{"id":10680,"date":"2022-05-10T13:51:06","date_gmt":"2022-05-10T11:51:06","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&amp;p=10680"},"modified":"2022-05-10T13:51:06","modified_gmt":"2022-05-10T11:51:06","slug":"subacromial-pain-syndrome-cluster","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/subacromial-pain-syndrome-cluster\/","title":{"rendered":"Subacromial Pain Syndrome Cluster"},"featured_media":10681,"template":"","class_list":["post-10680","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":10681,"background_image_alt_text":"Subacromial Pain Syndrome Cluster"},"heading":"Subacromial Pain Syndrome Cluster","subheading":"Shoulder Assessment","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>Learn<\/h4>"},"column_right":{"content_editor":"<h6>Subacromial Pain Syndrome Cluster | SAPS Diagnosis \/ Assessment<\/h2>\n<span style=\"font-weight: 400;\">Subacromial pain syndrome, formerly known as subacromial impingement is the most frequent cause of shoulder pain. It is an umbrella term for injuries of the subacromial space which include rotator cuff tendinopathy, partial-thickness tears, and bursitis. <\/span><span style=\"font-weight: 400;\">Michener et al. (2009) have come up with a test cluster for 5 different tests to diagnose subacromial pain syndrome. With 3 or more positive tests out of 5, the positive likelihood ratio increased to 2.93. Less than 3 positive tests lead to a negative likelihood ratio of 0.34. <\/span><span style=\"font-weight: 400;\">Due to the low change in post-test probability, this test battery has low clinical value in the diagnosis of subacromial pain syndrome.<\/span>\n<div class=\"embed-container\">\n\n[embed]https:\/\/www.youtube.com\/watch?v=UErH4NUsDWQ[\/embed]\n\n<\/div>\n<span style=\"font-weight: 400;\">The first test is the Hawkins-Kennedy test, which is said to compress the rotator cuff tendons in the subacromial space. <\/span><span style=\"font-weight: 400;\">To perform this test, bring your patient's shoulder in 90\u00b0 of forward flexion and support it on your arm by putting your hand on your patient\u2019s unaffected shoulder. Then perform passive internal rotation. <\/span><span style=\"font-weight: 400;\">This test is positive if your patient\u2019s familiar pain is reproduced.<\/span>\n\n<span style=\"font-weight: 400;\">The second test is the Neer test, which is also described to cause compression in the subacromial region. <\/span><span style=\"font-weight: 400;\">To perform this test have your patient in sitting position. With one hand depress the scapula, internally rotate your patient\u2019s shoulder with your other hand and bring it into maximal flexion passively. <\/span><span style=\"font-weight: 400;\">This test is positive if your patient\u2019s pain is reproduced.<\/span>\n\n<span style=\"font-weight: 400;\">The third test is the painful arc syndrome, which is described to compress the supraspinatus tendon in the subacromial space. <\/span><span style=\"font-weight: 400;\">To perform this test, have your patient in standing and ask him to slowly abduct his arms. This test is positive if your patient experiences pain between 45-60 and 120\u00b0of Abduction.<\/span>\n\n<span style=\"font-weight: 400;\">The fourth test is the empty can test, which applies tension to the supraspinatus via muscle contraction. <\/span><span style=\"font-weight: 400;\">To perform this test, have your patient standing and ask him to elevate his arms to 90\u00b0 in the scapular plane. Then ask your patient to internally rotate his shoulders and to resist your force in a downward direction. <\/span><span style=\"font-weight: 400;\">This test is positive, if your patient\u2019s familiar pain is provoked or if weakness is detected compared to the other side. Be aware, that the empty can test is not able to isolate the supraspinatus muscle and that up to 9 other muscles around the shoulder complex are active in this position.<\/span>\n\n<span style=\"font-weight: 400;\">The last test is resisted shoulder external rotation which also applies tension to the supra-and infraspinatus tendon via muscle contraction. <\/span><span style=\"font-weight: 400;\">To perform this test, have your patient in sitting position with his elbow flexed to 90\u00b0 and the elbow close to the body. <\/span><span style=\"font-weight: 400;\">Then ask your patient to resist your internal rotation force. <\/span><span style=\"font-weight: 400;\">This test is positive, if you detect weakness compared to the other side or if your patient complains of his familiar pain.<\/span>\n\n[cta]\n\n&nbsp;\n\n&nbsp;\n"}},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>References<\/h4>"},"column_right":{"content_editor":"<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19887215\/\" target=\"_blank\" rel=\"noopener\">Michener LA, Walsworth MK, Doukas WC, Murphy KP. Reliability and diagnostic accuracy of 5 physical examination tests and combination of tests for subacromial impingement. Archives of physical medicine and rehabilitation. 2009 Nov 1;90(11):1898-903.<\/a>"}},{"acf_fc_layout":"cta-image-v2","layout":"","background":"transparent","heading":"","content_editor":"<p class=\"subheading\">Like what you\u2019re learning?<\/p>\n<p class=\"heading-two\">BUY THE FULL PHYSIOTUTORS <strong>ASSESSMENT BOOK<\/strong><\/p>\n\n<ul>\n \t<li>600+ Pages e-Book<\/li>\n \t<li>Interactive Content (Direct Video Demonstration, PubMed articles)<\/li>\n \t<li>Statistical Values for all Special Tests from the latest research<\/li>\n \t<li>Available in \ud83c\uddec\ud83c\udde7 \ud83c\udde9\ud83c\uddea \ud83c\uddeb\ud83c\uddf7 \ud83c\uddea\ud83c\uddf8 \ud83c\uddee\ud83c\uddf9 \ud83c\uddf5\ud83c\uddf9 \ud83c\uddf9\ud83c\uddf7<\/li>\n \t<li>And much more!<\/li>\n<\/ul>","button_type":"internal_link","button_label":"Check out our shop","button_style":"button-two","button_internal_link":4464,"button_anchor":"","button_url":"","button_file":null,"side_button":{"side_button_content_editor":""},"bottom_button":{"bottom_button_content_editor":""},"image":22705,"image_alt_text":""},{"acf_fc_layout":"review-slider","heading":"WHAT CUSTOMERS HAVE TO SAY ABOUT THE ASSESSMENT E-BOOK","image_shortcode":"","image":"","image_alt_text":"","shortcode":"[wprevpro_usetemplate tid=\"2\"]","button_type":"internal_link","button_label":"","button_style":"button-one","button_internal_link":"","button_anchor":"","button_url":"","button_file":null},{"acf_fc_layout":"cta-full-width-v2","logo":{"logo_image":22443,"logo_image_alt_text":""},"heading":"<strong>Download<\/strong> the free Physiotutors app now!","content_editor":"","download_image":{"download_image_image":22444,"download_image_image_alt_text":""},"mobile_download_image":{"mobile_download_image_image":22445,"mobile_download_image_image_alt_text":""},"download_image_link":"https:\/\/onelink.to\/6dtzk5","mockup_image":{"mockup_image_image":22447,"mockup_image_image_alt_text":""},"mobile_mockup_image":{"mobile_mockup_image_image":22446,"mobile_mockup_image_image_alt_text":""}}]},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Subacromial Pain Syndrome Cluster | SAPS Assessment<\/title>\n<meta name=\"description\" content=\"Subacromial Pain Syndrome abbreviated as SAPS is best diagnosed by a battery of tests during your shoulder assessment. 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