|
Neer Impingement Test |
|
Examination type |
joint
instability, bony integrity/pathology |
|
Patient & Body Segment Positioning |
Sitting
comfortably on a stool or chair |
|
Examiner Position |
Standing to
the side of the patient with one hand on the affected shoulder
for stabilization and the other hand on the patient’s elbow |
|
Performing the Test |
Use the hand
on the patient’s elbow to pull the arm into full passive forward
flexion of shoulder with slight internal rotation |
|
Tissues
Being Tested |
Supraspinatus tendon; tendon of long head of the biceps;
anteroinferior border of acromion process |
|
Positive Test |
Pain in
affected shoulder; facial grimaces in reaction to pain may be
observed as well |
|
Interpretation |
Impingement
of rotator cuff tendons; overuse injury to supraspinatus muscle;
injury to biceps tendon |
|
Common errors in
performing exam |
Not
observing facial expressions; not medially rotating humerus
before flexing |
|
Factors possibly
resulting in misinterpretation |
Rotator cuff
tear, biceps tendon rupture, rotator cuff tendonitis, arthritis,
gout, lyme disease, a tumor in the joint. |
|
Related tests |
Hawkins-Kennedy test, Impingement test, Reverse Impingement Sign |
|
References |
Shoulder
Impingement Syndrome
by Wing K. Chang M.D.
Management of
Shoulder Impingement Syndrome by Daniel Buss M.D.
Magee.
Orthopedic Physical Assessment. 4th Ed. 2002. |
|
Links: |
www.emedicine.com/sports/topic119.htm
www.hope.edu/academic/kinesiology/athtrain/program/studentprojects/
Ldornbos2/shoulder/sld045.htm
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