Academic literature on the topic 'Scapular Dyskinesis'
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Journal articles on the topic "Scapular Dyskinesis"
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Patel, Jainy P., and Alpa Purohit. "Prevalence of Scapular Dyskinesia in Young Adults with Trapezitis - A Cross-Sectional Study." International Journal of Health Sciences and Research 11, no. 7 (July 12, 2021): 63–68. http://dx.doi.org/10.52403/ijhsr.20210710.
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Background: An abnormal movement of the scapula during shoulder movement is termed as scapular dyskinesia and is an often-forgotten cause of pain and dysfunction. The scapula is a key part of the upper limb kinematic chain and is a vital component of the glenohumeral rhythm. Trapezitis is an inflammatory pain resulting from trapezius muscle. Trapezius is a stabilizer in Scapular dynamics contributing to scapulohumeral rhythm. Weakness or improper activation of Scapular stabilizers can alter Scapular positioning and mechanics. Aim of this study is to find prevalence of Scapular Dyskinesia in young adults with Trapezitis. Methodology: One hundred eighteen young adults of age 18-25 years with Trapezitis selected by convenience sampling participated in this cross sectional study. Participants were allotted to three groups (mild, moderate, severe) according to severity of Trapezitis on the basis of their VAS score. Dynamic scapular Dyskinesis test was used to assess Scapular Dyskinesia. Statistical analysis was done using Microsoft excel version 2010. Results: 118 participants had participated in the study. Out of which 32% participants had mild trapezitis, 37% had moderate trapezitis and 31% had severe trapezitis. In subjects with mild trapezitis 37% of their population had scapular dyskinesia whereas in subjects with moderate trapezitis 57% had scapular dyskinesia and in participants with severe trapezitis, scapular dyskinesia was witnessed in 72% of their population. Conclusion: Present study evidences high prevalence of Scapular Dyskinesia in young adults with Trapezitis. Key words: Scapular Dyskinesia, Trapezitis, Young adults.
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Bullock, Garrett S., Jeff Strahm, Tessa C. Hulburt, Edward C. Beck, Brian R. Waterman, and Kristen F. Nicholson. "Relationship Between Clinical Scapular Assessment and Scapula Resting Position, Shoulder Strength, and Baseball Pitching Kinematics and Kinetics." Orthopaedic Journal of Sports Medicine 9, no. 3 (March 1, 2021): 232596712199114. http://dx.doi.org/10.1177/2325967121991146.
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Background: Scapular assessment is important in examining overhead athletes, but there is inconsistency in scapular clinical assessment and its relation to pathology. Purpose: To determine the relationship between clinical scapular assessment and biomechanical scapula resting position, shoulder strength, and pitching shoulder kinematics and kinetics. Study Design: Descriptive laboratory study. Methods: Two clinicians performed scapular assessments and graded the scapula as presence or absence of scapular dyskinesis. Shoulder external rotation (ER) and internal rotation (IR) strength were collected. The 3-dimensional biomechanics of the scapula resting position (upward/downward rotation, IR/ER, and anterior/posterior tilt) were assessed while participants stood at rest, and pitching kinematics (maximum shoulder ER, shoulder abduction, shoulder horizontal abduction, shoulder rotation velocity) and kinetics (maximum shoulder distraction force) were assessed when participants pitched off the portable pitching mound that was engineered to meet major league specifications. Results: A total of 33 high school baseball pitchers (age, 16.3 ± 1.2 years; height, 184.0 ± 6.9 cm; weight, 76.8 ± 20.8 kg; hand dominance: left, 9 [27%]; right, 24 [73%]; pitch velocity, 34.7 ± 2.3 m/s) participated in this study. Of them, 15 participants had scapular dyskinesis, and 18 had normal scapulothoracic rhythm. No differences were observed for upward/downward rotation or anterior/posterior tilt, shoulder ER, shoulder abduction, or shoulder distraction force, based on the presence of scapular dyskinesis. Pitchers with scapular dyskinesis demonstrated significantly greater scapular resting IR position (effect size [ES], 0.80; 95% CI, 0.06 to 1.54; P = .020), greater nondominant shoulder ER to IR strength ratio (ES, 0.49; 95% CI, –0.02 to 1.00; P = .018), and decreased shoulder rotation velocity (ES, 14.66; 95% CI: 12.06 to 17.25; P = .016). Pitchers with greater anterior tilt demonstrated greater shoulder rotation velocity ( r = –0.48; P = .006). Conclusion: Pitchers with scapular dyskinesis had greater scapular IR, greater nondominant shoulder ER to IR strength ratio, and reduced shoulder rotation velocity. Clinical Relevance: Scapular assessment may be more influenced by differential IR than upward rotation or anterior tilt. Scapular dyskinesis has no competitive performance advantage among amateur athletes. Greater understanding is needed to decipher the critical threshold between beneficial and maladaptive scapular movement patterns.
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Situt, Gandhali Atul, Shyma Philip, and Poonam Patil. "Prevalence of Scapular Dyskinesis in Breastfeeding Postnatal Women in Satara District - An Observational Study." Journal of Evolution of Medical and Dental Sciences 10, no. 31 (August 2, 2021): 2401–5. http://dx.doi.org/10.14260/jemds/2021/492.
