Scapula Dyskinesis

Watch the left shoulder blade as Tim lowers his arms. Scapula dyskinesis refers to an alteration of normal scapula motion and position, where the medial border (inside edge) and / or inferior angle (bottom tip) of the scapula sits prominently off the ribs, and / or a lack of smooth coordinated movement is observed. It is noted as a Yes or No upon visual inspection. Important to note, it is not in itself an injury or a musculoskeletal diagnosis. The jury is still out as to whether it is the cause or the result of injury / pain, as it is found in both symptomatic and asymptotic people. Uhl et al (2009) found that scapula dyskinesis was equally present in those with and without shoulder pain. It has also been noted that side to side asymmetry is a common finding in healthy individuals. What is also interesting is that pain and function can improve with or without making actual kinematic changes to the scapula. The recommendation from the summit (this paper) is for those who present with shoulder pain along with an observable scapula dyskinesis to consider addressing the situation through activation and strengthening of the muscles that impact on the scapula (focusing on those you believe to be contributing to the dyskinesis), and where possible to include this in full kinetic chain movement, with task / sport specific patterns. #shoulders #scapula #rotatorcuff#scapuladyskinesis #rehab#exerciseismedicine #strong #strength#progress #movement#exercisephysiology #fitness #health#strengthandconditioning #cyclist#physio #yoga #londonexercise#londonphysio #londonyoga ‘Clinical implications of scapula dyskinesis in shoulder injury: the 2013 consensus statement from the ‘scapula summit’. Kibler et al. British Journal of Sports Medicine. 2013

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