Shoulder Tests

Question 1

Hawkin’s Kennedy

Answer 1

• assess for supraspinatus paratendonitis, tendinosis, or secondary impingement
• place clients shoulder in 90° flexion and elbow flexion at 90°, then passively internally rotate the arm
• positive: pain

Question 2

AC Shear Test

Answer 2

• assess the AC joint
• using 2 hands, place on either side of the clients AC joint, clasping hands together and then give a good squeeze

-positive: pain or hypo/hypermobility in the joint indicating sprain

Question 3

Roos Test

Answer 3

• test for TOS
• clients abducts arm to 90°, externally rotates shoulder and bring elbow to 90° flexion, then have client slowly open & close hands for 3min.
• positive: unable to keep arms in starting position for 3 min., pain, heaviness or profound weakness of the arm, numbness & tingling of the hand during the 3 min.

Question 4

Neer’s Impingement

Answer 4

• assess shoulder impingement
• clients arm is passively & forcibly fully flexed with arm internally rotated
• positive: pain, possibly indicating overuse injury of the supraspinatous muscle or bicep tendon

NOTE: if test is pos. when done with arm externally rotated, check the AC joint