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BACKGROUND Poor posture like hunching forward is one of the most commonly practiced postures by women during breastfeeding. The maintenance of such postures for prolonged period can result in progressive weakness of the scapular muscles and subsequent increase in the kyphotic curve. Both lordosis and kyphosis increase during pregnancy and are observed to be maintained for up to 2 months postnatally. The thoracic spine position and slouched position significantly affects the scapular dynamics during scapular abduction resulting in decreased muscle forces. Thus, scapular dyskinesis, defined as an alteration of normal position or motion of the scapula during coupled scapulohumeral movements can occur as a result of decreased muscle forces. Thus, this gives rise to the need for evaluating scapular dyskinesis and its prevalence in postnatal women. The purpose of the study was to find the prevalence of scapular dyskinesis in breastfeeding postnatal women. METHODS An observational analytical study was undertaken at Krishna Institute of Medical Sciences, including a total of 40 subjects within the age group of (15 - 40) yrs. who had been breastfeeding for 6 months or more. These subjects were assessed for scapular dyskinesis using Yes / No test and the lateral scapular slide test (LSST). Kyphosis was assessed on observational basis through postural assessment in these individuals. Statistical analysis was done using the InStat app. RESULTS 67 % and 75 % of the subjects were found to be positive for scapular dyskinesis through Yes / No Test and LSST test respectively. Observational assessment showed that 55 % of the subjects were positive for kyphosis. Subjects demonstrated significant prevalence of scapular dyskinesis and subsequent kyphosis in postnatal females due to wrong ergonomic practice of breastfeeding. CONCLUSIONS The study shows that women lack proper knowledge about the breastfeeding ergonomics leading to weakness of scapular muscles. Thus, a significant prevalence of scapular dyskinesis was seen in breastfeeding postnatal women. KEY WORDS Breastfeeding, Scapular Muscle Weakness, Kyphosis, Ergonomics, Scapular Dyskinesis
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Iqbal, Mohd, and Saurabh Sharma. "Scapular Dyskinesis." Physiotherapy and Occupational Therapy Journal 8, no. 1 (2015): 31–35. http://dx.doi.org/10.21088/potj.0974.5777.8115.5.
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Park, Jin-Young, Sang-Hoon Lhee, Jeong-Hwan Oh, and Hong-Kyum Kim. "Scapular Dyskinesis." Journal of the Korean Shoulder and Elbow Society 12, no. 2 (December 15, 2009): 271–77. http://dx.doi.org/10.5397/cise.2009.12.2.271.
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Andres, Jade, Paul J. Painter, Gary McIlvain, and Mark K. Timmons. "The Effect of Repeated Shoulder Motion on Scapular Dyskinesis in Army ROTC Cadets." Military Medicine 185, no. 5-6 (November 30, 2019): e811-e817. http://dx.doi.org/10.1093/milmed/usz408.
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Abstract Introduction Altered or abnormal scapular motion has been associated with increased shoulder pain and dysfunction. Fatigue of the scapular stabilizing muscles resulting from repeated arm motion has been reported to alter scapular kinematics, which could result in the clinical assessment of scapular dyskinesis. The purpose of this study was to characterize the effect of repeated arm motion on the development of scapular dyskinesis. The hypothesis was that repeated arm motion will induce a subtle or obvious scapular dyskinesis. Materials and Methods About 30 army Reserve Officer Training Corps (ROTC) cadets participated in the research study. The cadets level of shoulder function was determined using the Quick Disabilities of the Arm Shoulder and Hand and Pennsylvania Shoulder Score shoulder scores. Cadets performed an exercise protocol of 30 repetitions of weighted shoulder motion in the frontal plane. Shoulder and scapular musculature strength measurements were recorded prior to and immediately following the exercise protocol using hand-held dynamometry. The scapular dyskinesis test was performed prior to the exercise protocol and during the last five repetitions of the exercise protocol. Results Prior to the exercise, protocol 3/30 were categorized with scapular dyskinesis on the left side and 3/30 were categorized with scapular dyskinesis on their right side. Following the exercise, protocol 8/30 were categorized with left-side scapular dyskinesis (χ2 = 9.167, P = 0.002) and 6/30 with right-side dyskinesis (χ2 = 4.537, P = 0.033). Shoulder strength decreased following the exercise protocol for all participants. The participants that developed scapular dyskinesis were weaker than those with normal scapular motion. However, the difference did not reach statistical significance. Participants graded with obvious scapular dyskinesis following the exercise protocol reported higher Quick Disabilities of the Arm Shoulder and Hand scores (P = 0.04) and lower scores on the Pennsylvania Shoulder Score (P = 0.005). Conclusions Repeated shoulder motion increased the frequency of scapular dyskinesis in army ROTC cadets. The cadets that developed scapular dyskinesis also reported greater disability and lower function of the upper extremity. The results provide a link between scapular dyskinesis, upper extremity function, and the strength of the scapular stabilizing muscles. Improving the strength of the scapular stabilizing musculature might reduce the effects of repeated arm motions.
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Hickey, Darren, Veronica Solvig, Vinicius Cavalheri, Meg Harrold, and Leanda Mckenna. "Scapular dyskinesis increases the risk of future shoulder pain by 43% in asymptomatic athletes: a systematic review and meta-analysis." British Journal of Sports Medicine 52, no. 2 (July 22, 2017): 102–10. http://dx.doi.org/10.1136/bjsports-2017-097559.
