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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However, for many other exercises, although largely employed for dyskinesis, there is little proof of their effectiveness in this condition. Patient in standing position and is asked to actively squeeze or retract the scapulae together as hard as possible. Activation sequencing patterns and strength of the muscles that stabilize the scapula are altered in patients with impingement and scapular dyskinesis. Normal scapula function is essential for escpaular shoulder function in all individuals and, in particular, the overhead throwing athlete.

Wall push-ups are effective in assessing the muscle strength of the anterior serratus. Not to be confused with Dyskinetic cerebral palsy. In addition to upward rotation, the scapula is required to tilt posteriorly and externally rotate to clear the acromion from the moving arm in elevation and abduction.

Scapular dyskinesis: the surgeon’s perspective

Retrieved 25 January Scapular dyskinesia is considered any change occurring in escapklar scapulothoracic pace, which causes a change in the position, scapular movements or normal mobility of the scapula relative to the thorax. Tspine Extension Ex 4. Dyskinesis is found in a high percentage of patients with high-grade AC symptoms. Combined translational movements of the scapula in three planes lead to protraction and retraction around the thorax. The group of McClure et al.

Movement and scapular position should be analyzed both in the phases of the movement of the shoulder and in the shoulder depression. This is an open access article distributed under the terms of the Creative Commons Attribution Licensewhich permits unrestricted use, distribution, and build upon your work non-commercially.


Rehabilitation of scapular muscle balance: Calculation of scapular movement using the ACLimagem r software. When the scapula moves coordinately the humerus maintaining the axis of rotation of the humerus is called the scapulohumeral rhythm.

Scapular dyskinesis: the surgeon’s perspective

Open in a separate window. The rehabilitation program also includes exercises aimed at stretching both the posteroinferior glenohumeral capsule and the pectoralis minor, which are often retracted, particularly in overhead athletes. This abnormal condition is called scapular dyskinesia, which appears to be a nonspecific response to a painful shoulder condition.

Type III dyskinesis with posterior prominence of the inferomedial angle, medial prominence of the medial border and upward migration of the superomedial border of the right scapula arrows.

Myopathic gait Trendelenburg gait Pigeon gait. As for the athletes’ category, 76 To analyze the position of the scapula and its influence on shoulder pain. Scapular dyskinesis Scapular dyskinesis alteration of motion is a term that denotes loss of control of normal scapular motion, physiology or mechanics.

A biomechanical analysis of scapular rotation during arm abduction in the scapular plane. Level of Evidence III, Study of non consecutive patients; without consistently applied reference ”gold” standard.

Degenerative SA Friedreich’s ataxia Ataxia-telangiectasia. Type III displays upward rotation of the superomedial border of the scapula around a horizontal axis perpendicular to the plane, resulting in abnormal superior migration of the scapula Figure 3 ; this pattern would be associated with decrease in the size of the acromiohumeral space and potential rotator cuff injuries. The coracoid should be palpated to determine its position compared to the opposite side and the presence of possible tenderness on its medial border where the pectoralis minor is inserted.

This statement is based on the fact that this change only occurs in painful shoulder of male volunteers.


Unfortunately, there are no validated clinical measures to identify a patient as having a tight pectoralis minor muscle. Scapular dyskinesis, meaning abnormal motion of the scapula during shoulder movement, is a clinical finding commonly encountered by shoulder surgeons.

Journal of Orthopaedic diskunesia Sports Physical Therapy. These observations indicate that the various aspects of scapular dyskinesis and SICK syndrome are still scarcely known and that extensive research is needed escapulaf better understand and manage this condition.

Current concepts: scapular dyskinesis.

Scapular rehabilitation will address muscle retractions and imbalances and restore good dynamic stability, starting with analytic work evolving into more functional and specific exercises.

Scapular dyskinesis is a condition responsible for alteration of the normal position and kinematics of the scapula rather than a disease. Use active lateral extension and rotation of the trunk, hip extension to facilitate scapular retraction; 5 Include movement of the arm with exercise of movement of the scapula to promote the improvement of the scapular mobility. All authors contributed to the conception, design, and preparation of the manuscript, as well as read and approved the final manuscript.

Based on the bibliographical studies, it can be concluded that, in order to obtain the synchronism of forces between the scapulothoracic and scapulo-ovarian muscles, the strengthening of the shoulder depressor muscles subscapular, infraescapular and minor roundscapular stabilizers upper and lower inferior, diskindsia serratus and rhomboids and those that act primarily on the shoulder deltoid, pectoralis major and dorsal. The sample consisted of 30 individuals, who were divided eecapular two groups each consisting of 15 individuals, two groups of volunteers, one presenting shoulder pain and the other asymptomatic.