College of Massage Therapists of British Columbia (CMTBC) Practice Exam

A college baseball pitcher complains of anterior shoulder pain worsening with use. What special test should the therapist perform?

1. Feagin Test

2. Sulcus Sign

3. Neer Impingement Test

4. Apprehension Crank Test

The correct answer is: Neer Impingement Test

In the context of a college baseball pitcher experiencing anterior shoulder pain that worsens with use, the Neer Impingement Test is particularly relevant. This test is designed to help identify shoulder impingement, which occurs when the rotator cuff tendons are compressed during overhead motions, a common action for pitchers. The Neer Impingement Test is performed by stabilizing the scapula and passively raising the patient's arm forward (in flexion) while keeping it in an internally rotated position. If the patient experiences pain during this motion, it can indicate that the rotator cuff tendons are irritated or compressed—often a factor in pitchers due to repetitive overhead activity. Considering the specific nature of the complaint and the activity involved, the Neer Impingement Test effectively targets the type of injury likely affecting a baseball pitcher. Other tests may assess different conditions, such as instability or other forms of shoulder pathology, but for anterior pain during overhead activity, the Neer test specifically focuses on the mechanics that cause impingement.