Athletic Training & Sports Medicine Center

  

Examination Links:

  • Alphabetical Listing
of Examinations
  • Head
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    • Straight Leg Raise Test
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    • Bowstring Test
  • Shoulder
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    • Valgus Test 00
    • Valgus Test 300
    • Valgus Test 900
    • Milking Sign
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 Stress Test
    • Varus Test 00
    • Varus Test 300
    • Lateral Compression Test
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    • Cozen Test
    • Mills Test
    • Distal Radioulnar Instability 
Test
  • Wrist
    • Anatomical Snuff Box
Compression Test
    • Phalen's Test or Wrist Press 
Test
    • Tinel Sign
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    • Murphy's Sign
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 Test
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 Test
    • Gamekeeper's Thumb Test
    • MCP Radial Collateral 
Ligament Stress Test
    • MCP Ulnar Collateral 
Ligament Stress Test
    • PIP Radial Collateral 
Ligament Stress Test
    • PIP Ulnar Collateral 
Ligament Stress Test
    • DIP Radial Collateral 
Ligament Stress Test
    • DIP Ulnar Collateral 
Ligament Stress Test
    • Bunnel-Littler Test
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  • Sacroiliac Joint
    • Ipsilateral Prone Kinetic Test
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    • Passive Extension & Internal 
Rotation of Ilium on Sacrum
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Rotation of Ilium on Sacrum
    • Passive External Rotation 
of Hip
    • Pelvic Rocking Test
    • Gapping Test
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      Sacroiliac Rocking Test
    • Sacral Apex Pressure Test
    • Torsion Stress Test
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Pubic Stress Test
    • Piedallu's Sign
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    • Mazion's Pelvic Maneuver
    • Yeoman's Test
    • Sit-up Test
  • Hip & Thigh
    • Scouring (Quandrant) Test
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Drawer Test
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    • Jerk Test of Hughston
    • Pivot Shift Test
    • External Rotation 
Recurvatum Test
    •  
  • Lower Leg
  • Ankle
  • Foot
    • Morton Test
    •  
  • Range of Motion
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  • Manual Muscle Testing
  • Reflexes
  • Vital Signs
  • Body Composition

 

Hawkins-Kennedy Impingement Test
Examination type Tendon impingement
Patient & Body Segment Positioning Patient can be either standing or seated with the involved arm help passively in 900 of shoulder flexion with the elbow flexed to 900.
Examiner Position The examiner will be standing beside the involved shoulder or in front of the patient. One hand should support the elbow at the medial epicondyle with the thumb on the lateral side of the humerus, and the other hand should grasp the wrist of the involved arm. 
Tissues Being Tested Tsupraspinatus muscle tendon, anteroinferior border of acromion process
Performing the Test Using the hand at the elbow as a fulcrum, apply downward pressure to the wrist. This movement internally rotates the humerus and causes the humeral head to push the supraspinatus tendon against the anterior surface of the coracoacromial ligament and coracoid process. The test may also be performed in different degrees of forward flexion (vertically “circling the shoulder”) or horizontal adduction (horizontally “circling the shoulder”).
Positive Test Pain present in superior aspect of the shoulder
Interpretation Impingement of supraspinatus tendon or tendonitis
Common errors in performing exam The examiner may be testing in the wrong position or have improper hand placement. The examiner may also apply to much or not enough force during internal rotation.  Proper patient positioning of the arm is important.
Factors possibly resulting in misinterpretation Other possible injuries may interfere with the testing of the supraspinatus such as muscular injury to the posterior deltoid, infraspinatus, or teres minor or a posterior capsule sprain (which will come into affect during internal rotation of the shoulder).
Related tests Neer test, Yocum test, Empty Can test
References

 Magee, David J.2002. Orthopedic Physical Assessment. 4th. Saunders

 Booher, James M. & Thibodeau, Gary A. 2000. Athletic Injury Assessment. 4th. McGraw-Hill Higher Education.
Links:

http://www.hope.edu/academic/kinesiology/athtrain/program/studentprojects/Ldornbos2/shoulder/

http://www.physsportsmed.com/issues/2005/0905/odonnell.htm

http://www.nwtsportsmed.com/discus/messages/25/146.html?WednesdayApril320021045pm

 
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