{"id":181207,"date":"2026-08-18T11:15:40","date_gmt":"2026-08-18T11:15:40","guid":{"rendered":"https:\/\/pabau.com\/?p=181207"},"modified":"2026-08-18T11:38:39","modified_gmt":"2026-08-18T11:38:39","slug":"neers-test","status":"publish","type":"post","link":"https:\/\/pabau.com\/es\/blog\/neers-test\/","title":{"rendered":"Neer&#8217;s test: how to perform and interpret results"},"content":{"rendered":"        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Neer&#8217;s test is a passive shoulder maneuver used to screen for subacromial impingement syndrome, first described by Charles S. Neer in 1972.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>A positive result is pain reproduced in the anterior or lateral shoulder during passive forward flexion with the arm internally rotated.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Sensitivity ranges from 0.59 to 0.89 and specificity from 0.31 to 0.75, making it a useful screening tool rather than a standalone diagnostic.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Practice management software like Pabau stores special test findings as structured fields, so shoulder assessment outcomes stay trackable over time.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">Neer&#8217;s test is a passive shoulder maneuver that screens for subacromial impingement. You stabilize the scapula, internally rotate the arm, then lift it into forward flexion. Pain in the anterior or lateral shoulder counts as a positive result.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The test takes seconds. Reading the result well takes longer, because sensitivity and specificity vary widely across published studies. A positive finding raises your suspicion rather than settling the question.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This guide covers technique, interpretation, diagnostic accuracy, and where Neer&#8217;s test sits alongside the other shoulder special tests. The last section covers how to record those findings in <a href=\"https:\/\/pabau.com\/blog\/physiotherapy-clinic-management-software\/\">physical therapy practice software<\/a> so they stay useful months later.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What is Neer&#8217;s test?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Neer&#8217;s test is a passive examination maneuver that screens for subacromial impingement syndrome of the shoulder. Orthopedic surgeon <strong>Charles S. Neer<\/strong> first described it in his <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/5054450\/\" target=\"_blank\" rel=\"nofollow noopener\">1972 paper<\/a> on anterior acromioplasty for chronic impingement. It is now a standard part of shoulder physical examinations worldwide.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The test works by mechanically reproducing the impingement mechanism. Passive forward flexion with the shoulder internally rotated drives the greater tuberosity toward the anterior undersurface of the acromion.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That compresses the supraspinatus tendon inside the subacromial space, and the long head of the biceps tendon to a lesser extent. If impingement is present, the patient&#8217;s familiar pain comes back.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Neer&#8217;s test loads three structures:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Supraspinatus tendon<\/strong>: the rotator cuff tendon most commonly implicated in subacromial impingement<\/li><li><strong>Long head of biceps tendon<\/strong>: secondarily compressed during the maneuver in some presentations<\/li><li><strong>Subacromial bursa<\/strong>: inflamed bursal tissue can also contribute to the pain reproduced<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Subacromial impingement syndrome involves repeated compression of these soft tissues between the humeral head and the coracoacromial arch. Overhead athletes, manual workers, and older adults with degenerative rotator cuff changes are affected most often.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to perform Neer&#8217;s test: step-by-step<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Consistent technique is critical for reproducibility. Small changes in arm position or hand placement alter which structures are loaded and whether pain is genuinely reproduced.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Patient position<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The patient may be seated or standing. Seated is generally preferred, since it limits patient movement and gives you better control of the scapulothoracic rhythm. The patient should be relaxed, with the arm resting at the side.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Examiner position and hand placement<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Stand to the side of the patient, on the affected limb. Use one hand to stabilize the scapula by pressing firmly down on its superior aspect.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That stops scapular elevation during the arm raise, which would otherwise let the patient compensate and dodge the impingement position. Place your other hand on the forearm or distal humerus to guide the movement.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">The maneuver<\/h3>\n\n\n\n<ol class=\"wp-block-list\"><li>Internally rotate the patient&#8217;s shoulder so the thumb points downward and the forearm is pronated.<\/li><li>With the elbow extended, passively elevate the arm in the scapular plane or pure sagittal forward flexion toward 180 degrees.