Test: Internal impingement

Video Link

Background/Purpose

Internal impingement is usually termed as a complaint categorized by extreme or repetitive contact between the posterior aspect of the superior tuberosity of the humeral head and the posterior-superior aspect of the glenoid border when the arm is located in extreme ranges of abduction and external rotation. the test is conducted to check whether the shoulder pain is due to impingement of shoulder or not.

Procedure

The test begins by placing your right hand on the shoulder of your left and arm and pull it upwards with your elbow. by lifting the elbow if the pain is felt than it is due to shoulder impingement. The same can be repeated to judge the condition of the other shoulder. lift your shoulder at the angle of 180 degrees and move it perpendicularly upwards and downwards, repeat the same movement on both the shoulder. if the pain is felt during this movement it is due to shoulder impingement
Performed: Unilaterally

Dialog

to test whether the shoulder pain is impingement.

Criteria

• pain
• low muscular activity
• Swelling(in rare cases)

Measurement

180.00 degrees

LOINC Code

0

Scale/Grading

Pass/Fail