Subacromial Impingement Cluster: Difference between revisions

(New page: ==Purpose== To test for the presence of subacromial impingement)
 
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==Purpose==
== Purpose ==


To test for the presence of subacromial impingement
To test for the presence of subacromial impingement  
 
==Tests for Subacromial Impingement<sup>1,2</sup>==
 
'''Hawkins-Kennedy''': SN:&nbsp; .63 (.39–.86) SP:&nbsp; .62 (.46–.77) +LR:&nbsp; 1.63 (.94–2.81)
 
*Testing:&nbsp; Shoulder is flexed to 90 degrees and then internally rotated with elbow flexed to 90 degrees.
 
Positive Test:&nbsp; Pain with IR.<br>'''Neer''': SN:&nbsp; .81 (.62–1.0) SP:&nbsp; .54 (.38–.69) +LR:&nbsp; 1.76 (1.17–2.66)
 
*Testing:&nbsp; Examiner stablizers scapula and flexes shoulder until pain is felt or end of ROM.
 
Positive Test:&nbsp; Pain with flexion<br>'''Painful arc''':&nbsp; SN:&nbsp; &nbsp;.75 (.54–.96) SP:&nbsp; .67 (.52–.81) +LR:&nbsp; 2.25 (1.33–3.81)
 
*Testing:&nbsp; Shoulder is elevated in scaption and then slowly lowered.
 
Positive Test:&nbsp; Pain or pain from 60 to 120 degrees scaption&nbsp;<br>'''Empty can (Jobe):&nbsp; '''SN:&nbsp; .50 (.26–.75) SP:&nbsp; .87 (.77–.98) +LR:&nbsp; 3.90 (1.50–10.12)
 
*Testing:&nbsp; Shoulder abducted to 90 degrees and slightly adducted.&nbsp; Shoulder internally rotated and downward force applied.
 
Positive Test:&nbsp; Pain or inability to maintain abduction.<br>'''External rotation resistance: '''SN:&nbsp; .56 (.32–.81) SP:&nbsp; .87 (.77–.98) +LR:&nbsp; 4.39 (1.74–11.07) .50
 
Testing:&nbsp; Elbow flexed to 90 degrees and adducted to trunk with neutral rotation.&nbsp; Medially directed force applied.
 
Positive Test:&nbsp; Pain or weakness

Revision as of 05:41, 12 December 2009

Purpose[edit | edit source]

To test for the presence of subacromial impingement

Tests for Subacromial Impingement1,2[edit | edit source]

Hawkins-Kennedy: SN:  .63 (.39–.86) SP:  .62 (.46–.77) +LR:  1.63 (.94–2.81)

  • Testing:  Shoulder is flexed to 90 degrees and then internally rotated with elbow flexed to 90 degrees.

Positive Test:  Pain with IR.
Neer: SN:  .81 (.62–1.0) SP:  .54 (.38–.69) +LR:  1.76 (1.17–2.66)

  • Testing:  Examiner stablizers scapula and flexes shoulder until pain is felt or end of ROM.

Positive Test:  Pain with flexion
Painful arc:  SN:   .75 (.54–.96) SP:  .67 (.52–.81) +LR:  2.25 (1.33–3.81)

  • Testing:  Shoulder is elevated in scaption and then slowly lowered.

Positive Test:  Pain or pain from 60 to 120 degrees scaption 
Empty can (Jobe):  SN:  .50 (.26–.75) SP:  .87 (.77–.98) +LR:  3.90 (1.50–10.12)

  • Testing:  Shoulder abducted to 90 degrees and slightly adducted.  Shoulder internally rotated and downward force applied.

Positive Test:  Pain or inability to maintain abduction.
External rotation resistance: SN:  .56 (.32–.81) SP:  .87 (.77–.98) +LR:  4.39 (1.74–11.07) .50

Testing:  Elbow flexed to 90 degrees and adducted to trunk with neutral rotation.  Medially directed force applied.

Positive Test:  Pain or weakness

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