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BackgroundIt is unclear whether the presence of scapular dyskinesis increases the risk of developing shoulder pain in asymptomatic athletes.ObjectivesTo determine whether the presence of scapular dyskinesis in asymptomatic athletes increases the risk of developing shoulder pain by systematic review and meta-analysis.MethodsA systematic search was conducted in the Cochrane Library, Embase, PubMed, Cumulative Index to Nursing and Allied Health Literature, Allied and Complementary Medicine Database and SPORTDiscus. Prospective studies that assessed athletes for scapular dyskinesis and recorded incidents of shoulder pain were included. Study quality was assessed using the Downs and Black checklist. Meta-analysis was conducted to derive a pooled risk ratio (RR) for the development of shoulder pain in athletes with scapular dyskinesis compared with those without scapular dyskinesis.ResultsFive studies were included with a total of 419 athletes. Of the athletes with scapular dyskinesis, 35% (56/160) experienced shoulder pain during the follow-up, whereas 25% (65/259) of athletes without scapular dyskinesis experienced symptoms. The presence of scapular dyskinesis at baseline indicated a 43% increased risk of a shoulder pain event over a 9 to 24 months follow-up (RR=1.43, 95% CI 1.05 to 1.93).ConclusionsAthletes with scapular dyskinesis have 43% greater risk of developing shoulder pain than those without scapular dyskinesis.
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Tate, Angela R., Philip McClure, Stephen Kareha, Dominic Irwin, and Mary F. Barbe. "A Clinical Method for Identifying Scapular Dyskinesis, Part 2: Validity." Journal of Athletic Training 44, no. 2 (March 1, 2009): 165–73. http://dx.doi.org/10.4085/1062-6050-44.2.165.
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Abstract Context: Although clinical methods for detecting scapular dyskinesis have been described, evidence supporting the validity of these methods is lacking. Objective: To determine the validity of the scapular dyskinesis test, a visually based method of identifying abnormal scapular motion. A secondary purpose was to explore the relationship between scapular dyskinesis and shoulder symptoms. Design: Validation study comparing 3-dimensional measures of scapular motion among participants clinically judged as having either normal motion or scapular dyskinesis. Setting: University athletic training facilities. Patients or Other Participants: A sample of 142 collegiate athletes (National Collegiate Athletic Association Division I and Division III) participating in sports requiring overhead use of the arm was rated, and 66 of these underwent 3-dimensional testing. Intervention(s): Volunteers were viewed by 2 raters while performing weighted shoulder flexion and abduction. The right and left sides were rated independently as normal, subtle dyskinesis, or obvious dyskinesis using the scapular dyskinesis test. Symptoms were assessed using the Penn Shoulder Score. Main Outcome Measure(s): Athletes judged as having either normal motion or obvious dyskinesis underwent 3-dimensional electromagnetic kinematic testing while performing the same movements. The kinematic data from both groups were compared via multifactor analysis of variance with post hoc testing using the least significant difference procedure. The relationship between symptoms and scapular dyskinesis was evaluated by odds ratios. Results: Differences were found between the normal and obvious dyskinesis groups. Participants with obvious dyskinesis showed less scapular upward rotation (P < .001), less clavicular elevation (P < .001), and greater clavicular protraction (P = .044). The presence of shoulder symptoms was not different between the normal and obvious dyskinesis volunteers (odds ratio = 0.79, 95% confidence interval = 0.33, 1.89). Conclusions: Shoulders visually judged as having dyskinesis showed distinct alterations in 3-dimensional scapular motion. However, the presence of scapular dyskinesis was not related to shoulder symptoms in athletes engaged in overhead sports.
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Giuseppe, Longo Umile, Risi Ambrogioni Laura, Alessandra Berton, Vincenzo Candela, Carlo Massaroni, Arianna Carnevale, Giovanna Stelitano, et al. "Scapular Dyskinesis: From Basic Science to Ultimate Treatment." International Journal of Environmental Research and Public Health 17, no. 8 (April 24, 2020): 2974. http://dx.doi.org/10.3390/ijerph17082974.
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Background: This study intends to summarize the causes, clinical examination, and treatments of scapular dyskinesis (SD) and to briefly investigate whether alteration can be managed by a precision rehabilitation protocol planned on the basis of features derived from clinical tests. Methods: We performed a comprehensive search of PubMed, Cochrane, CINAHL and EMBASE databases using various combinations of the keywords “Rotator cuff”, “Scapula”, “Scapular Dyskinesis”, “Shoulder”, “Biomechanics” and “Arthroscopy”. Results: SD incidence is growing in patients with shoulder pathologies, even if it is not a specific injury or directly related to a particular injury. SD can be caused by multiple factors or can be the trigger of shoulder-degenerative pathologies. In both cases, SD results in a protracted scapula with the arm at rest or in motion. Conclusions: A clinical evaluation of altered shoulder kinematics is still complicated. Limitations in observing scapular motion are mainly related to the anatomical position and function of the scapula itself and the absence of a tool for quantitative SD clinical assessment. High-quality clinical trials are needed to establish whether there is a possible correlation between SD patterns and the specific findings of shoulder pathologies with altered scapular kinematics.
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Yeşilyaprak, Sevgi Sevi, Ertuğrul Yüksel, and Serpil Kalkan. "Influence of Pectoralis Minor Muscle and Upper Trapez Muscle Tightness in Scapular Dyskinesis." Orthopaedic Journal of Sports Medicine 2, no. 11_suppl3 (November 1, 2014): 2325967114S0014. http://dx.doi.org/10.1177/2325967114s00149.
