Pain Provocation Test (Mimori) Special Test
Orthopedic Physical Examination & Clinical Assessment Guide
What is it used for?
- Diagnosing SLAP Lesions.
How to Perform
- Position: Arm abducted 90-100°.
- Action: Patient supinates the forearm fully, then pronates fully. Examiner passively externally rotates the arm in both positions.
Interpretation of Results
- Positive Test: Pain is worse in pronation than in supination (Biceps anchor twists in pronation).
Diagnostic Accuracy
- Sensitivity: 100%
- Specificity: 90%
Clinical Context & Limitations
The Pain Provocation Test (Mimori) should be considered as one component of a comprehensive musculoskeletal assessment. No single special test has perfect diagnostic accuracy; thus, clinical decision-making should integrate test results with patient-reported symptoms, mechanism of injury, functional impairment, and relevant imaging.
Clinicians should be aware of potential false-positive results in patients with pain sensitisation, muscle guarding, or poor relaxation. For the Shoulder region, combining the Pain Provocation Test (Mimori) with complementary examination tests significantly improves overall diagnostic confidence.
References
- Magee, D. J. (2021). Orthopedic Physical Assessment.
