Impingement tests

Question 0

What is a positive Hawkins-Kennedy Test?

Answer 0

Pain reproduced towards the end of rotation

Question 1

How do you perform a Hawkins-Kennedy test?

Answer 1

Patient: Sitting or standing arm in anatomical position
Clinician: Standing on affected side, one hand under elbow, other hand just above the wrist
Action: Elbow flexed to 90o and shoulder taken passively into 90o of forward flexion, arm taken into internal rotation

Question 2

What does a positive Hawkins-Kennedy test indicate?

Answer 2

Impingement or rotator cuff pathology or bursitis or glenoid labrum

Question 3

How do you perform an internal rotation resistance strength test?

Answer 3

Patient: Standing or sitting
Clincian: Adjacent to patient, flex elbow to 90o, shoulder abducted to 90o and externally rotated to 80o (high 5 position). One hand under elbow, other hand first on dorsum of forearm then on palmar aspect.
Action: First on dorsum of patient’s forearm patient carries out isometric testing of external rotation. Then hand switches over and isometric internal rotation is carried out.

Question 4

What is a positive internal rotation resistance strength test?

Answer 4

Comparative weakness of internal or external rotation

Question 5

What does a positive internal rotation resistance strength test indicate?

Answer 5

Weakness of internal rotation: internal impingement

Weakness of external rotation: Primary impingement