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Objectives: Alterations in scapular kinematics were found in individuals with shoulder problems compared with healthy individuals. These alterations in scapular kinematics such as changes in the normal position or any abnormal motion of the scapula during active motions are defined as “’Scapular Dyskinesis (SD)”. Relationship between tight muscles and scapular kinematics has been investigated. Pectoralis Minor Muscle Tightness (PMMT) effects scapular motion and make changes in scapular kinematics. Although there are some studies indicating a possible relationship between PMM or Upper Trapezius Muscle Tightness (UTMT) and SD, this relationship hasn’t been investigated yet. The aim of this study was to evaluate the influence of PMMT and UTMT on SD in an asymptomatic population. Methods: One-hundred-eleven participants (mean age: 22.73±3.45 years old, 222 arms, 42 Female-69 Male) were recruited. Subjects were eligible if they were ≥18 years of age, having active full shoulder motion and who has no health problem to hinder them from participate. Individuals with symptoms produced by cervical spine motion, impingement syndrome, frozen shoulder, shoulder instability and a history of shoulder fracture/surgery were excluded. Scapular Dyskinesis Test (SDT) was used to identify SD. PMMT was determined by Pectoralis Minor Index (PMI), UTMT by UTMT Test. Logistic regression analysis performed to ascertain the effects of PMMT and UTMT on the likelihood that participants have SD. Results: SD was identified in 62 arms (27.9%), PMMT in 32 arms (14.4%), and UTMT in 75 arms (33.8%) in total number of participants. PMMT was determined in 23 arms (37.1%) and UTMT in 39 arms (62.9%) in participants with SD. The logistic regression model was statistically significant, X2=65.472, p<.000, df= 2. The model explained 36.8% (Nagelkerke R2) of the variance in SD and correctly classified 78.4% of cases. The Wald criterion demonstrated that both PMMT and UTMT made a significant contribution to prediction (p<0.000 for PMMT, p<0.000 for PMMT). People who have PMMT were 13.76 times more likely to exhibit SD than people who haven’t. People who have UTMT were 7.59 times more likely to exhibit SD than people who haven’t. Conclusion: It was determined that people with PMMT and UTMT are more likely to exhibit SD than people who have normal muscle length in this asymptomatic population. Assessment of PMMT and UTMT could be included as a routine part of the scapula and scapular dyskinesia examination. This investigation should be repeated in symptomatic population who has shoulder problems. The effects of various interventions for lengthening these muscles in scapular dyskinesia, needs further research.
Dissertations / Theses on the topic "Scapular Dyskinesis"
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Verster, Jaco. "A structured light solution for detecting scapular dyskinesis." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29297.
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Scapular dyskinesis is a common occurrence in overhead athletes, i.e. athletes who participate in any sport where the upper arm and shoulder is used above the athlete’s head. However, no consensus has been reached on how to evaluate scapular dyskinesis quantitatively. In this thesis, we developed a measuring tool that can be used to evaluate certain key clinical parameters specific to scapular dyskinesis. The tool employs a 3D structured light computer vision approach to create a surface map of the soft-tissue across the scapula. This surface map is then analysed using surface curvature analysis techniques to identify the key clinical parameters associated with scapular dyskinesis. The main advantage of this method is that it provides a measurement tool that may facilitate future quantitative analysis of these key parameters. This may aid with diagnosis and monitoring of the condition by allowing measurement data to be collected both before and after treatment and rehabilitation. We expect that this tool will make the monitoring of treatment effectiveness easier while contributing to diagnostic computer vision.
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Raikes, Adam. "The Reliability and Diagnostic Accuracy of the Yes/No Scapular Dyskinesis Test When Used By Graduate Assistant Athletic Trainers." DigitalCommons@USU, 2012. https://digitalcommons.usu.edu/etd/1203.
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Context: Scapular motion evaluation is a necessary component of the upper extremity exam. Several methods exist, but most lack good reliability or diagnostic accuracy. The yes/no scapular dyskinesis test has the best of both measures but is untested on inexperienced clinicians. Objective: The purpose of this study was to evaluate the reliability and diagnostic accuracy of the yes/no scapular dyskinesis test when used by graduate assistant athletic trainers. Participants: The participants were college-aged students with no prior history of upper extremity fracture or nerve injury. Data Collection and Results: Participants were evaluated for scapular dyskinesis by a physician and 10 graduate assistant athletic trainers. Ratings were for normal or dyskinetic and then determination of side. Reliability was calculated using Gwet’s AC1 statistic and diagnostic accuracy from standard 2x2 contingency tables. Results: Reliability was moderate (AC1 = 0.48, p < 0.0025, 95% CI [0.147, 0.812]) when side was not accounted for and moderate (AC1 = 0.43, p < 0.0001, 95% CI [0.242, 0.632]) when side-per-side decisions were made. Sensitivity and negative predictive values were low to moderate (34.4%-66.2%, 8.9%-74.1% ). Specificity and positive predictive values were moderate to high (50%-85.2%, 51.5%-95.2%). Accuracy was moderate (65.2%-69.4%) and positive and negative likelihood ratios were low (1.325-2.333, 0.675-0.769). Conclusions: The reliability in this study was on par with previously published studies. Measures of diagnostic accuracy met or exceeded previous results. Clinically, to avoid false negative results and enhance the use of positive results, it appears necessary to combine methods and begin the evaluation with a gross assessment of whether or not dyskinesis is present and if it is to then evaluate which side is dyskinetic.
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Seitz, Amee. "Mechanisms of Rotator Cuff Disease: Alterations of Scapular Kinematics on Subacromial Space." VCU Scholars Compass, 2010. http://scholarscompass.vcu.edu/etd/2271.
