KIBLER SCAPULAR DYSKINESIS PDF
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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Current concepts: scapular dyskinesis.
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Physiopedia articles are best used to find the original sources of information see the references list scapullar the bottom of the article.
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. Review of the normal ratio of glenohumeral GH to scapulothoracic ST motion analyzed by Doody et al  under three-dimensional analysis found that the ratio of GH to ST motion changes from 7.
Bagg and Forrest found a ratio of 4. 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. Symptoms of isolated SICK scapula: The onset is almost always insidious. Kibler classification of scapular dysfunction. 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.
Scapular Dyskinesia – Physiopedia
It is recommended that several repeated bouts of arm elevation be observed to assess the affects of fatigue on scapular stabilization. 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. This application may be used in conjunction with other tests such as Neer’s, Hawkin’s-Kennedy, and Jobe’s relocation. The therapist then applies an assist to scapular dynamics.
This test is positive if ROM is dyskinseis or pain is reduced as the therapist manually assists scapular upward rotation during active UE elevation. Measurement should not vary more than 1 to 1.
Isometric Scapular Pinch test: Patient in standing position and is asked to actively squeeze or retract the scapulae together as hard as possible. An individual able to hold scapukar squeeze or 15 to 20 sec without any burning pain or noticeable weakness. 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 scapulaar. Patient performs wall pushups for 15 to 20 times.
Weakness of scapular muscles mainly serratus anterior or winging usually shows up with 5 to 10 pushups.
For stronger or younger population, perform the test on floor. Current measures examine mm length at resting positions, not at maximal length. Unfortunately, there are no validated clinical measures to identify a patient as having a tight pectoralis minor muscle. Static measurements consists 1 infera: Intervention is aimed at reducing posterior capsule  and pectoralis minor restriction  and restoring periscapular mm balance through exercises promoting early and increased serratus anterior, lower, and middle trapezius activation while minimizing upper trapezius activity.
Phase I Flexibility 1.
Tspine Extension Ex 4. Upper traps stretch Isometrics 1. Low Row Wall isometrics 4. Shoulder ER isometrics 5.
Prone Y, I, T and W 6. Side lying ER 8. Lats Pull downs Manually Resisted scapular strengthening Standing cable column punches 3. Bear crawl on Swiss ball 4. Seated Pike lift 6.
Current concepts: scapular dyskinesis.
Standing Snow Angels 8. Wall ball Scours 9. Unfortunately, scapular dyskinesia is a condition with minimal level 1 evidence for support of either diagnosis or treatment. Support for above mentioned tests and interventions appears below. It includes some great animations! The content on or accessible through Physiopedia is for informational purposes only.
Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider.
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