<\/li><li>Move smoothly through the range while maintaining scapular stabilization throughout.<\/li><li>Watch the patient&#8217;s face and ask whether the movement reproduces their familiar shoulder pain.<\/li><\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">The maneuver stays passive throughout. Any active muscle contribution changes the loading pattern on the subacromial structures and can produce a false negative.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Interpreting results: what is a positive Neer&#8217;s test?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A positive Neer&#8217;s test is pain in the anterior or lateral shoulder during passive forward flexion. The criterion is <strong>reproduction of the patient&#8217;s familiar symptoms<\/strong>, not any discomfort at all. End-range stiffness or acromioclavicular joint pain in a different location does not count.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Where the pain sits also matters. Anterior or lateral pain points toward subacromial impingement. Posterior shoulder pain during the same maneuver points instead toward internal impingement, which is common in overhead throwing athletes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A positive result suggests compression of the supraspinatus or biceps tendon in the subacromial space. It does not confirm the diagnosis. Neer&#8217;s test is a screening tool, so a positive finding raises suspicion and warrants further investigation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A negative result does not rule impingement out. The test&#8217;s moderate sensitivity means some patients with true subacromial pathology will not reproduce pain during the maneuver. Your clinical reasoning has to account for the full picture.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Neer&#8217;s sign vs Neer&#8217;s test: what&#8217;s the difference?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">This distinction trips up students and is worth stating clearly. The two terms describe different procedures.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Neer&#8217;s sign<\/strong> is the physical finding described above: pain reproduced during passive forward flexion with the arm internally rotated. Most clinicians mean this when they say they performed Neer&#8217;s test.<\/li><li><strong>Neer&#8217;s test<\/strong>, in the strictest original sense, is the injection confirmation test. A local anesthetic such as lidocaine is injected into the subacromial space. If that abolishes the pain the maneuver produced, the result is positive for subacromial impingement. It is also called the Neer impingement injection test.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">In everyday practice, both terms refer to the physical maneuver. The injection version is reserved for diagnostic uncertainty or pre-operative planning. When you document the finding, name which procedure you performed so the record is unambiguous.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Diagnostic accuracy: sensitivity and specificity of Neer&#8217;s test<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Published accuracy data varies widely across studies. Study populations, reference standards, and technique protocols all differ, so the reported ranges are broad. The figures below summarize what the literature reports.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Metric<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Reported range<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Clinical meaning<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Sensitivity<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0.59 to 0.89<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Moderate-to-high ability to identify patients who have impingement. Useful for ruling out at the higher end of the range.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Specificity<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0.31 to 0.75<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Low-to-moderate ability to identify patients who do not have impingement. A positive result needs corroborating evidence.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Positive LR<\/td>\n<td style=\"padding:12px 16px;color:#374151\">1.5 to 2.0 (approximate)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Small-to-moderate shift in post-test probability. On its own it does not move clinical suspicion much.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Best use<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Part of a cluster approach<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Combined with Hawkins-Kennedy and the painful arc, diagnostic accuracy improves meaningfully.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">These ranges come from multiple published studies reviewed by <a href=\"https:\/\/www.physiotutors.com\/wiki\/neer-test\/\" target=\"_blank\" rel=\"nofollow noopener\">Physiotutors<\/a> and corroborated in peer-reviewed literature. The spread reflects genuine variation in study design rather than measurement error. For a mixed shoulder pain population, treat the lower bound of 0.59 as your conservative estimate.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Neer&#8217;s test makes the same point as the <a href=\"https:\/\/pabau.com\/blog\/ottawa-ankle-rules-calculator\/\">Ottawa ankle rules<\/a> and the <a href=\"https:\/\/pabau.com\/templates\/pittsburgh-knee-rules\/\">Pittsburgh knee rules<\/a>. A single decision tool or special test narrows the field. It never carries the diagnosis on its own.