Neer Impingement Test
Other Names
- Neer's Test
- Neer Test
- Neer's Impingement Test
- Neer's Sign
- Impingement Sign of Neer
- Neer Sign
- Neer Shoulder Test
- Neer Subacromial Impingement Test
- Neer Maneuver
- Neer Impingement Maneuver
- Neer Anterior Shoulder Impingement Test
Purpose
- Evaluate Rotator Cuff and Subacromial Bursa
Description
- Patient is seated or standing
- The examiner stabilizes the scapula with one hand
- The patients arm is brought into flexion, internal rotation with thumb pointed towards the floor
- The examiner then passively elevate the patient's arm in the scapular plane through full forward flexion typically to about 160°
- Positive test
- Pain
Pathology
- Classically, Subacromial Impingement Syndrome
- May also be positive for
Evidence
- Subacromial Impingement (need to clarify?)[5]
- Sensitivity: 0% - 93%
- Specificity: 31% - 100%
- LR+: 1.30 - 1.35
- LR-: 0.37 - 0.82
- Nakagawa et al[6]
- Sensitivity: 33%
- Specificity: 60%
- Accuracy: 48%
- PPV: 40%
- NPV: 53%
Rotator Cuff Disease
- Hermans et al [7]
- Sensitivity: 64-68%
- Specificity: 30-61%
- LR+: 0.98-1.6
- LR-: 0.60-1.1
See Also
References
- ↑ Phillips, Nick. "Tests for diagnosing subacromial impingement syndrome and rotator cuff disease." Shoulder & elbow 6.3 (2014): 215-221.
- ↑ Image courtesy of https://physio-study.com/
- ↑ Image courtesy of clinicalgate.com
- ↑ Buchberger, Dale J. "Introduction of a new physical examination procedure for the differentiation of acromioclavicular joint lesions and subacromial impingement." Journal of manipulative and physiological therapeutics 22.5 (1999): 316-321.
- ↑ Dutton, M. (2008). Orthopaedic: Examination, evaluation, and intervention (2nd ed.). New York: The McGraw-Hill Companies, Inc.
- ↑ Nakagawa, Shigeto, et al. "Forced shoulder abduction and elbow flexion test: a new simple clinical test to detect superior labral injury in the throwing shoulder." Arthroscopy: The Journal of Arthroscopic & Related Surgery 21.11 (2005): 1290-1295.
- ↑ Hermans, Job, et al. "Does this patient with shoulder pain have rotator cuff disease?: The Rational Clinical Examination systematic review." Jama 310.8 (2013): 837-847.
Created by:
John Kiel on 7 August 2019 13:27:46
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Last edited:
7 March 2026 14:16:10
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