test
    • Bowstring Test
    • Slump Test
  • Shoulder
    • Apley Scratch Test
    • Apprehension Test
    • Relocation Test
    • Anterior Instability Test
    • Anterior/Posterior Translation
 Test
    • Sulcus Sign
    • Posterior G-H Instability Test
    • Inferior Drawer (Feagin) Test
    • Neer Impingement Test
    • Hawkins Kennedy
Impingement Test
    • Empty Can Test
    • Internal Rotation Strength
Test
    • External Rotation Strength
Test
    • Glenoid Labrum Clunk Test
    • Andrews Anterior Instability
Test
    • Anterior Drawer
    • Posterior Drawer
    • Prone Posterior Instability Test
    • Push Pull Test
    • Apprehension Test
    • Fulcrum test
    • Jerk Sign or Jahnke Test
    • Load & Shift Test
    • Acromioclavicular Joint
Stability Test
    • Cross Chest 
(Horizontal Adduction) Test
    • Sternoclavicular Joint 
Integrity Test
    • Speed's Test
    • Gilcrest's Palm-Up test
    • Ludington's Test
    • Drop Arm Test
    • Drop Sign
    • External Rotation Lag Sign
    • Internal Rotation Lag Sign
    • Gerber Lift-Off Test
    • O'Brien Test
    • Yergason Test
    • Biceps Load Test I
    • Biceps Load Test II
    • Winging Scapula Test
    • Adson Maneuver
    • Allen Test
    • Roo's Test
    • Halstead's Test
  • Elbow & Radioulnar
    • Valgus Test 00
    • Valgus Test 300
    • Valgus Test 900
    • Miking Sig
    • Cross Arm Valgus
 Stress Test
    • Varus Test 00
    • Varus Test 300
    • Tinel Sign
    • Lateral Compression Test
    • Valgus Extension Overload
    • Cozen Test
    • Mills Test
    • Distal Radioulnar Instability 
Test
  • Wrist
    • Finkelstein's Test
    • Anatomical Snuff Box
Compression Test
    • Phalen's Test or Wrist Press Test
    • Tinel Sign
  • Hand & Fingers
    • Murphy's Signr
    • Boutonniere Deformity Test
    • Mallet Finger Test
    • Flexor Digitorum Superficialis
 Test
    • Flexor Digitorum Profundus
 Test
    • Gamekeeper's Thumb Test
    • MCP Radial Collateral 
Ligament Stress Test
    • MCP Ulnar Collateral 
Ligament Stress Test
    • PIP Radial Collateral 
Ligament Stress Test
    • PIP Ulnar Collateral 
Ligament Stress Test
    • DIP Radial Collateral 
Ligament Stress Test
    • DIP Ulnar Collateral 
Ligament Stress Test
    • Bunnel-Littler Test
    • Retinacular Test
    • Allen Test
  • Sacroiliac Joint
    • Ipsilateral Prone Kinetic Test
    • FABER Test
    • Passive Extension & Internal 
Rotation of Ilium on Sacrum
    • Passive Flexion & External 
Rotation of Ilium on Sacrum
    • Passive External Rotation 
of Hip
    • Pelvic Rocking Test
    • Gapping Test
    • Prone Gapping (Hibb's) Test
    • Approximation Test
    • Squish Test
      Sacroiliac Rocking Test
    • Sacral Apex Pressure Test
    • Torsion Stress Test
    • Femoral Shear Test
    • Superoinferior Symphysis
Pubic Stress Test
    • Piedallu's Sign
    • Flamingo Maneuver or Test
    • Gaenslen's Sign
    • Mazion's Pelvic Maneuver
    • Yeoman's Test
    • Sit-up Test
  • Hip & Thigh
    • Scouring (Quandrant) Test
    • FABER Test
    • Trendelenburg Test
    • Craig's Test
    • Torque Test
    • Stinchfield Test
    • Thomas Test
    • Pirifomis Test
    • Sign of the Buttock
    • Ely's Test
    • Hamstring Contracture Test 1
    • Tripod Test
    • 90-90 Straight Leg Test
    • Phelp's Test
  • Knee
    • Anterior Drawer
    • Gravity Sign
    • Active Posterior/Anterior 
Drawer Test
    • Posterolateral Drawer Test
    • Lachman
      • Tradiional
      • Thigh Assisted
      • Drop Leg
      • Table Side
      • Table End
      • Prone
      • Active
    • Posterolateral Drawer Test
    • Figure 4 Palpation
    • McMurray's Test
    • Apley's Grind Test
    • Lateral Compression Test
    • Medial Compression Test
    • Jerk Test of Hughston
    • Pivot Shift Test
    • External Rotation 
Recurvatum Test
    • Quadriceps Active Test
  • Lower Leg
    • Heel Tap Test
    • Homan's Sign
    • Squeeze Test
    • Thompson Test
  • Ankle
    • Anterior Drawer
    • Cotton Test
    • Eversion Stress Test
    • Inversion Stress Test
    • Kleiger Test
    • Squeeze Test
    • Wedge Test
  • Foot
    • Morton Test
    •  
  • Range of Motion
  • Goniometry
  • Manual Muscle Testing
  • Reflexes
  • Vital Signs
  • Body Composition

 

  Ludington's Test
Examination type Tendon pathology
Patient & Body Segment Positioning The athlete will be sitting with their back straight, on a chair or stool, with their back to the examiner.  Patient clasps both hands on top of the head, allowing the interlocking fingers to support the weight of the upper limbs.  This allows the maximum relaxation of biceps tendon.
Examiner Position The examiner will be standing facing the athlete’s back.  Examiner palpates the biceps tendon.
Tissues Being Tested Long Head of the Biceps Tendon
Performing the Test The athlete will contracts their biceps muscles by pushing down on their head.  The examiner will still be palpating the long head tendon of the biceps feeling for tension on the tendon.  The test should be performed bilaterally for comparison.
Positive Test Inability to feel tendon indicates a long head of biceps tendon rupture.  If there is no tension or decreased tension on the tendon of the involved side, this is a positive test for a rupture of the long head of the biceps.
Interpretation Detachment of the long head of the biceps from the lip of the gleniod fossa
Common errors in performing exam Not testing bilaterally; failure to palpate at the insertion of the biceps tendon (not understanding where the biceps tendon inserts)
Factors possibly resulting in misinterpretation Athlete may not be contracting biceps on the involved side due to malingering or failure to understand the instructions of the examiner.
Related tests Palpation of the long head of the biceps, visual inspection, ROM testing of the shoulder and elbow
References Starkey, Chad.  Ryan, Jeff.  Evaluation of Orthopedic and Athletic Injuries.  Copyright 2002.  F. A. Davis Company.  2nd Edition. Pg 479.

Magee. Orthopedic Physical Assessment. 4th Ed. 2002.
Links:

http://www.shoulderdoc.co.uk/education/article.asp?article=497

www.physsportsmed.com/.../ 1999/06_99/carter.htm
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