Neer Test | Subacromial Pain Syndrome
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- เผยแพร่เมื่อ 21 มิ.ย. 2015
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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. Andreas gives a more in-depth look into the Neer test for shoulder impingement assessment
Useful links below:
Hedgedus (2012): goo.gl/ykdv6g
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I've been watching your video's for over 2+ years now for medical school and just wanted to say they have been amazing and such a huge help! Thank You!
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love your videos...really helpful....from Bangladesh
Love your videos so much. So helpful💯
Thanks for you videos, they are helpful and descriptive. Good job bro.
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Hi... Very precise, quick and easy to learn and well explained videos. It's a good work! Easy to adopt in everyday clinical practice 😊
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Glad to hear Ayesha! Greetings back from Amsterdam!
thank u so much .this is very helpful. Plz include mangement section for different pathologies
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More easier to be medicine student with you two, thanks
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thanks for your videos.. these are helpful.. from Pakistan
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thank you very much . i hope you write the instruction down.
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Çok yararlı bir video ♥️👏👏👏👏
Teşekkürler, teşekkürler!
Thanks a lot for the video. It helps a lot. One question: what is the difference between internal impingement and subacromial impingement?
See our comment in the HK video.
i like the initial music ...charging before learning test :D
Thank you so muchhhh..!!!
its help me alot.
Happy to hear! You're welcome and thank you for following us!
+Physiotutors please help me out with thz too..
hawkins is for subacromial or for rotator cuff?
+wasima faz officially it's a test for subacromial impingement. However that's an old term which doesn't really describe properly what's happening in the shoulder. It's better to use the term subacromial pain syndrome which describes rotator cuff tendinopathy with or without bursitis
+Physiotutors okay..!!! thank you so much.
Can you explain the difference between a subacromial impingement and an internal impingement?
Same question
Through site of the pain , if in anterior = subacromial impingement , if posterior pain = internal impingement
Thanks for your video. I will like of make a job like this in brazil.
Do you mean a portuguese physiotutors or physiotherapist in brazil?
0:33, skip the extra stuff.
I think you meant the oppositte in your final assessment??
thank you from Afghanistan
+greenapplejuice23 wow! Thanks and all the best to you
i'm dial up internet trying to study right now
Hi guys. Thanks for the video. Just going off the topic,, can u pls list the precautions/restrictions status post total hip arthroplasty for anterior approach vs posterior approach?? I know hip flex beyond 90 and pivoting on the operated hip are not allowed in both but is there anything else??
Ur welcome! Generally, the restrictions are less for the anterior approach, but in our experience it totally depends on the protocol each hospital applies. Some only forbid running, others apply the same restrictions like with the posterior approach.
The question is if precautions/restricions should be given in the first place: www.ncbi.nlm.nih.gov/pubmed/25834275
In Magee it is "elevate arm in scapular plane", in your video it is "elevate arm in flexion". Is your video demonstrating a different version from Magee? Is there any difference between these 2 variations?
Neer (1983): "The impingement sign is elicited with the patient seated and the examiner standing.... Scapular rotation is prevented
by one hand as the other raises the arm in forced forward elevation (somewhere between flexion and abduction),
causing the greater tuberosity to impinge against the acromion. This manoeuvre causes pain in the patients with
impingement lesions of all stages"
Why intrarotation of shoulder?
Hii..I got a neck injury during a gym accident 5 yrs back ....x ray showed that the cervical spine is slightly straightened coz of which I have neck rotation problems ..I feel relaxed when I wear the cervical collar but only for some time ..doctor only gives painkillers and pain relief ointment but there's no relief so far ...pls help me doctor
If you fixate the scapula correctly, you shouldnt be able to flex the arm of your patient over around 90 degrees, the glenohuneral joint alone only allows this amount of flexion
hey plz tell about difference between static stretch and ballistic stretch
Static Stretch: Moving into the stretch and holding it in end range position
Ballistic Stretch: Actively moving the limb/muscle repeatedly in and out of the stretch position
Example (Hamstrings):
Static: bending over to touch the floor with the hands with the legs extended until you feel stretch in the Hamstrings. Then hold this position for a period of time
Ballistic: Swinging the extended leg back and forth in standing position exerting a stretch at end range
please upload joint glides videos.
