DOWNLOAD OUR APP: iPhone/iPad: ???? Android: https:// GET OUR ASSESSMENT BOOK. Br J Sports Med. Apr;44(5) doi: /bjsm Epub Dec 8. Current concepts: scapular dyskinesis. Kibler WB(1), Sciascia A. Scapular dyskinesia is considered any change occurring in the scapulothoracic pace, which causes a change in the position, scapular movements or normal.

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Any changes in the scapulothoracic pace fiskinesia to the so called scapular dyskinesia. Scapular dyskinesis is a condition responsible for alteration of the normal position and kinematics of the scapula rather than a disease. Glenohumeral range of motion deficits and posterior shoulder tightness in throwers with pathologic internal impingement. The scapula fulfils important functions in dynamic and static modes.

This procedure evaluates the activity of the anterior serratus and inferior trapezius muscles. Re-education of these muscles to act as dynamic stabilizers of the scapula esczpular achieved by employing short lever, kinetic chain assisted exercises and finally long lever movements. Abnormalities of scapula function can be seen in many patients. It is important to emphasize that in this type of analysis, in which it is necessary to place markers on the scapula, there is the difficulty to trace the movement of this because a significant slip of the scapula occurs in relation to the skin.

When there is relief of symptoms, the test is positive. This statement is based on the fact that this change only occurs in painful shoulder esacpular male volunteers. Current Opinion in Orthopaedics. This scoring system has proven interobserver reliability and clinical utility. The scapula is protracted and diskihesia in anteriorly tilted position secondary to tight pec minor or short head of the biceps at the insertion to the coracoid process.


Dyskinesis escapulra in association with rotator cuff tears was identified as a factor related to lower functional scores. The group of McClure et al.

Dynamic measurements of three-dimensional scapular kinematics: However, because of its great importance for the shoulder complex, it is widely studied. To determine the reliability of the clinical assessment, a study was carried out in asymptomatic subjects and in patients with shoulder pain [ 6 ].

Current concepts: scapular dyskinesis.

Introduction Scapulothoracic kinematics plays a key role in the normal function of diskineeia upper extremity since it affects shoulder stability, the integrity of the superior labrum, the dimension of the acromiohumeral space and the function of the rotator cuff, as well as the motion of the acromioclavicular AC and sternoclavicular SC joints. When there is relief of symptoms the test is positive. Dyskinesis can be a clinical sign of potentially harmful alteration of clavicle anatomy, and can provide information to clarify indications for operative treatment in these fractures.

The present study specified some exercises that is performed for the overall treatment of the shoulder and scapular girdle joint. Disiknesia positions offer a graded challenge to the functioning of the shoulder muscles to escapklar the scapula. Like the present study, the dominance showed predilection for the right shoulder, swimmers also had more pain in the right shoulder Scapular dyskinesis has a high association with labral injury.

It is advisable that this condition is recognized as a constituent of the routine shoulder examination for shoulder surgeons.

For stronger or younger population, perform the test on floor. Prime movers and stabilizers of the scapula: It is concluded that in rehabilitation of the shoulder, restoration of the normal function of the scapula is of paramount importance, and the synchronization of forces between esacpular scapulothoracic and scapulo-ovarian muscles should be included in rehabilitation, emphasize the strengthening of shoulder depressor muscles, scapular stabilizers, and which act primarily on the shoulder.


This article has been cited by other articles in PMC. The first line was eecapular longitudinal line in the direction of the spinal column and the second line joined the upper and lower angles of the scapula. Bagg and Forrest found a ratio of 4. Regarding pain laterality, 11 players Received Jun 17; Accepted Jun Scapular dyskinesis in trapezius myalgia and intraexaminer reproducibility of clinical tests.

Scapular Dyskinesia – Physiopedia

Once core stability has been established, a focus on the scapular controlling muscles can be initiated. Type II consists in the prominence of its entire medial border due to excessive external rotation around a vertical axis through the plane of the scapula Figure 2.

The association of scapular kinematics and glenohumeral joint pathologies. Type I dyskinesis in diskinesis water polo player, showing posterior prominence of the inferomedial angle of the left scapula arrow. The rotator cuff is frequently clinically involved in throwers with shoulder symptoms and symptoms can be escaphlar by dyskinesis.