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Limitations of Neer&#8217;s test<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Knowing what Neer&#8217;s test cannot do matters as much as knowing how to perform it.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Cannot distinguish impingement subtypes<\/strong>: the test does not separate primary impingement from secondary impingement, or either from a rotator cuff tear.<\/li><li><strong>Does not confirm structural pathology<\/strong>: a positive sign will not tell you whether a tendon is partly torn, fully torn, or simply inflamed. Imaging is required for that.<\/li><li><strong>Moderate specificity means false positives<\/strong>: acromioclavicular joint pathology, calcific tendinopathy, and glenohumeral instability can all produce pain during the maneuver. A previous right acromioclavicular dislocation, later coded <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s43121s\/\">S43.121S<\/a>, is a common example.<\/li><li><strong>Technique-dependent<\/strong>: failure to stabilize the scapula lets the patient compensate, which alters loading and reduces reliability.<\/li><li><strong>Not validated in isolation<\/strong>: guidelines and systematic reviews recommend using Neer&#8217;s test in a cluster with at least one other impingement test.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Neer&#8217;s test vs other shoulder special tests<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Four tests are routinely combined with Neer&#8217;s test in shoulder impingement assessment. Knowing how they differ helps you pick the right combination for each presentation.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Test<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Primary target<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Sensitivity<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Specificity<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Best combined with<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Neer&#8217;s test<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subacromial impingement (supraspinatus, biceps)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0.59-0.89<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0.31-0.75<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Hawkins-Kennedy, painful arc<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Hawkins-Kennedy test<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subacromial impingement (supraspinatus)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0.72-0.79<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0.56-0.66<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Neer&#8217;s test, painful arc<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Painful arc test<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subacromial impingement (active range 60-120 degrees)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0.74-0.77<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0.81-0.85<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Neer&#8217;s test, Hawkins-Kennedy<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Empty can test<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Supraspinatus integrity (full\/partial tear)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0.69-0.86<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0.50-0.74<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Drop arm test for cuff tear<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Drop arm test<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Full-thickness rotator cuff tear<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0.21-0.35<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0.88-0.97<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Empty can test, external rotation lag<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The <strong>Hawkins-Kennedy test<\/strong> flexes the shoulder to 90 degrees and applies internal rotation. That drives the supraspinatus against the coracoacromial ligament. It often yields higher specificity than Neer&#8217;s in well-controlled studies, which makes it the most common pairing in practice.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The <strong>painful arc test<\/strong> stands out for its specificity of 0.81 to 0.85, which makes it useful for ruling impingement in. Pain between roughly 60 and 120 degrees of active abduction is the positive criterion.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The <strong>drop arm test<\/strong> serves a different purpose. Its low sensitivity means it misses most rotator cuff tears. But its very high specificity of 0.88 to 0.97 means a positive result strongly suggests a full-thickness tear. Use it to separate impingement from structural cuff disruption.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Run Neer&#8217;s test, Hawkins-Kennedy, and the painful arc together as a cluster. If all three are positive, the probability of subacromial impingement syndrome is substantially higher than with any single positive result. Document each test result individually in your clinical notes to support clinical reasoning and referral letters.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 class=\"wp-block-heading\">What happens after a positive Neer&#8217;s test?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A positive Neer&#8217;s test starts the clinical workup rather than ending it. These steps map the pathway from finding to plan.