Purpose: Identify patients who likely have subacromial impingement based on specific physical examination findings.

Stage of CPR Development: Derivation.


1. Positive Hawkins-Kennedy Test
2. Painful Arc Sign
3. Infraspinatus Manual Muscle Test


Variables +LR Post-test Prob
2 5.03 90%
3 10.6 95%


1. Park HB, et al. Diagnostic accuracy of clinical tests for the different degrees of subacromial impingement syndrome. J Bone Joint Surg Am. 2005; 87(7): 1446-55.

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