Arif Shah

Arif Shah Musculoskeletal Physical Therapist
Certified Clubfoot Clinician(MF)(USA),Certified Manual Therapist(UK),Adjunct Lecturer CPM&R P*P

06/09/2026

Neer Test

The Neer test is a clinical test used to assess subacromial impingement of the shoulder, particularly irritation involving the supraspinatus tendon and/or subacromial bursa.

Procedure:

1. Patient sits or stands.
2. Stabilize the scapula with one hand.
3. Internally rotate the patient’s arm (thumb pointing down).
4. Passively elevate the arm in forward flexion to the end range.

Positive test:
Pain reproduced, typically between about 70°–120° of elevation, suggests subacromial impingement.

Structures commonly implicated:

* Supraspinatus tendon
* Subacromial bursa
* Long head of biceps tendon

Clinical point: A positive Neer test is not specific for one particular pathology, so it should be interpreted along with other shoulder tests and the patient’s history.

06/09/2026

Trendelenburg Test

The Trendelenburg test is a clinical test used mainly to assess hip abductor function, particularly the gluteus medius and gluteus minimus, and pelvic stability.

Procedure:

1. Patient stands upright with feet together.
2. Examiner stands behind and observes the pelvis.
3. Ask the patient to stand on one leg and lift the opposite foot off the floor.
4. Hold for approximately 30 seconds and repeat on the other side.

Normal/Negative test:
The pelvis remains level or slightly elevates on the non-weight-bearing side.

Positive Trendelenburg test:
The pelvis drops on the non-weight-bearing side. This suggests inadequate hip abductor function on the weight-bearing/stance side.

04/09/2026

Lift-off Test

The Lift-off test (Ge**er test) assesses the subscapularis muscle and is commonly used for detecting subscapularis tendon injury/tear.

Procedure:

1. Patient places the back of the affected hand on the lower back.
2. Ask the patient to lift the hand away from the back.
3. The examiner may apply resistance.

Positive test:

* Patient cannot lift the hand away from the back, or
* There is significant weakness or pain compared with the other side.

04/09/2026

Infraspinatus Muscle Strength Test

The infraspinatus is the primary muscle responsible for external (lateral) rotation of the shoulder and is part of the rotator cuff.

Manual Muscle Testing (MMT):

1. Patient position: Sitting or standing, arm close to the body, elbow flexed to 90°.
2. Starting position: Shoulder in neutral rotation.
3. Movement: Ask the patient to externally rotate the shoulder, moving the hand away from the abdomen.
4. Resistance: Apply resistance at the distal forearm, pushing toward internal rotation.
5. Instruction: “Rotate your arm outward and don’t let me push it inward.”

Positive finding: Pain, weakness, or inability to maintain external rotation may indicate infraspinatus weakness or rotator-cuff pathology. #

01/09/2026

🚨 “Stroke
کی یہ علامت نظر آئے تو وقت ضائع نہ کریں!” 🧠

⚠️ BE FAST
@— جان بچانے کے لیے فوراً ایکشن لیں!

27/08/2026

🩺 درد سے نجات، بہتر حرکت کی طرف قدم

ڈاکٹر عارف شاہ (PT)
Physical Therapist | Musculoskeletal & Neuro Rehabilitation

اگر آپ کو:
🔹 کمر اور گردن کا درد
🔹 گھٹنے کا درد / Osteoarthritis

🔹 Frozen Shoulder
🔹 فالج اور Paralysis Rehabilitation
🔹 Sports Injuries
🔹 Fracture کے بعد stiffness
🔹 جوڑوں اور پٹھوں کا درد
🔹 Spinal Cord Injury Rehabilitation

کا مسئلہ ہے تو مناسب Physiotherapy اور Rehabilitation سے اپنی روزمرہ زندگی میں بہتری لائیں۔

📍 Clinic: Toru Plaza, Takht Bhai, Mardan
📅 Saturday & Sunday
⏰ 3 PM – 8 PM

📞 Appointment:
0300-5770893
0302-8334138

صحت مند زندگی کی طرف پہلا قدم — Physiotherapy کے ساتھ!

25/08/2026

Peads Rehabilitation

22/08/2026

Trampoline (ٹرامپولین)
ایک لچکدار جال یا سطح ہوتی ہے جس پر اچھلنے اور ورزش کرنے کے لیے استعمال کیا جاتا ہے۔

فزیوتھراپی میں ٹرامپولین کا استعمال:

* توازن (Balance) بہتر کرنے
* Coordination بہتر کرنے
* ٹانگوں کے پٹھوں کو مضبوط بنانے
* Proprioception بہتر کرنے
* بچوں میں Motor skills کی تربیت

کے لیے کیا جا سکتا ہے۔

21/08/2026

Paraplegic Center Peshawar where hopes remain alive ゚viralシ

20/08/2026

Peshawar the city of flowers #𝙃𝙖𝙮𝙖𝙩𝙖𝙗𝙖𝙙

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Jalala

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