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Rotator cuff disease is multi-factored and has been attributed to both intrinsic and extrinsic factors. Extrinsic factors contribute to compression of the rotator cuff tendons. Intrinsic factors that contribute to rotator cuff tendon degradation with tensile/shear overload include alterations in biology, mechanical properties, morphology, and vascularity. Subacromial impingement is related to factors that encroach upon the subacromial space, while internal impingement affects the articular side of the tendons adjacent to glenoid. While the mechanisms of impingement are varied, further research is necessary to improve treatment and patient outcomes. Chapter 2 is a thorough review of literature on the mechanisms of rotator cuff disease. Alterations in scapular kinematics may influence subacromial space and either contribute to the etiology of subacromial impingement with rotator cuff tendon compression or serve as a compensation to alleviate compression. Furthermore alterations in scapular position may directly influence rotator cuff muscle strength. Chapter 3 compares the influence of the scapular assistance test on scapular upward rotation, posterior tilt, subacromial space, and shoulder strength between healthy individuals and subjects with subacromial impingement syndrome. Scapular upward rotation and posterior tilt induced with scapular assistance test appears to influence subacromial space, but not shoulder muscle strength; however, the influence of these scapular rotations do not differ between asymptomatic individuals and those with subacromial impingement. Furthermore scapular posterior tilt appears to have a greater influence on increasing subacromial space and should be emphasized in the treatment of individuals with subacromial impingement. In chapter 4, we examine the influence that obvious scapular dyskinesis and passive scapular correction with the scapular assistance test have on 3D scapular kinematics and subacromial space. Scapular dyskinesis did not alter scapular kinematics or acromiohumeral distance during active elevation in static positions, in the scapular plane, and without a load when compared to those without scapular dyskinesis. This suggests other contributing factors, such as pain, increased load, or fatigue is requisite to alterations in scapular kinematics or AHD. Passive correction with the scapular assistance test increased scapular upward rotation, posterior tilt, and subacromial space in individuals with and without dyskinesis. In patients with obvious dyskinesis, there was a greater increase in scapular upward rotation with passive scapular assistance. This increased scapular upward rotation had a negative relationship with change in the acromiohumeral distance. The scapular dyskinesis test increased acromiohumeral distance and therefore may be helpful identifying individuals where subacromial compression is producing symptoms, regardless of dyskinesis. The results of this research suggest scapular kinematics and subacromial space are altered with the passive maneuver of the scapular assistance test in all individuals, regardless of subacromial impingement syndrome or scapular dyskinesis. Scapular dyskinesis alone may not be detrimental to scapular position and subacromial space when evaluated in static positions of active arm elevation. Other potential factors may be required to alter scapular kinematics to reduce subacromial space including pain, dynamic movement, load or fatigue. Further study is necessary to determine the influence of the combination of these factors in individuals with scapular dyskinesis.
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Goytia, Vasquez Erik Marcelo. "Pilotstudie om förekomst av skapulär dyskinesi hos fysiskt aktiva kvinnor med spänningshuvudvärk." Thesis, Linnéuniversitetet, Institutionen för idrottsvetenskap (ID), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-76018.
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ABSTRAKT INTRODUKTION: Huvudvärk av spänningstyp (HST) är den vanligaste huvudvärksformen som diagnostiseras och representerar 90 % av fallen som söker sjukvård med huvudvärk och nästan nio av tio kvinnor drabbas av denna typ av huvudvärk någon gång i livet. Skapulär dyskinesi (SD) som beskriver positionsskillnad mellan skulderbladen kan orsakas av olika faktorer och är ett tillstånd som kan vara osymptomatiskt eller symptomatiskt. Den vanligaste orsaken är på grund av svaghet av de viktigaste skulderstabilisatorerna och sambandet mellan HST och SD är att i båda tillstånd ingår träning av styrka och uthållighet av nack- och skulderbladsmuskulatur. SYFTE: Syftet med arbetet är att undersöka förekomsten av skapulär dyskinesi hos fysisk aktiva kvinnor med huvudvärk av spänningstyp. METOD: För arbetet rekryterades fysisk aktiva kvinnor med huvudvärk från olika sportföreningar och kvinnor som sökte sig till öppenvården på Aleris Rehab Tullinge. Det användes en enkät som innehöll två delar. Första delen bestod av två frågor från enkäten Neck Disability Index (NDI) som skulle besvaras och andra delen av enkäten fylldes i av undersökaren efter en manuell isometrisk muskeltest av skuldrorna för att diagnostisera SD. Totalt undersöktes 25 kvinnor med huvudvärk. Resultatet sammanställdes i diagram för bättre analys. RESULTAT: Av 25 fysiska aktiva kvinnor som drabbades av huvudvärk visade 23 kvinnor någon form av SD, vilket motsvarar 92 %. Vilken typ av SD var inte av intresse eftersom syftet var enbart att undersöka förekomsten av SD hos kvinnor med HST. KONKLUSSION: Fler studier rekommenderas mellan huvudvärk och skapulär dyskinesi eftersom eventuella fynd kan hjälpa fysioterapeuter att ändra eller justera deras träningssätt för att undvika och förebygga HST och SD för bättre prestation av idrottaren.ABSTRACT INTRODUCTION: Tension type headache (TTH) is the most common type of headache diagnosed and represents 90 % of cases seeking headache healthcare and nearly nine out of ten women suffer from this type of headache sometime in life. Scapular dyskinesia (SD) that describes the position difference between the shoulder blades can be caused by various factors and is a condition that may be symptomatic or symptomatic. The most common reason is the weakness of the main shoulder stabilizers, and the connection between TTH and SD is that in both states it includes training of strength and endurance of the neck and shoulder blades muscles. OBJECTIVE: The purpose of the work is to investigate the occurrence of scapular dyskinesia in physically active women with tension type headache. METHOD: For the study, physically active women were recruited with headaches from various sports associations and women who sought outpatient care at Aleris Rehab Tullinge. A survey was used that contained two parts. The first part consisted of two questions from the Neck Disability Index (NDI) questionnaire that were to be answered and the second part of the survey was filled in by the investigator following a manual isometric muscle test of the shoulders to diagnose SD. A total of 25 women with headache were examined. The result was compiled in charts for better analysis. RESULTS: Of 25 physical active women affected by headache, 23 women showed some form of SD, which represents 92 %. What kind of SD was not of interest because the purpose was to investigate the presence of SD in women with TTH. CONCLUSION: More studies are recommended between headache and scapular dyskinesia because any findings may help physiotherapists to change or adjust their training methods to avoid and prevent TTH and SD for better athletes performance.
