Subacromial Impingement Cluster

Purpose

To test for the presence of subacromial impingement

Tests for Subacromial Impingement^1,2

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