Whipple Test

Original Editor - Anas Mohamed Top Contributors - Anas Mohamed and Kim Jackson

Purpose

Whipple test is used to examine the partial rotator cuff tears and or superior labrum tear[1].

Technique

Step1. Patient position standing or sitting.

Step2. Ask the patient to flex the arm 90 degree and adducted till the hand is opposite the other shoulder.

Step3. Therapist applies downward force while patient resist.

Step4. Pain in the shoulder considered as positive sign and indicated as partial rotator cuff tear or superior labrum tear.

[2]


Evidence

In partial supraspinatus tendon tear whipple test shows sensitivity of 88.6% and a specificity of 29.4%. Which is less effective than empty can test and full can test[3].

References

  1. David J. Magee. Orthopedic Physical Assessment. 6th edition. Elsevier. 2014.
  1. David J. Magee. Orthopedic Physical Assessment. 6th edition. Elsevier. 2014.
  2. Whipple Test (CR). CRTechnologies. Available from: https://youtu.be/8YqGdwOluGo
  3. Ackmann T, Schneider KN, Schorn D, Rickert C, Gosheger G, Liem D. Comparison of efficacy of supraspinatus tendon tears diagnostic tests: a prospective study on the "full-can," the "empty-can," and the "Whipple" tests [published online ahead of print, 2019 Nov 5]. Musculoskelet Surg. 2019;10.1007/s12306-019-00631-0. doi:10.1007/s12306-019-00631-0