Hi and welcome to Physiotutors. And welcome back after the long summer break including our first internship. And what we would like to present to you after this long break is our shoulder impingement playlist. What I would like to present you today is one of the most common tests for shoulder impingement which is called the Painful Arc Syndrome or the Painful Arc Test. So what happens when we speak of subacromial shoulder impingement. When you abduct your arm. What usually happens is that your glenohumeral joint will glide downwards when you perform this movement. With the subacromial shoulder impingement the gliding doesn’t work perfectly so your major tubercle will collide with the acromion. And then squeeze structures like most of the times the supraspinatus tendon, or the coracoid ligaments, for example other structures that give pain. The Painful Arc Test has a sensitivity of 53% and specificity of 76% according to a big review of Hedgedus in year 2012. How is it performed? Ask your patient to slowly abduct his arms. With his thumbs pointing upwards. If there is pain in the range from 60 degrees of abduction to 120 degrees This is an indication for subacromial impingement. If you find pain from only 170 degrees of abduction to 180 degrees. This could be an indication for an acromioclavicular problem. Yeah guys, that was it. That was the Painful Arc Syndrome or the Painful Arc Test. Which really is one of the most common tests for subacromial shoulder impingement. If you like this video give it a Thumbs Up Share it. And if you haven’t subscribed to our channel feel free to do that. And please check out our other videos about shoulder impingement tests. See you next time.