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Nilsson, Rickard, and Anna Wettergren. "Påverkan av motorisk kontrollträning för skuldran : En litteraturstudie." Thesis, Luleå tekniska universitet, Institutionen för hälsovetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-61384.
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Introduktion: Motorisk kontrollträning bygger på motorisk inlärningsteori och används för att korrigera rörelsemönster. Metoden har utvärderats för nack- och ländryggbesvär men ingen sammanställning har gjorts för skuldran. Syfte: Syftet med denna litteraturstudien var att undersöka vilket vetenskapligt stöd som motorisk kontrollträning har för skuldran och dess påverkan på funktion, smärta och dyskinesi. Metod: Litteratursökningen gjordes i PubMed, Science Direct, Scopus, PEDro, SPORTDiscus och CINAHL. Sammanställning gjordes efter smärta, funktion och dyskinesi. Resultat: 13 studier inkluderades i denna sammanställning. Fem studier med RCT-design, tre tvärsnittsstudier och två case-studier, en A-B-A-design, en prospektiv single group pre-post design, en single-blind randomized controlled laboratory. Fyra studier hade ett interventionstillfälle och varade upp till en vecka. De övriga nio studierna varade 4-10 veckor. Nio studier identifierades för vardera utfallsmått. Smärta och funktion förbättrades i samtliga studier som undersökte de måtten efter intervention jämfört med baseline. Dyskinesi förbättrades i tre studier, en studie förblev oförändrad medan fem studier visade på blandade resultat för sina utfallsmått. Konklusion: Resultatet av denna litteraturstudie indikerar att motorisk kontrollträning har positiv påverkan på utfallsmåtten smärta och funktion. Gällande dyskinesi sågs positiva tendenser men ingen slutsats kan dras då det är en stor spridning gällande utfallsmått och resultat. Resultatet kan dock inte enbart tillskrivas motorisk kontrollträning. Standardiserade tester och utvärderingsinstrument för dyskinesi efterfrågas samt fler studier som undersöker utfallsmåtten smärta, funktion och dyskinesi tillsammans.
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Liljeblad, Eddie, and Alexander Pålsmarker. "Neuromuskulär kontroll och styrka iskulderbladsmuskulaturen : Kan fyra veckors intervention påverka upplevda besvär iaxlar och nacke hos unga simmare?" Thesis, Umeå universitet, Idrottsmedicin, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-137067.
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Bakgrund: Simning är en populär sport. De extrema repetitiva rörelserna som ingår i sporter med majoriteten av rörelserna över huvudet, som exempelvis simning, och otillräcklig stabilitet i axelleden resulterar ofta i överansträngning och skador. Ett vanligt syndrom är impingement och det har rapporterats att 40-91 % av alla simmare har eller upplever problem i axelleden eller de omkringliggande strukturerna. Syfte: Att undersöka om en intervention bestående av övningar för scapulas närliggande muskler i fyra veckor kan påverka upplevd smärta i axel och nacke hos unga simmare. Deltagare: Sexton unga simmare mellan åldrarna (13±2), bestående av (10 flickor och 6 pojkar) deltog. Alla deltagare utförde minst fyra simpass i veckan. Alla deltagare i studien upplever problematik i axel och/eller nacke. Metod: Deltagarna fick fylla i ett (SRQ-S) formulär och genomgå ett Beighton-test. Alla deltagare instruerades i fyra olika övningar, syftet med övningarna var att öka neuromuskulär kontroll och styrka i axelns stabiliserande muskler. Alla övningar skulle utföras innan träningspass, minst en gång om dagen, i fyra veckor. Efter fyra veckors interventionen fick deltagarna fylla i ett nytt (SRQ-S) formulär, den totala poängen innan och efter jämfördes. Resultat: (SRQ-S) formulären resulterade i en signifikant skillnad (p=0,0005) mellan innan och efter interventionen. Majoriteten av deltagarna rapporterade ett högre välmående i axel och/eller nacke. Konklusion : Majoriteten av deltagarna upplevde minskad problematik i axel och/eller nacke efter fyra veckors interventionen. Det visar på att det finns ett samband mellan ökad axel stabilisering och minskad upplevd smärta i axel/nacke. Dock kan denna studie inte komma till en säker konklusion då vidare undersökning måste göras i detta område.Background : Competitive swimming is a popular sport. The extreme repetitive motions that overhead-sports implies, like swimming, and inadequate stability in the shoulder joint often results in overexertions and injuries. A common condition is impingement syndrome and it has been reported that 40-91% of all swimmers have or experience problems in the shoulder joint or in the surrounding structures. Purpose : To investigate whether an intervention consisting of exercises for scapulas nearby muscles for four weeks can affect perceived distress in the shoulders and neck of young swimmers. Participants : Sixteen young swimmer between the age of (13±2), consisting of (10 females and 6 males) volunteered to participate. All the participants are performing at least four sessions of swimming a week. All the participants in the study are experiencing trouble in their neck or/and shoulders. Method : The participants had to fill in a (SRQ-S) form and do a Beighton-test. Participants were instructed in four different exercises, the purpose of the exercises were to increase neuromuscular control and strength in the shoulder stabilizing muscles. All exercise were to be performed before every session of swimming, at least once a day, for four weeks. After the four weeks of intervention the participants had to fill in a new (SRQ-S) form, the before and after score were compared. Results : The (SRQ-S) formulas resulted in a significant difference (p=0,0005) between before and after the intervention. The majority of the participants reported also a higher prosperous in their shoulder and/or neck area. Conclusion: The majority of the participant experienced less discomfort in their shoulder and neck area after the four weeks of intervention. There seems to be a relationship between increased shoulder stability and decrease in discomfort in the shoulder/neck. However this study can not come to a secure conclusion and further investigation has to be made in this area.
