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Athletic Training & Sports Medicine Center

Examination Links:

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Alphabetical Listing
of Examinations
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Head

Cervical Spine

Thoracic Spine

Lumbar Spine

Shoulder

Elbow & Radioulnar

Wrist

Hand & Fingers

Sacroiliac Joint

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Ipsilateral Prone Kinetic Test
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FABER Test
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Passive Extension & Internal 
Rotation of Ilium on Sacrum

Passive Flexion & External 
Rotation of Ilium on Sacrum

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Passive External Rotation 
of Hip
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Pelvic Rocking Test
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Gapping Test
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Prone Gapping (Hibb's) Test
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Approximation Test
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Squish Test
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Sacroiliac Rocking Test
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Sacral Apex Pressure Test
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Torsion Stress Test
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Femoral Shear Test
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Superoinferior Symphysis
Pubic Stress Test

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Piedallu's Sign
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Flamingo Maneuver or Test
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Gaenslen's Sign
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Mazion's Pelvic Maneuver
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Yeoman's Test
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Sit-up Test
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Hip & Thigh

Knee

Lower Leg

Ankle

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Foot
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Morton Test
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Range of Motion
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Goniometry
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Manual Muscle Testing
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Reflexes
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Vital Signs
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Body Composition
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Speed's Test

Other Names

Biceps Test, Straight-Arm Test

Examination type

Tendon pathology/integrity

Patient & Body Segment Positioning

The patient is seated with the involved shoulder at 90degrees, the elbow fully extended, and the forearm supinated.

Examiner Position

The examiner should to the side of the patient on the side of the involved shoulder. The examiner palpates the bicipital groove of the involved shoulder with one hand places the other hand on the patient’s wrist to apply resistance.

Tissues Being Tested

Long head of Biceps tendon

Performing the Test

While the patient actively flexes the shoulder keeping the elbow extended, the examiner resists forward flexion of the arm while palpating the patient's biceps tendon over the anterior aspect of the shoulder. The test should then be repeated with the patient’s forearm pronated.

Positive Test

Pain or tenderness in the bicipital groove (especially with forearm supinated)

Interpretation

Tenderness indicates bicep tendonitis, paratenonitis, or tendinosis

Common errors in performing exam

Incorrect hand positioning is often a common error in performing this exam. Also, the examiner should palpate the biceps tendon in the bicipital groove and should test bilaterally for comparison.

Factors possibly resulting in misinterpretation

This test may elicit pain if a SLAP lesion of the labrum is present and therefore produce a false positive test. Also if profound weakness is present on resisted supination, severe 2^nd or 3^rd degree strain of distal biceps should be suspected.

Related tests

Yergason's test, Ludington’s test, Gilchrest’s Sign, Lippman’s test, Heuter’s sign

References

Magee, David J. (2002). Orthopedic Physical Assessment. Philadelphia, PA: Elsevier.

Links:

http://www.fpnotebook.com/ORT121.htm

http://goaggies.cameron.edu/training/study21

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