Neer Impingement Test

Neer Impingement Test is a physical examination procedure primarily used to identify impingement syndrome, a common condition affecting the shoulder joint. The test was named after Charles S. Neer II, an American orthopedic surgeon who made significant contributions to the understanding and treatment of shoulder injuries.

Procedure

The Neer Impingement Test is performed with the patient in a seated or standing position. The examiner stabilizes the patient's scapula with one hand, while the other hand is used to fully flex the patient's arm. The test is considered positive if the patient experiences pain during this movement, indicating possible impingement of the rotator cuff tendons under the coracoacromial arch.

Clinical Significance

The Neer Impingement Test is a valuable tool in diagnosing impingement syndrome, a condition characterized by pain and limited range of motion in the shoulder joint. This condition is commonly seen in athletes and individuals who engage in activities that require repetitive overhead movements. However, it should be noted that a positive Neer Impingement Test is not definitive proof of impingement syndrome, as other conditions can also produce similar symptoms. Therefore, the test should be used in conjunction with other diagnostic tools and procedures for a more accurate diagnosis.

Limitations

While the Neer Impingement Test is widely used in clinical practice, it has some limitations. The test has been criticized for its lack of specificity, as it can yield positive results in patients with other shoulder conditions such as rotator cuff tears and glenohumeral instability. Furthermore, the test's sensitivity can vary depending on the examiner's technique and the patient's pain tolerance.

See Also

• Hawkins-Kennedy Test
• Empty Can Test
• Drop Arm Test

References

Neer Impingement Test Resources
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