Manual therapy videos will be uploaded in the near future!
helpful
Good to hear, thx!
shashank mittal thanks
0:45 using all his strength to lift his tree trunk of an arm XD
Considering purchasing your app, do you provide a 30 day free trial? Is this supported by a web-based platform?
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Hello, does this have to be done in sitting or can you do this in supine?
Absolutely, does not make a big difference. Only more functional to test in sitting or standing as this is the position in which the patients is also experiencing his complaints.
What if the patient is negative on Neer test, but if you rotate the arm externally (thumbs up position) and perform same test, there is severe sharp pain?
In general, one test doesn't say much.
On the other hand, internal impingement could be another hypothesis that you might want to include.
have a look at this article, maybe it's helpful in your case: www.ncbi.nlm.nih.gov/pmc/articles/PMC5155252/
So how is it possible to passively flex only the glenohumeral joint to 160/170 degrees without moving the entire shoulder girdle?
Hey Ruben,
you're right. It's a phrasing issue. You are of course flexing the shoulder which mandates movement of the entire shoulder girdle and not just the GH joint! Good observation!
Thanks for your reply! Keep up making these videos :) It really helps me in the working field!
Ruben Philipse good to hear! And yes we are uploading two videos per week! Tuesday's and Friday's
Is this test has resisted elevation during shoulder flexion? And thank you for this video
No, completely passive
Thanks 🙂
] does it have strong clinical value?
No it does not
what kind of pain will the patient feel? is it radiating?deep?difffuse? and where does this type of pain originate?
will there be any nerve affectation also?
Hey Madelle, with this test you are looking to reproduce the patient's
familiar pain which is sharp, sudden, local, mechanical pain due to the
encroachment of the the rotator cuff tendons and/or bursa between the
roof of the acromion and the head of the humerus in subacromial
impingement and the head of the humerus and the glenoid rim in internal
impingement.
So the pain will not be radiating like when a nerve is affected, not deep like in osteoarthritis or diffuse like in referred pain.
When a nerve is affected, patients usually complain about numbness, tingling, and/or shooting pain in the distribution of the affected nerve.
OK THANK YOU SO MUCH!!! This is really helpful😌
+Madelle Rose Anajao You're welcome! Thanks for following!
One more thing, is the type of pain in your Neer test same to your Hawkins-Kennedy test? Coz I was thinking that the involve structures in Hawkins are same to the Neer Test which are the supraspinatus and biceps tendon.
Yes, the mechanism of provocation is similar. They are general shoulder impingement provocation tests and not specifically targeted at only the supraspinatus. However, neither of them tests the integrity of the biceps tendon.
The biceps tendon is best tested with the Speeds, Yergason's, Biceps load II or O'Briens Compression Test.
are you have a coolection video in other branch es?
Not sure if we understand your question? Are you asking if we have videos about something else than physiotherapy?
something else as ortho or neuro
+Beshr Elaser We are specialized in Ortho and a little bit of neurology that is important for musculoskeletal conditions. We are in touch with other physios who are specialized in other areas. So it's in the planning but we cannot promise anything yet.
If i dont feel any pain doing this does that mean i dont have any impingement?
+Donn Hey Donn! With one test to be negative or positive you can never be 100% sure. Therefore a good patient history is really important! I would recommend that you also do the Hawkins-Kenendy as well as the Emtpy Can / Jobe test and see if these are negative as well. Then you can be relatively sure you don't have impingement. Be aware though that these are passive tests and should be performed by a qualified physiotherapist or musculoskeletal expert.
9 Physiotutors
. This test is clearly shown by the graphics here. great. I am a footballer and I need, now, the break of the period to regain shape and relieve the disorder of the supraspinatus tendon of the left shoulder.
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Would have been nice to see what depressing the scapula looked like
I'm more interested with your vedio,
desquised bro
0:29
Anyone else thinks the thumbnail looks like a Dirty Dancing scene?
Haven’t watched the movie 😬
0:36
I swear I'm going to have to look this up throughout my career. Just doesn't stick in the brain.
פריצת דיסק
love your videos...really helpful....from Bangladesh
Happy to hear, regards to Bangladesh from Amsterdam!
0:42