Rehabilitation of scapular dyskinesis: from the office worker to the elite overhead athlete

Abstract

The scapula functions as a bridge between the shoulder complex and the cervical spine and plays a very important role in providing both mobility and stability of the neck/shoulder region. The association between abnormal scapular positions and motions and glenohumeral joint pathology has been well established in the literature, whereas studies investigating the relationship between neck pain and scapular dysfunction have only recently begun to emerge. Although several authors have emphasised the relevance of restoring normal scapular kinematics through exercise and manual therapy techniques, overall scapular rehabilitation guidelines decent for both patients with shoulder pain as well as patients with neck problems are lacking. The purpose of this paper is to provide a science-based clinical reasoning algorithm with practical guidelines for the rehabilitation of scapular dyskinesis in patients with chronic complaints in the upper quadrant.

The Relevance of Scapular Dysfunction in Neck Pain: A Brief Commentary

“…9 Training scapular function in a patient with neck pain should be performed in a manner that is relevant to the physical examination findings (ie, specific to the aberrant pattern observed) and should be focused toward restoring normal scapular function during the patient's functional and aggravating activities. This may require a combination of therapeutic strategies.…”

Evaluation of real time posterior visual feedback for postural correction during smartphone use

“…In the learning process, self control feedback finding imformation for oneself is more effect on motor learning than passive participation to receive feedback from other people or device. Becaues it deeply deals with information related task [4,5]. Current study is simillar with aforementioned study, as it improves lack of postural control for oneself.…”

“…Also, scapula plays a role in providing both stability and mobility of the cervicoscapular region [4]. In this study, the reason why we chose VF for posterior view is the importance of scapula at upper extremity.…”

A novel cadaveric study of the morphometry of the serratus anterior muscle: one part, two parts, three parts, four?

“…Clinically, dysfunction of serratus anterior has been implicated in musculoskeletal disorders including shoulder and neck pain (Cools et al, 2014;Castelein et al, 2015). Thus in clinical practice the focus is to use exercisebased therapeutic interventions targeting serratus anterior in the rehabilitation of patients with shoulder or neck pain (Ebaugh et al, 2005;Witt et al, 2011;Holmgren et al, 2012;Worsley et al, 2013;Cools et al, 2014).…”