<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li><strong>Correlate with other shoulder special tests<\/strong>: run Hawkins-Kennedy and the painful arc. Two or more positive impingement tests strengthen your suspicion considerably.<\/li><li><strong>Assess full shoulder function<\/strong>: active and passive <a href=\"https:\/\/pabau.com\/templates\/shoulder-range-of-motion-template\/\">range of motion<\/a>, rotator cuff strength testing, and a cervical spine screen to rule out referred pain.<\/li><li><strong>Consider imaging<\/strong>: ultrasound is usually the first-line choice for rotator cuff integrity and subacromial bursal thickening. MRI gives more detail on suspected partial or full-thickness tears.<\/li><li><strong>Start physical therapy<\/strong>: for most presentations without structural disruption, a structured exercise program is the first-line intervention. It targets rotator cuff strength, scapular control, and posture.<\/li><li><strong>Escalate appropriately<\/strong>: if conservative management fails after 6 to 12 weeks, refer to orthopedics. <a href=\"https:\/\/pabau.com\/blog\/return-to-running-protocol-physical-therapy-2\/\">Return-to-sport protocols<\/a> cover how to structure progressive loading afterward.<\/li><\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">For complex presentations or significant comorbidities, <a href=\"https:\/\/pabau.com\/templates\/chiropractic-intake-form-template\/\">structured intake forms<\/a> capture the history before the physical examination starts. Occupation, sport, previous shoulder injury, and cervical symptoms all shape how you read the test.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How Pabau keeps shoulder assessment findings usable<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Most shoulder findings are recorded once and then hunted for later. A positive Neer&#8217;s test written on a paper chart or in a free-text box is hard to retrieve at the follow-up appointment. Practice management software like Pabau stores it as a structured field instead.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau&#8217;s <a href=\"https:\/\/pabau.com\/features\/patient-intake-software\/\">digital intake forms<\/a> and <a href=\"https:\/\/pabau.com\/features\/medical-records-management\/\">structured client records<\/a> let you build a standard shoulder assessment template. It captures special test results next to range of motion, strength grading, and differential diagnosis notes. Every field is timestamped and tied to the client record.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/blog_post\/neers-test\/customizable-consent-and-intake-forms.webp\" alt=\"Customizable consent and intake forms in Pabau\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s customizable intake forms let you build a shoulder assessment template that captures every special test result in one place.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Documenting special test results consistently earns its keep in three ways:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>It supports your own clinical reasoning across appointments.<\/li><li>It stands up as a record if an outcome is later questioned.<\/li><li>It makes audit of assessment-to-outcome patterns possible across your caseload.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">A practice seeing high shoulder volumes can check whether its positive rate matches imaging confirmation. That is useful data for service development. The same record carries through to coding. A first-encounter right-arm injury of the long head of biceps, for example, is coded <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s46191a\/\">S46.191A<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pabau.com\/features\/ai-medical-scribe\/\">Pabau Scribe<\/a>, our AI scribe, drafts SOAP note content from your dictated findings. That cuts the time you spend writing up assessments after clinic. For note structure, the <a href=\"https:\/\/pabau.com\/blog\/safer-clinical-notes\/\">safer clinical notes<\/a> guide covers frameworks that suit musculoskeletal presentations.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/blog_post\/neers-test\/creating-treatment-notes-with-echo-ai.webp\" alt=\"Creating treatment notes with Pabau Scribe\"\/><figcaption class=\"wp-element-caption\"><em>Pabau Scribe drafts the treatment note from your dictated findings, so a positive Neer&#8217;s test is written up before the patient leaves.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Practices running <a href=\"https:\/\/pabau.com\/industry\/sports-medicine-software\/\">sports medicine software<\/a> or a <a href=\"https:\/\/pabau.com\/industry\/physical-therapy-emr\/\">physical therapy EMR<\/a> gain most from this kind of standard workflow. It matters most when several clinicians share a caseload and every note has to read the same way.<\/p>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Keep every shoulder assessment in one record                <\/h3>\n\n                <p class=\"description\">\n                    Pabau lets physical therapy and sports medicine practices document special test findings and track shoulder assessment outcomes in one client record. Follow-up workflows run automatically, with no separate systems and no paper trails.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau clinic management dashboard\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Neer&#8217;s test still earns its place in a shoulder examination, moderate specificity and all. Its value is in the cluster rather than in isolation. Pair it with Hawkins-Kennedy and the painful arc, and your post-test probability of impingement climbs meaningfully.