What is the sensitivity of the shoulder (rotator cuff) impingement test, also known as the Neer test or Hawkin's test?

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Last updated: April 18, 2025View editorial policy

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From the Research

The sensitivity of the shield test cannot be determined from the provided evidence, as none of the studies directly report the sensitivity of the shield test. However, when considering the principles of diagnostic testing, the sensitivity of any test is crucial for identifying true cases of a condition.

  • The concept of sensitivity is closely related to the test's ability to detect disease, as discussed in 1, which emphasizes the importance of understanding sensitivity, specificity, and predictive values in the context of screening tests.
  • Study designs for determining and comparing sensitivities of disease screening tests are outlined in 2, highlighting the challenges in accurately assessing sensitivity without proper study design and follow-up.
  • The practical explanation of sensitivity, specificity, and predictive values provided in 3 underscores the importance of these metrics in diagnostic testing, although it does not provide specific values for the shield test.
  • Efficient study designs to assess the accuracy of screening tests, including considerations for optimizing the assessment of sensitivity, are discussed in 4, but again, without direct reference to the shield test.
  • An example of how modifying a test procedure, such as standardized tape stripping beforehand, can increase the sensitivity of patch testing is given in 5, demonstrating how sensitivity can be improved in certain diagnostic contexts. Given the lack of direct evidence regarding the shield test's sensitivity, it is essential to consider the principles of diagnostic testing and the importance of sensitivity in identifying true cases of a condition, while also acknowledging the limitations and potential for improvement in test sensitivity as highlighted by various studies 1, 2, 3, 4, 5.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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