Neer Test

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Uploaded by on Jun 9, 2009

Clinical Test for Impingement

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  • I believe her hand is supposed to be fully pronated as well during this examination

  • @mowtnman Prontation isn't wrong - this is just how the test was originally described:

    1. The patient is standing and the examiner stands behind the patient.

    2. The examiner stabilizes the scapula with one hand and forward-flexes the arm (hand at elbow) with the other hand until the patient reports pain or until full elevation is reached.

    3. A positive test is when there is pain in the anterior or

    lateral part of the shoulder, typically in a range of 90° to 140°

  • Purpose of the test is to assess for subacromial impingement:

    Range of scores from the studies:

    Sensitivity = 0.75-0.89

    Specificity = 0.30-0.47

    Positive Likelihood Ratio = 1.27-1.42

    Negative Likelihood Ratio = 0.37-0.53

    Systematic review of literature through mid-2006. Included studies with at least an 30 subjects with rotator cuff disease, established reference criteria, and clear definitions of positive and negative.

    Beaudreuil, Joint Bone Spine, 2009.

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This video is a response to Post Rehab Tips - Shoulder Impingement
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