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Apply consistent technique, stabilize the scapula every time, and be clear about what a positive result does and does not confirm. Then record the finding somewhere it can be retrieved, compared, and audited later.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That last step decides whether the finding is still useful in three months. <a href=\"https:\/\/pabau.com\/book-demo\/\">Book a demo<\/a> to see how Pabau keeps shoulder assessment findings in one client record, from first test to discharge.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Need a framework for structuring musculoskeletal notes?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/safer-clinical-notes\/\" target=\"_blank\" rel=\"noopener\">Safer clinical notes<\/a> covers documentation structure that applies directly to special test write-ups.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Managing rehabilitation timelines after the assessment?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/return-to-running-protocol-physical-therapy-2\/\" target=\"_blank\" rel=\"noopener\">Return-to-running protocol<\/a> walks through the progressive loading stages of musculoskeletal recovery.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Opening or scaling a physical therapy practice?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/opening-a-physiotherapy-clinic\/\" target=\"_blank\" rel=\"noopener\">Opening a physiotherapy clinic<\/a> covers the operational and compliance decisions involved.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Recording shoulder movement alongside your special tests?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/range-of-motion-assessment\/\" target=\"_blank\" rel=\"noopener\">Range of motion assessment<\/a> explains how to measure and document joint movement consistently.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Tracking whether the shoulder plan is working?<\/strong> <a href=\"https:\/\/pabau.com\/templates\/functional-status-questionnaire\/\" target=\"_blank\" rel=\"noopener\">Functional status questionnaire<\/a> gives you a patient-reported outcome measure to repeat at follow-up.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1786957891789\"><h3 class=\"schema-faq-question\">What is Neer&#8217;s test used for?<\/h3> <p class=\"schema-faq-answer\">Neer&#8217;s test is a passive shoulder maneuver used to screen for subacromial impingement syndrome. That condition involves compression of the supraspinatus tendon and subacromial bursa beneath the acromion. It is indicated when a patient presents with anterior or lateral shoulder pain, particularly with overhead activity or arm elevation.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786957891790\"><h3 class=\"schema-faq-question\">What does a positive Neer&#8217;s test mean?<\/h3> <p class=\"schema-faq-answer\">A positive Neer&#8217;s test means the patient&#8217;s familiar shoulder pain is reproduced during passive forward flexion with the arm internally rotated. This suggests subacromial impingement may be present, but it does not confirm a structural diagnosis. Further testing, including Hawkins-Kennedy, the painful arc, and imaging, is needed to clarify the underlying pathology.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786957891791\"><h3 class=\"schema-faq-question\">What is the sensitivity and specificity of Neer&#8217;s test?<\/h3> <p class=\"schema-faq-answer\">Published studies report sensitivity ranging from 0.59 to 0.89 and specificity from 0.31 to 0.75. The wide range reflects differences in study design and reference standards. These figures indicate Neer&#8217;s test is a reasonable screening tool but should always be used alongside other shoulder special tests.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786957891792\"><h3 class=\"schema-faq-question\">What is the difference between Neer&#8217;s test and Hawkins-Kennedy test?<\/h3> <p class=\"schema-faq-answer\">Both tests screen for subacromial impingement but load the shoulder in different positions. Neer&#8217;s test passively forward-flexes the arm with the shoulder internally rotated and the elbow extended. Hawkins-Kennedy flexes the shoulder to 90 degrees and applies internal rotation to impinge the supraspinatus against the coracoacromial ligament. Hawkins-Kennedy generally shows higher specificity in comparative studies, making the two tests complementary rather than interchangeable.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786957891793\"><h3 class=\"schema-faq-question\">What is the difference between Neer&#8217;s sign and Neer&#8217;s test?<\/h3> <p class=\"schema-faq-answer\">Neer&#8217;s sign refers to the physical finding of pain reproduced during passive forward flexion with internal rotation. Neer&#8217;s test, in its original strict definition, refers to an injection confirmation procedure where subacromial lidocaine is injected and the maneuver is repeated. If the injection abolishes the pain, the result is considered positive for subacromial impingement. In everyday clinical use, the two terms are often used interchangeably to mean the physical maneuver.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786957891794\"><h3 class=\"schema-faq-question\">Can Neer&#8217;s test diagnose a rotator cuff tear?<\/h3> <p class=\"schema-faq-answer\">No. Neer&#8217;s test cannot differentiate impingement from a rotator cuff tear. A positive result indicates pain consistent with subacromial compression but does not identify whether a tendon is structurally intact or torn. The drop arm test and empty can test are more specific for rotator cuff integrity. MRI or diagnostic ultrasound is required to confirm a tear.