College of Massage Therapists of British Columbia (CMTBC) Practice Exam

Which two special tests could be used to potentially provoke the snapping over the anterior glenohumeral joint?

1. Lift-off Test and Yergason's Test

2. Speed's Test and Neer Test

3. Yergason's Test and Speed's Test

4. Apprehension Test and Jobe's Test

The correct answer is: Yergason's Test and Speed's Test

The choice of Yergason's Test and Speed's Test as the correct answer is underpinned by their ability to assess and provoke symptoms related to the biceps tendon and its interaction with the anterior glenohumeral joint. Yergason's Test specifically evaluates the stability of the biceps tendon within the bicipital groove and assesses for tendon pathology or instability. By actively resisting external rotation while the shoulder is in a flexed position, this test checks for any "snapping" sensation or sound that may occur if the tendon is not tracking properly, indicating a possible issue related to the anterior shoulder joint. Speed's Test complements this by assessing for biceps tendon involvement while simultaneously evaluating for potential impingement. In this test, resistance is applied to the shoulder while it is flexed, which can elicit pain or a snapping sensation if there is pathological involvement of the biceps tendon or surrounding structures within the glenohumeral joint. Together, these tests are highly relevant in provoking symptoms associated with snapping around the anterior aspect of the shoulder, which is often symptomatic of tendon pathology or subluxation related to biceps tendon issues. In contrast, the other options do not focus as directly on the biceps tendon or the