Overview
This lecture explains the Hawkins Kennedy Test, a physical exam procedure to help identify shoulder impingement, including test steps, interpretation, and key statistics.
Hawkins Kennedy Test Purpose
- The Hawkins Kennedy Test is used to assess for shoulder impingement.
- The test specifically helps identify subacromial impingement rather than internal impingement.
Test Procedure
- Position the patient sitting upright.
- Elevate the patient's arm to 90 degrees of forward flexion, letting it rest on your arm.
- Passively internally rotate the patient's arm.
Interpreting the Results
- A positive test is indicated by the provocation (onset) of pain during internal rotation.
- Pain suggests subacromial impingement.
- The test is typically negative in cases of internal impingement.
Diagnostic Accuracy
- Sensitivity is 80% (probability the test correctly identifies those with the condition).
- Specificity is 56% (probability the test correctly identifies those without the condition).
Key Terms & Definitions
- Hawkins Kennedy Test — A clinical test for detecting shoulder impingement by passively rotating the arm.
- Subacromial impingement — A condition where shoulder tendons are compressed under the acromion.
- Internal impingement — Impingement occurring inside the shoulder joint rather than beneath the acromion.
- Sensitivity — The ability of a test to correctly identify patients with a condition.
- Specificity — The ability of a test to correctly identify patients without a condition.
Action Items / Next Steps
- Review the theoretical video on shoulder impingement for further understanding.
- Watch additional demonstrations of shoulder impingement assessment tests.