In Neer's test protocol, which actions are performed?

In Neer's test protocol, which actions are performed?

• A. The patient performs resisted forward flexion with scapular stabilization.
• B. The examiner externally rotates the arm while the patient maximally abducts.
• C. The examiner stabilises the scapula to prevent upward rotation and passively elevates the internally rotated arm into full flexion while monitoring pain response.
• D. The patient hangs from a bar to assess scapular movement.

Answer: (C)

Neer’s test is about detecting subacromial impingement by compressing the rotator cuff tendons and bursa under the acromion as the arm is moved into forward flexion. The key is stabilizing the scapula to prevent upward rotation, then passively elevating the arm with internal rotation all the way to full flexion while watching for pain. This passive approach isolates impingement mechanics rather than muscular effort, so a pain response suggests impingement. The described approach matches this precisely: the examiner fixes the scapula, then moves the internally rotated arm into full flexion and monitors the pain reaction. Other options don’t fit because they involve active, resisted movement, different shoulder mechanics, or tests that assess scapular motion rather than impingement.

Neer’s test is about detecting subacromial impingement by compressing the rotator cuff tendons and bursa under the acromion as the arm is moved into forward flexion. The key is stabilizing the scapula to prevent upward rotation, then passively elevating the arm with internal rotation all the way to full flexion while watching for pain. This passive approach isolates impingement mechanics rather than muscular effort, so a pain response suggests impingement.

The described approach matches this precisely: the examiner fixes the scapula, then moves the internally rotated arm into full flexion and monitors the pain reaction. Other options don’t fit because they involve active, resisted movement, different shoulder mechanics, or tests that assess scapular motion rather than impingement.