Overview
This lecture explains the Neer test, a clinical exam used to assess shoulder impingement, including its procedure, interpretation, and diagnostic value.
Neer Test Overview
- The Neer test assesses for shoulder impingement.
- Sensitivity of the test is 72%; specificity is 60% (Hedgedus et al., 2012).
Procedure for Neer Test
- Patient sits upright for the test.
- Examiner depresses the scapula with one hand.
- Examiner internally rotates the patient's arm.
- Examiner applies maximal forward flexion at the glenohumeral (shoulder) joint.
- A positive test is indicated by pain on the injured side.
Interpretation of Results
- Anterior shoulder pain during the test indicates subacromial impingement.
- Posterior shoulder pain suggests internal impingement.
Key Terms & Definitions
- Neer Test — a clinical test for diagnosing shoulder impingement using forward flexion and scapular stabilization.
- Shoulder Impingement — a condition where shoulder structures are compressed during movement.
- Sensitivity — ability of a test to correctly identify those with the condition.
- Specificity — ability of a test to correctly identify those without the condition.
- Subacromial Impingement — impingement of structures below the acromion; causes anterior shoulder pain.
- Internal Impingement — impingement within the joint; causes posterior shoulder pain.
- Glenohumeral Joint — the main shoulder joint, where the humerus meets the glenoid.
Action Items / Next Steps
- Review the theoretical video on shoulder impingement.
- Practice performing the Neer test on a partner.
- Study the shoulder impingement algorithm by Cools et al.