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Mata, Maria Francisca da Rocha. "As diferenças na função do ombro e posição escapular entre futebolistas e não praticantes de futebol." Bachelor's thesis, [s.n.], 2017. http://hdl.handle.net/10284/6244.
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Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em FisioterapiaIntrodução: Os desportos que implicam a utilização dos membros superiores apresentam um maior risco, no desenvolvimento de lesões no complexo articular do ombro. Objetivo: verificar se existem alterações na posição escapular, de jogadores de futebol induzidas pela prática desportiva, e se estas influenciam a funcionalidade normal do ombro. Metodologia: Trinta indivíduos dos 16 aos 30 anos, foram divididos em dois grupos de 15, um grupo de futebolistas e outro não futebolistas. Em ambos os grupos foi avaliada a amplitude de rotação interna e externa do ombro, utilizando uma câmara digital e o software Kinovea, e o comprimento muscular do pequeno peitoral. O posicionamento escapular foi observado através da aplicação do Lateral Scapular Slide Test (LSST), com a ajuda de um paquímetro, e por último, foi testada a força isométrica dos rotadores dos ombros através do dinamómetro de força. Resultados: nos dois grupos estudados, não existem diferenças estatisticamente significativas em todas as variáveis observadas (p ≤0,05). No grupo dos futebolistas, verificou-se maior défice nas variáveis estudadas nos jogadores guarda-redes. Conclusão: o futebol não tem grande influência na função do complexo articular do ombro e no posicionamento escapular.
Introduction: The sports which involve the use of the upper limbs present a higher risk in the development of lesions in the shoulder joint complex. Objective: to verify if there are changes in the shoulder position, of footballers induced by sport, and if these influence the normal functionality of the shoulder. Methods: Thirty individuals from 16 to 30 years, were divided into two groups of 15, a group of football players and other non-footballers. In both groups was assessed the extent of internal and external rotation of the shoulder using a digital camera in the software and the muscle length Kinovea little chest. The scapular positioning was observed through the application of Scapular Lateral Slide Test (LSST) with the help of a caliper, and finally tested the isometric strength of the shoulder rotators through the dynamometer. Results: in both groups studied, there are no statistically significant differences in all the variables observed (p ≤ 0.05). The Group of footballers, there was greater deficit in the variables studied in the players. Conclusion: football has no great influence on the function of the shoulder joint and complex in the scapular positioning.
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Engström, Karolina, and Karin Olsson. "Scapulafokuserad träning hos crossfitutövare med subacromiell smärta : en single-subject studie." Thesis, Högskolan Dalarna, Medicinsk vetenskap, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:du-34369.
