How To Make Sense Of The O'Briens Test And Ease Symptoms Quickly

How To Make Sense Of The O’Brien’s Active Compression Test…

If you missed the video or just want to spend some time taking it all in… Sunday’s slides are now ready to download.

In them, I share how you can make sense of the O’Brien’s test and how I begin to bridge that gap between lower and higher-level rehab.

Whether you’re struggling with a complex shoulder pain case, or you’re just looking to prepare for the next one that walks through the clinic door…

Dave

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How To Make Sense Of O'Brien's Test If
Positive And Ease The Symptoms Quickly
Dave O’Sullivan,
BSc (HONS) Physiotherapy,
MSc Strength And Conditioning
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Assessment

Flex the arm to 90° with the elbow fully
extended and then horizontally adduct the
arm 10-15°.

The arm is then maximally internally
rotated and the patient resists the
examiner's downward force.

Repeat in supination.

Resist the downward force rather than the
clinician resisting forward flexion.

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AC Joint

Sensitivity 0.41 - 1.00
Specificity 0.95 - 0.97
Positive Likelihood Ratio 8.2 - 33.3
Negative Likelihood Ratio 0.00 - 0.62

SLAP

Sensitivity 0.63 - 1.00
Specificity 0.73 - 0.98
Positive Likelihood Ratio 2.30 - 50.0
Negative Likelihood Ratio 0.00 - 0.51


Ref: https://www.physio-pedia.com/O%27Briens_Test

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Making Sense Of The Test...

“Arthroscopy: Test position displaces the biceps tendon
medially and inferiorly therefore putting tension on the bicipital
labral complex.

Secondary shear is created in the glenoid and labrum. In an
unstable SLAP lesion tension from the biceps tendon from
this shear, compression from capsular windup, or both
creates an internal mechanical derangement and
displacement that accounts for the painful clicking that
patients experience.”

Len Funk - www.shoulderdoc.co.uk

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WARNING: We Need To Do This In A Gradually
Exposed Manner...

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WARNING: We Need To Do This In A Gradually
Exposed Manner...

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Is this making sense so far?


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Biceps Lengthening Ability In 3 Dimensions

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Biceps Load Tolerance - Give The Nervous
System No Choice But To Tolerate Load

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Biceps Load Tolerance At High Speeds Of Movement -
‘Working Back To Thoughtless, Fearless’

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Triceps Lengthening Ability

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Triceps Load Tolerance

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Triceps Load Tolerance At High Speeds Of Movement -
Working Back To ‘Thoughtless, Fearless’...

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Next Steps...

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