Hawkins-Kennedy Test

Execution:

  1. The patient is in sitting position
  2. The examiner’s hand lies on the opposite shoulder and the patient’s affected arm rests on the examiner’s forearm
  3. With the other hand, the examiner performs internal rotation by pushing downwards on the patient’s wrist

 

Positive Outcome: Provocation of your patient’s familiar pain

Study

Reliability Sn Sp LR+ LR-

Hegedus et al. (2012)

NA 80 56 1.84 0.35

Cadogan et al. (2011)

Inter-rater ĸ=0.38 NA NA NA

NA

Gismervik et al. (2017) NA 58 67 1.76

0.63

Lange et al. (2017) Inter-rater ĸ=0.47 NA NA NA

NA

Johansson et al. (2009) Intra-rater ĸ=1 NA NA NA

NA

van Kampen et al. (2014) NA 52.6 77.4 2.33

0.61

Micheroli et al. (2015) Inter-rater ĸ=0.33 86 45 1.56

0.31

Comment: The Hawkins-Kennedy test seems to have only slight inter-rater reliability and only minimally alters the post-test probability of subacromial pain syndrome and is not a good stand-alone test.