Athletic Training & Sports Medicine Center

  

Examination Links:

  • Alphabetical Listing
of Examinations
  • Head
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    • Valgus Test 00
    • Valgus Test 300
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 Stress Test
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Test
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    • Anatomical Snuff Box
Compression Test
    • Phalen's Test or Wrist Press 
Test
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 Test
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 Test
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Ligament Stress Test
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Ligament Stress Test
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Ligament Stress Test
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Ligament Stress Test
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Ligament Stress Test
    • DIP Ulnar Collateral 
Ligament Stress Test
    • Bunnel-Littler Test
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Rotation of Ilium on Sacrum
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Rotation of Ilium on Sacrum
    • Passive External Rotation 
of Hip
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      Sacroiliac Rocking Test
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Pubic Stress Test
    • Piedallu's Sign
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    • Scouring (Quandrant) Test
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Recurvatum Test
    •  
  • Lower Leg
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    •  
  • Range of Motion
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  • 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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