Comprehensive Approach to the Management of Scapular. Dyskinesia in the Overhead Throwing Athlete (43) Kibler WB, Sciascia AD, Uhl TL, et al. Br J Sports Med. Apr;44(5) doi: /bjsm Epub Dec 8. Current concepts: scapular dyskinesis. Kibler WB(1), Sciascia A. Kibler Scapular Dyskinesis – Free download as PDF File .pdf), Text File .txt) or read online for free.

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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. Side lying ER 8. This test is positive if ROM is increased or pain is reduced as the therapist manually assists scapular upward rotation during scapulzr UE elevation.

That is usually the journal article where the information was first stated. Weakness of scapular muscles mainly serratus anterior or winging usually shows up with 5 to 10 pushups. Intervention is aimed at reducing posterior capsule [19] and pectoralis minor restriction [20] and restoring periscapular mm balance through exercises promoting early and increased serratus anterior, lower, and middle trapezius activation while minimizing upper trapezius activity.


Manually Resisted scapular strengthening Although it occurs in a large number of shoulder injuries, it appears that scapular dyskinesis is a non-specific response to a painful condition in the shoulder dydkinesis than a specific response to certain glenohumeral pathology. Shoulder ER isometrics 5. Retrieved from ” https: Lats Pull downs This application may be used in conjunction with other tests such as Neer’s, Hawkin’s-Kennedy, and Jobe’s relocation.

If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. Measurement should not vary more than 1 to 1. Tspine Extension Ex 4. Unfortunately, scapular dyskinesia is a condition with minimal level 1 evidence for support of either diagnosis or treatment.


Low Row Wall isometrics 4.

Current concepts: scapular dyskinesis.

Each role is vital to proper arm function and can only occur when the anatomy around the shoulder is uncompromised. This test is positive if pain is reduced as the therapist assists active elevation by applying a posterior tilt and external rotation motion to the scapula.

Wall ball Scours 9. Symptoms of isolated SICK scapula: An examination consisting of visual inspection of the scapular position at rest and during dynamic humeral movements, along with the performance of objective posture measurements and scapular corrective maneuvers, will help the clinician ascertain the extent to which the scapula is involved in the shoulder injury. The scapula is protracted and is in anteriorly tilted position secondary to tight pec minor or short head of the biceps at the insertion to the coracoid process.

An individual able to hold the squeeze or 15 to 20 sec without any burning pain or noticeable weakness. Upper traps stretch Isometrics 1.

Review of the normal ratio of glenohumeral GH to scapulothoracic ST motion analyzed by Doody et al [3] under three-dimensional analysis found that the ratio of GH to ST motion changes from 7. Toggle navigation p Physiopedia. The content on or accessible through Physiopedia is for informational purposes only. Bear crawl on Swiss ball 4. Kibler classification of scapular dysfunction. It includes some great animations!

Static measurements consists 1 infera: Support for above mentioned tests and interventions appears below. Treatment of scapular dyskinesis should begin with optimised anatomy and then progress to dyskinesi restoration of dynamic scapular stability by strengthening of the scapular stabilisers utilising kinetic chain-based rehabilitation protocols.

Advanced Exercises for the Upper Quarter: For stronger or younger population, perform the test on floor.

Scapular Dyskinesia

Patient in standing position and is asked to actively squeeze or retract the scapulae together as hard as possible. 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. It is recommended that several repeated bouts of arm elevation be observed to assess the affects of fatigue on scapular stabilization.

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Phase I Flexibility 1. The scapula serves many roles in order for proper shoulder function to occur. Current tests and measures, while proven to be reliable, have not altogether shown strong validity by demonstrating correlation with biomechanical motion, symptoms, pathology, or outcomes.

Seated Pike lift 6. Standing Snow Angels 8.

Scapular Dyskinesia – Physiopedia

Standing cable column punches 3. Isometric Scapular Pinch test: Prone Y, I, T and W 6. Physiopedia articles are best used to find the original sources of information see the references list at the bottom of the article.

SigelVanessa Rhule and Johnathan Fahrner. Current measures examine mm length at resting positions, not mibler maximal length. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider.

Bagg and Forrest found a ratio of 4. The therapist then applies an assist to scapular dynamics.

When refering to evidence in academic writing, you should always try to reference the primary original source. In most cases Physiopedia articles are a secondary source and so should not be used as references.

Patient performs wall pushups for 15 to 20 times. Contents Editors Categories Share Cite.