Journal of Rehabilitation Medicine 51-7 | Page 16

485 Examination of the LHBT in the clinical setting Fig. 4. Hierarchical summary receiver operating characteristic (ROC) curve examining the diagnostic value of the Speed test for characterization of: (A) superior labrum anterior and posterior (SLAP) I–IV lesions, (B) active compression test for characterization of SLAP II–IV lesions, (C) anterior slide test for characterization of SLAP II–IV lesions, (D) crank test for characterization of SLAP II–IV lesions, (E) Speed test for characterization of any long head of the biceps tendon (LHBT) pathology, but SLAP lesion, and (F) Yergason’s manoeuvre in characterization of any pathology but SLAP lesion. The 95% prediction region is defined by the blue dotted-curve, while the red dot-dashed-curve marks the boundary of the 95% credible interval of the pooled estimates. Prediction region is defined by pairing the confidence interval with the credible interval. Any proximal tendon pathology except SLAP lesion. Accuracy for diagnosing any LHBT pathology except for SLAP lesion was assessed for 5 OSTs. Target con- ditions included tendinopathy, dislocation, effusion, and rupture. Reference standard varied across studies, including either surgery or HRUS. Sn and Sp estimates from each study are shown in forest plots (Fig. S5 1 ). Sn and Sp for each test were, respectively, 0.01 to 1.00 for Heuter’s sign (49), from 0.53 to 0.85 and from 0.49 to 0.72 for palpation test (29, 30, 47), from 0.47 to 0.93 and from 0.27 to 0.81 for Speed test (28, 29, 37, 47–50), 0.72 and 0.78 for upper cut test (37), and J Rehabil Med 51, 2019