Neer Impingement Test

Purpose of Neer Impingement Test: To determine if there is an impingement in the shoulder joint (1, 2). Patient position: Sitting upright with the affected arm relaxed by the side. Examiner position: Standing beside/behind the patient’s affected side. Procedure: With one hand, depress and stabilize the scapula. With the other hand, rotate the patient’s arm internally and then perform a forward flexion passively in the … Continue reading Neer Impingement Test

Hawkins-Kennedy Impingement Test

Purpose of  Hawkins-Kennedy Impingement Test: To determine if there is an impingement in the shoulder joint (1). Patient position: Sitting upright with the affected arm relaxed by the side. Examiner position: Standing beside the patient’s affected side. Procedure: Elevate the affected arm to 90 degrees in forward flexion. Have the patient’s affected arm rest on your arm i.e., have the patient’s affected arm well supported … Continue reading Hawkins-Kennedy Impingement Test

Low back pain in pregnancy

Back discomfort is a frequent, but not universal, symptom of pregnancy for many women. This blog compiles some of the evidence linked to prevalence and makes some management recommendations. Prevalence Back discomfort is reported by 47% to 80% of pregnant women at some stage during their pregnancy (Mantle et al. 1977; Gent D. and Hottlieb K. 1985; Berg et al. 1988; Ostgaard et al. 1991, … Continue reading Low back pain in pregnancy

Centralization: a brief overview

The increasing reduction and elimination of distal pain in response to therapeutic loading procedures is referred to as centralization. This page provides a quick overview of the phenomenon as well as a discussion of its characteristics. Let’s get started!. The centralization phenomenon of pain is a critical evaluative finding during the physical examination. Pain is progressively abolished in a distal-to-proximal direction in response to therapeutic … Continue reading Centralization: a brief overview

Sulcus Sign

Sulcus Sign (Inferior Glenohumeral Instability) Purpose: To determine if there is a presence of inferior glenohumeral instability and/or laxity (1). Patient position: Standing or Sitting upright with back unsupported and with affected arm relaxed by the side. Examiner position: Standing beside the patient’s affected side. Procedure: Grasp the patient’s affected side arm, around the elbow (at the bicondylar axis of the humerus) and gently pull … Continue reading Sulcus Sign