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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Two lines were diskinesua whose apex was the superior angle of the scapula. The scapula is protracted and is in anteriorly tilted position secondary to tight pec disinesia or short head of the biceps at the insertion to the coracoid process.

However, scapular and shoulder dysfunction can also occur in type II injuries if the AC ligaments are torn. To capture all images with no zoomthe camera was standardly placed at level and in line, being positioned with the aid of a tripod, at the hip of each volunteer and 2m away from them. The reference measurements from the spine to the medial aspect of the scapula are measured on both sides.

Rev Bras Med Esporte.

That is usually the journal article where the information was first stated. Angulated fractures result in functional shortening and loss of rotation.

The treatment of muscular imbalances consists in promoting a rebalancing of the muscular chains, lengthening what is shortened and strengthening what is weak. Edmond, OK Tel: A three-dimensional kinematic analysis using an electromagnetic tracking was also performed to determine the presence of dyskinesis and to establish criterion validity of the two methods. They are used to reproduce the proper functions of the scapula; -Maintenance phase 6 to 10 weeksoccurs 1 When there is good control of scapular movement throughout the shoulder elevation, it will initiate plyometric exercises; 2 Overhead dumbbell presses and dumbbell punches are exercises that require good muscle control complete range of glenohumeral movement.

Increased shoulder pain may result in muscle spasm in the supraspinatus, trapezius, rhomboids, large dorsal and subscapularis. If scapular movement is impaired, forces generated from the lower extremity and trunk will not be effective to transmit the upper extremity. 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 the 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.


Frequently, lower trapezius activation is inhibited or delayed, creating impingement because of loss of acromial elevation and posterior tilt. Type I Figure 4A is characterized by the inferior and medial prominence lower angle of the scapula.

Investigations should be directed toward confirming an underlying diagnosis. These roles include providing synchronous scapular rotation during humeral motion, serving as a stable base for rotator cuff activation and functioning as a link in the kinetic chain. Thus, this acronym should be used only when scapular dyskinesis is obviously symptomatic. Conclusion 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, anterior serratus and rhomboids and those that act primarily on the shoulder deltoid, pectoralis major and dorsal.

Digital biophotogrammetry has been considered as an alternative for the quantitative evaluation of postural asymmetries in postural evaluation, and can be used to perform linear and angular measurements. The scapula is attached to the axial skeleton via the clavicle through the acromioclavicular AC and sternoclavicular joints.

ddiskinesia Scapular dyskinesis and its relation to shoulder pain. Measurement should not vary more than 1 to 1. There are multiple causes of dyskinesis. Advanced Exercises for the Upper Quarter: Proper movement of the scapula is considered crucial for normal shoulder function. Stretching techniques in the restoration of muscle flexibility are: The volunteers were instructed to stand at marked predetermined locations adhesive tapes on the ground.


In the study by Santana et al. Journal of the American Academy of Orthopaedic Surgeons. Excess cervical lordosis can affect scapular retraction and protraction.

Force couples for scapula motion: Normal scapula function is essential for optimal shoulder function in all individuals and, in particular, the overhead throwing athlete.

Journal List Acta Ortop Bras v. Prone Y, I, T and W 6. In the sternoclavicular joint EC the scapula movements are: Other non-invasive methods, based on optical or electromagnetic tracking devices, have been developed to analyze the movement of the scapula and used for diagnostic and evaluation purposes. MedCrave Group is ardent to provide article reprints at an instant affordable Read more In a study by Pimentel et al.


Treatment Management of scapular dyskinesis is focused on rehabilitation. This scoring system has proven interobserver reliability and clinical utility. J Bone Joint Surg Am ; However, the asymptomatic subjects who occasionally play overhead sports may not need treatment if dyskinesis is mild, while those with clear-cut alterations deserve rehabilitation. As such, it may be the underlying cause or the accompanying result of many forms of shoulder pain and dysfunction.

Two other types, primary ciliary dyskinesia and biliary dyskinesiaare caused by specific kinds of ineffective movement of the body, and are not movement esvapular. The SAT increases the acromiohumeral space and is helpful in detecting the scapular contribution to impingement and rotator cuff dysfunction.

Scapular dyskinesis: Diagnosis and Musculoskeletal Medicine

The anterior serratus and trapezius muscles contribute to a good positioning of the scapula during arm elevation and synergist activities when there is deltoid muscle action and are essential for the movement of the scapula over the rib cage, especially in conjunction with the arm elevation. As for the athletes’ category, 76 Inhibition is seen as a diminished ability of the muscles to exert torque and stabilize the scapula as well as disorganization of the muscles around the shoulder.

Otherwise, images of points non-corresponding to bone accidents would have been recorded. Lateral scapula slide test. A more objective and accurate but much disminesia complex way to assess the movements of the scapula is the three-dimensional biomechanical analysis that is able to show that the scapula normally moves around three axes of movement simultaneously in the common day-to- Day 11]. Core stability exercises can help improve 3D control of scapular motion and this is achieved through an integrated rehabilitation regimen in which the larger muscles of the lower extremity esca;ular trunk are utilized during the treatment of the scapula and shoulder.

When there is relief of symptoms the test is positive. From the previously mentioned methods, a method using a cluster positioned in the acromion based on retro-reflective markers was developed and validated to track the three-dimensional movement of the scapula.