Kibler et al reported the reliability of a visually based classification system for scapular dysfunction that defined 3 different types of motion abnormalities: type 1 . PDF | Introduction Scapular dyskinesis is a condition responsible for Type III dyskinesis with posterior prominence of the inferomedial angle, Management Scapular dyskinesis: Diagnosis and treatment R Postacchini 1 *, S. Mobility Myths with Dr. Quinn | Scapular Winging | – Duration: 13 Juggernaut Training Systems , views ·

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J Orthop Sport Phys Ther. A large number of factors related to the suspensory shoulder complex and the scapulotorathic joint may cause dyskinesis[5]. Dyskinesis can affect asymptomatic subject, but it is typically observed in overhead athletes in whom it may cause a SICK syndrome, responsible for shoulder pain and functional deficit.

Scapular Dyskinesis: Related Pathology | López-Vidriero | International Journal of Orthopaedics

Over the last decade, there has been ripo gradual move in the assessment of musculoskeletal conditions from the limited value of the traditional orthopaedic test toward a more global, systems-based approach. Treatment is based on rehabilitation, but not all exercises have sound proofs of efficacy. The SICK scapula, scapular dyskinesis, the kinetic chain, and rehabilitation. Assessment of the importance of glenohumeral peripheral mechanics by practicing physiotherapists.

Thomas Dodd Company, Scapular dyskinesis is a well-recognised condition that needs early diagnosis with appropriate clinical examination, including specific tests, and adequate treatment to avoid the instauration of a SICK syndrome. Type I dyskinesis in a water polo player, showing posterior prominence of the inferomedial angle of the left scapula arrow.

In most studies reporting on the rehabilitation of patients with SICK syndrome, the results of treatment are not reported or, when assessed, the evaluation was done at short term [ 30 ]the longest follow-up being 1 year [ 1 ]. Gait abnormality Steppage gait Antalgic gait.

A Clinical Method for Identifying Scapular Dyskinesis, Part 1: Reliability

They concluded that measures of asymmetry in athletes do not indicate dysfunction. Volunteers stood 2 to 3 m from the camera, depending on their height, and were videotaped from both superior and posterior views. National Center for Biotechnology InformationU.


Authors contribution All authors contributed to the conception, design, and preparation of the manuscript, as well as read and approved the final manuscript. Return to sport at low level may be allowed when significant improvement in tissue stretching is obtained. Treatment Management of scapular dyskinesis is focused on rehabilitation. Physical examination tests of the shoulder: Phys Ther ; In our practice, the medial side of the scapula is observed while the patient moves both arms up and down in the scapular plane at least 3 times.

The underlying pathology can be multifactorial in nature, and understanding the various contributing factors is important if the patient is to be properly treated and rehabilitated. As has happened so many times in our profession, the original concept of a pure, delineated and possibly dogmatic theory and its associated assessment has, over time and with a growing body of research become questionable.

Type Role Agonist Mover: In most cases, the presenting symptom is pain in the coracoid region due to tightening of the pectoralis minor as a result of downward tilt and lateral displacement of the coracoid and the second most frequent is posterosuperior scapular pain [ 1 ].

B, The scapular motion pattern was rated as having obvious dyskinesis on the left and subtle dyskinesis on the right. When glenohumeral movement occurs, the scapula must also move to allow the repositioning of the glenoid fossa thus increasing the available range of movement.

If the humeral contingent of the system is unable ecsapular perform a pattern of movement escauplar the involvement of the scapular muscles, the scapula is unfairly implicated as the culprit when it is being utilized in an unconventional way in an attempt to maintain function. The latter requires aggressive and prolonged treatment to be effectively cured. Recently, Burkhart et al[1] have related the disabled throwing shoulder diskineesia a specific overuse muscle fatigue syndrome: As in position 2 for LSST, Manual load is applied in anterior, posterior, inferior or superior direction to the arm, and scapula should not move more than 1.


With this knowledge and armed with some clinical reasoning, creativity and often trial and error, it should be possible to find at least one exercise that a patient can leave with, empowered by the knowledge that they can affect their own symptoms with movement.

Patient performs wall pushups for 15 to 20 times. To determine the reliability of the clinical assessment, a study was carried out in asymptomatic subjects and in patients with shoulder pain [ 6 ].

A clinical method for identifying scapular dyskinesis, part 1: By using this site, you agree to the Terms of Use and Privacy Policy. Rupture of the supraspinatus tendon and the lesions in or about the subacromial bursaBoston, MA: The interdependence of the scapula, rotator cuff and kinetic chain requires clinicians to question the desirability of isolating one part of the system from the other. Based on this widely held view, the aim of many shoulder rehabilitation programmes is to correct aberrant, local scapula mechanics.

Scapulohumeral rhythm SHR is the co-ordination between humeral and scapular movements and was first described by Codman 2 and subsequently popularized by Inman.

Observed dyskinesis may actually be a strategy to optimize certain individuals or cohorts 18 — The varying roles of muscles. Rabbit syndrome is another type of chronic dyskinesia, while orofacial dyskinesia may be related to persistent replication of Herpes simplex virus type 1.

E, Kennedy J, Kennedy R. Proprioception in musculoskeletal rehabilitation.