| Anatomical validity of the Hawkins-Kennedy test - A pilot study. | |
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MedLine Citation:
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PMID: 21377402 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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PURPOSE: Despite routine use, clinical tests used to diagnose subacromial impingement often display poor diagnostic accuracy. A lack of anatomical validity may contribute to the poor diagnostic accuracy. The current study aimed to examine the anatomical validity of measuring subacromial pressure in the Hawkins-Kennedy impingement test in a cadaveric shoulder. METHODS: Subacromial pressures were measured using pressure transducers in non-provocative and provocative Hawkins-Kennedy test positions using an ABA research design with 25 repeated measures in one cadaver. Data collected included pressure at four subacromial locations (coracoid process, coraco-acromial ligament, anterior acromion and posterior acromion), and observation of anatomical structures impinging on transducers. The split-middle method of visual analysis and the Reliable Change Index (RCI) were applied to examine any differences between provocative and non-provocative positions. RESULTS: There was increased pressure in the provocative position at the coraco-acromial ligament, which impinged biceps brachii, and at the anterior acromion, which impinged the rotator interval. CONCLUSION: Findings of the current study provide evidence that suggest that structures other than the rotator cuff tendons may be impinged during the Hawkins-Kennedy test. |
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Authors:
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Stacey Tucker; Nicholas F Taylor; Rodney A Green |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-3-3 |
Journal Detail:
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Title: Manual therapy Volume: - ISSN: 1532-2769 ISO Abbreviation: - Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-3-7 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9610924 Medline TA: Man Ther Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2011 Elsevier Ltd. All rights reserved. |
Affiliation:
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Musculoskeletal Research Centre, La Trobe University, Victoria 3086, Australia; School of Physiotherapy, La Trobe University, Victoria 3086, Australia. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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