Neer Impingement Test

Neer Test: A medical examination conducted by doctors or therapists in a clinical setting to assess shoulder impingement, often performed in response to a patient’s complaint of shoulder pain.

• This test is performed by to doctor or therapist in the clinic to check the impingement of the shoulder.
• This impingement test is performed when the patient is complaining about shoulder pain.
• This impingement test is most of to check the impingement of the anterior shoulder.
• The causes of this situation are bicipital paratendenonitis &rotator cuff pathology with scapular or humeral instability.
• In this impingement test give to result form to structures which is being to compressed into of anterior aspect of to humerus between of to head of humerus & corocoid process under of to acromin process.

Purpose of this impingement test

• Test of impingement is commonly used to check the subacromial impingement syndrome.
• It is also check to injury of to supraspinatus muscle & biceps tendon.

What is Technique of this impingement test

• Starting position of test is standing.
• Examiner is stabilize to patient’s scapula with to one hand, help of other hand do the passively & forcefully elevated in the scapular plane to arm with to medially means internal rotated of arm.
• This passive stress cause the grater tuberosity to jam against the anteroinferior border of to acromin.

What is interpretation of this impingement test :

• When to patient complain of pain or also examiner is shows to pain in examiner’s face it is indicate to positive test.
• This test is indicate to overuse injury to the supraspiantus muscle& sometimes to biceps tendon.

• If to test is positive when done with the arm laterally rotated so that examiner is check to acromiclavicular joint means acromiclavicular differentiation test .

Evidence of this impingement test:

• Sensitivity of this test = 0.00 – 0.93
• Specificity of this test = 0.31 – 1.00
• Positive Likelihood Ratio means [ LR +] = 1.30 – 1.35
• Negative Likelihood Ratio means [ LR – ] = 0.37 – 0.82

• Recently perform to two systematic reviews of meta-analysis of determine to appropriateness perform to Neers test which is give to the identification of subacromial impingement.
• First article is investigate by to Hegedus and colleagues.
• Which is publish from 1966 to Oct 2006.
• Other article is investigated & publish between to Nov 2006 to Feb 2012.

Results of this article is means result of meta – analysis :

Author	Sensitivity of this test	Specificity of this test
Hegedus et al 2008	0.79	0.53
Hegedus et al 2012	0.72	0.60