Neer Test

Execution:

  1. The patient is in sitting position
  2. The examiner depresses the scapula with one hand
  3. With the other hand, the examiner internally rotates the patient’s arm and brings it into maximal passive flexion

 

Positive Outcome: Provocation of the patient’s familiar pain

Study

Reliability Sn Sp LR+ LR-

Hegedus et al. (2012)

NA 72 60 1.79

0.47

Gismervik et al. (2017) NA 59 60 1.48

0.68

Lange et al. (2017) Inter-rater ĸ=0.54 NA NA NA

NA

van Kampen et al. (2014) NA 63.2 82.3 3.56

0.45

Johansson et al. (2009) Intra-rater ĸ=1 NA NA NA

NA

Comment: The Neer test only minimally alters the post-test probability of subacromial pain syndrome and is not a good stand-alone test