<\/p> <\/div><\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Neer&#8217;s test is a passive shoulder maneuver that screens for subacromial impingement. You stabilize the scapula, internally rotate the arm, then lift it into forward flexion. Pain in the anterior or lateral shoulder counts as a positive result. The test takes seconds. Reading the result well takes longer, because sensitivity and specificity vary widely across [&hellip;]<\/p>\n","protected":false},"author":84,"featured_media":183698,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"88","_yoast_wpseo_content_score":"30","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1125,1126,32,1127],"tags":[3421,3867,3422,2284,3423],"class_list":["post-181207","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-musculoskeletal-pain-management","category-physical-therapy","category-practice-management-tips","category-sports-medicine","tag-neers-test-documentation","tag-orthopedic-assessment","tag-physical-therapy-special-test","tag-shoulder-assessment","tag-shoulder-impingement-evaluation"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Neer&#039;s test: step-by-step technique and interpretation<\/title>\n<meta name=\"description\" content=\"Neer&#039;s test reproduces shoulder pain on passive forward flexion. Sensitivity runs 0.59-0.89, so use it in a cluster, not alone.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pabau.com\/es\/blog\/neers-test\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Neer&#039;s test: step-by-step technique and interpretation\" \/>\n<meta property=\"og:description\" content=\"Neer&#039;s test reproduces shoulder pain on passive forward flexion. 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These figures indicate Neer's test is a reasonable screening tool but should always be used alongside other shoulder special tests.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/blog\/neers-test\/#faq-question-1786957891792","position":4,"url":"https:\/\/pabau.com\/es\/blog\/neers-test\/#faq-question-1786957891792","name":"What is the difference between Neer's test and Hawkins-Kennedy test?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Both tests screen for subacromial impingement but load the shoulder in different positions. Neer's test passively forward-flexes the arm with the shoulder internally rotated and the elbow extended. Hawkins-Kennedy flexes the shoulder to 90 degrees and applies internal rotation to impinge the supraspinatus against the coracoacromial ligament. Hawkins-Kennedy generally shows higher specificity in comparative studies, making the two tests complementary rather than interchangeable.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/blog\/neers-test\/#faq-question-1786957891793","position":5,"url":"https:\/\/pabau.com\/es\/blog\/neers-test\/#faq-question-1786957891793","name":"What is the difference between Neer's sign and Neer's test?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Neer's sign refers to the physical finding of pain reproduced during passive forward flexion with internal rotation. Neer's test, in its original strict definition, refers to an injection confirmation procedure where subacromial lidocaine is injected and the maneuver is repeated. If the injection abolishes the pain, the result is considered positive for subacromial impingement. In everyday clinical use, the two terms are often used interchangeably to mean the physical maneuver.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/blog\/neers-test\/#faq-question-1786957891794","position":6,"url":"https:\/\/pabau.com\/es\/blog\/neers-test\/#faq-question-1786957891794","name":"Can Neer's test diagnose a rotator cuff tear?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"No. Neer's test cannot differentiate impingement from a rotator cuff tear. A positive result indicates pain consistent with subacromial compression but does not identify whether a tendon is structurally intact or torn. The drop arm test and empty can test are more specific for rotator cuff integrity. MRI or diagnostic ultrasound is required to confirm a tear.","inLanguage":"es"},"inLanguage":"es"}]}},"yoast":{"focus_keyword":"neer's test","seo_title":"Neer's test: step-by-step technique and interpretation","meta_description":"Neer's test reproduces shoulder pain on passive forward flexion. Sensitivity runs 0.59-0.89, so use it in a cluster, not alone.","content_score":"30","is_cornerstone":"","related_keyphrases":[{"keyword":"shoulder impingement test","score":72},{"keyword":"subacromial impingement syndrome","score":61},{"keyword":"hawkins kennedy test","score":61}]},"_links":{"self":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts\/181207","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/users\/84"}],"replies":[{"embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/comments?post=181207"}],"version-history":[{"count":3,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts\/181207\/revisions"}],"predecessor-version":[{"id":183728,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts\/181207\/revisions\/183728"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/media\/183698"}],"wp:attachment":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/media?parent=181207"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/categories?post=181207"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/tags?post=181207"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}