Neer test

Neer test

(nēr)
A clinical assessment to identify impingement of the rotator cuff tendons beneath the acromion. With the elbow extended, the patient's humerus is placed in internal rotation, and the forearm is pronated. The glenohumeral joint is then passively forced through forward flexion as the scapula is stabilized. The test is positive if the patient experiences pain in the anterior or lateral shoulder, typically above 90 degrees.
References in periodicals archive ?
Submitted to the Neer test, that tests an overuse-type trauma at the supraspinous level, the patient A.A., according to table no.
3 Specific functional tests at the shoulder's level Patient Neer test Painful arch test Hawkins test Jobe test A.A.
(iii) Neer test position (170[degrees] elevation of the shoulder with a stabilized patient's scapula)
[+ or -] 1.7 mm in the Neer test, 25.5 [+ or -] 6.6 mm in the Hawkins test, and 27.8 [+ or -] 4.4 mm in the horizontal impingement test, significantly less than 40.2 [+ or -] 4.2 mm in the neutral position (p < 0.001).
After radiological grading of the image data by measuring the extent of contact between the rotator cuff and glenoid rim, mechanical contact of supraspinatus and the posterosuperior glenoid was evident in 30 subjects in the Neer test (25 without deformation, 5 with deformation) (p < 0.001).
In the Neer test, deformation of the tendon at the anterosuperior labrum occurred in one subject and mechanical contact in 24 subjects.
This was especially evident in the Neer test, where the minimum distance measured 8.7.
A PSI mechanism is being provoked predominately in the Neer test, when the supra- and infraspinatus push against the posterosuperior glenoid and labrum.
Use the Neer test (raising the arm "'near" the face; have the patient place his hand on the unaffected shoulder and gradually forward-flex the shoulder) and Hawkins test (rotating the upper arm like a hawk's wing; position the patient standing with the shoulder abducted 90 degrees, and internally rotate the forearm).
Impingement testing was slightly positive, or pain producing, on Hawkins and Neer tests. (18,19) For the Hawkins test, the examiner flexes the arm to 90[degrees] of shoulder flexion with the elbow flexed at 90[degrees], then internally rotates the shoulder.
When the Hawkins-Kennedy and/or Neer tests were used together, they were diagnostically inaccurate (Ardic et al 2006, MacDonald et al 2000).