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.