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Bakgrund: Subacromiell smärta är vanligt hos idrottare med repetitivt arbete ovan axelhöjd, vilket kan orsakas av obalans i muskulatur, förändrad position eller inskränkt rörlighet av scapula. Nedsatt funktion av scapula och dess stabilitet kan leda till minskad axelledsrörlighet och försvagad muskultur i området. Träning är förstahandsalternativet för minskad smärta, förbättrad funktion och ökad rörlighet vid subacromiell smärta. Behandling med scapulafokuserad träning har i dagsläget otillräcklig evidens. Mer studier behövs för att avgöra vilken nedsättning av scapula som den typ av träning påverkar och hur olika scapula fokuserade interventioner påverkar subacromiell smärta. Syfte: Syftet med studien var att undersöka effekten av kombinationsövningen ”shoulder dislocations” vad gäller scapulakontroll, aktiv utåtrotation i axelled och smärta hos crossfitutövare med subacromiell smärta. Metod: Single-subject metod med AB design användes till studien. Tre baslinjemätningar och fyra mätningar under interventionsfasen gjordes, där scapulakontrollen och aktiv utåtrotation i axeln mättes samt smärtskattning utfördes. Deltagarna var sin egen kontroll. Populationen var personer som tränade crossfit vid minst tre tillfällen per vecka med subacromiell smärta. Under interventionen utför deltagarna ”shoulder dislocation” tre gånger per vecka med doseringen tio repetitioner i tre set. Resultatet presenterades i grafer och analyserades visuellt. Resultat: Fyra deltagare inkluderades i studien varav en med bilaterala besvär. Samtliga deltagare förbättrade scapulakontrollen, fyra av fem deltagare förbättrade den aktiva utåtrotationen i axelled. Tre av fem deltagare upplevde minskad smärta under träning och vid mättillfället. Slutsats: ”Shoulder dislocation” tycks förbättra scapulakontrollen, aktiv utåtrotation i axelleden hos crossfitutövare med subacromiell smärta och tendens till minskad smärta.Background: Subacromial pain is common among overhead athletes, which can lead to muscular imbalance, changed position or decreased mobility of scapula. Reduced function and stability of scapula could lead to decreased shoulder mobility and weakened musculature in the area. Exercise is first hand choice to reduce pain, improve function and increase range of motion at subacromial pain. Treatment with scapular focused exercise is today limited. More studies are needed to determine what kind of reduction of scapula this exercise influences and how different scapular focused interventions affect subacromial pain. Aim: The purpose of the study was to examine the effect of the combination exercise ”shoulder dislocations” in terms of scapula control, active external rotation in the glenohumeral joint and pain in crossfit athletes with subacromial pain. Method: Single-subject method with AB design was used in the study. Three baseline measurements and four measurements during the intervention phase was collected, where control of scapula, active external rotation and pain was measured. Participants were their own control. The population was individuals who trained crossfit at least three times a week and had subacromial pain. During the intervention the participants performed ”shoulder dislocations”. Performing three sets of ten repetitions three times a week. The results were presented in graphs and visually analyzed. Results: Four participants were included in the study whereof one had bilateral disorders. All participants increased control of scapula, four out of five increased active external rotation of the glenohumeral joint. Three out of five participants experienced pain reduction during exercise and at the time of measurement. Conclusion: ”Shoulder dislocations” seems to improve control of scapula and active external range of motion of the glenohumeral joint in crossfit athletes with subacromial pain.
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Carneiro, João. "Cervicalgia e discinesia escapular, estudo eletromiográfico." Bachelor's thesis, [s.n.], 2017. http://hdl.handle.net/10284/6247.
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Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em FisioterapiaObjectivo: O objetivo do presente estudo é averiguar as possíveis diferenças na atividade eletromiográfica dos músculos trapézio superior, trapézio inferior e serrátil anterior entre os participantes que reportaram história de dor na região cervical, comparativamente aos que não reportaram dor na região cervical, assim como entre os participantes que apresentavam discinesia escapular, comparativamente aos que não apresentavam. Metodologia: integraram o estudo 41 participantes de ambos os sexos, com e sem sintomatologia álgica cervical, assim como com e sem discinesia escapular. A atividade eletromiográfica foi avaliada durante uma tarefa de abdução no plano da escápula. Resultados: Não foram observadas diferenças significativas relativamente à actividade electromiogrâfica dos músculos trapézio superior, trapézio inferior e serrátil anterior, entre participantes com e sem cervicalgia e entre participantes com e sem discinesia escapular. Conclusão: A existência de cervicalgia, bem como de discinesia escapular não influencia a actividade elctromiogrâfica dos músculos trapézio superior, trapézio inferior e serrátil anterior na amostra estudada.
Aim: The aim of the present study is to investigate possible differences in electromyographic activity of the upper trapezius, lower trapezius and serratus anterior among participants who reported a history of pain in the cervical region, compared to those who did not report pain in the cervical region, as well as between the participants who presented scapular dyskinesia, compared to those who did not presente the condition. Methodology: 41 participants of both gender, with and without cervical symptomatology, as well as with and without scapular dyskinesia were included in the study. The electromyographic activity was evaluated during a task of abduction in the scapular plane. Results: No statistically significant differences were observed regarding the electromyographic activity of the upper trapezius, lower trapezius and anterior serratus muscles between participants with and without neck pain, and between participants with and without scapular dyskinesia. Conclusion: The existence of neck pain as well as scapular dyskinesia does not influence the elctromiographic activity of the upper trapezius, inferior trapezius and serratus muscles in the present sample.
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Huang, Tsun-Shun, and 黃崇舜. "Scapular Dyskinesis: a Reliability and Validity Study of Novel Classification Test." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/50992039671921409419.
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碩士國立臺灣大學
物理治療學研究所
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Background: Scapular dyskinesis are observable alternations in scapular position and the patterns of motion. Shoulder kinematics and scapular muscular activities alternations were found to be correlated with many shoulder disorders. In previous studies, there were several evaluation methods to assess scapular dyskinesis. However, it was not sufficient; for instance, the scapular displacement from the trunk only provides static measurement, and difficulty of using complicated devices in clinical settings. Therefore, visual-based clinical assessment to identify scapular dyskinesis need to be developed. In this study, we want to develop a novel integrated test to evaluate patients with scapular dyskinesis for clinical use. Objective: The purpose of this study was to investigate the reliability and validity of the novel scapular dyskinesis classification test. Study Design: Sixty subjects with unilateral shoulder pain will be recruited in this study. We used visual-based assessment combined palpation to classify the scapular movement of participants as 8 patterns (3 single abnormal scapular patterns: inferior angle of scapula prominence (pattern I), medial border of scapula prominence (pattern II), superior border of scapula prominence or aberrant scapulohumeral rhythm (pattern III); 4 mixed abnormal scapular patterns: 2 patterns combined (pattern I and II, pattern II and III, pattern I and III) and all 3 patterns combined (pattern I, II, and III); normal scapular movement pattern (pattern IV)) to investigate the reliability and validity of this method. In validity part, we analyzed whether different patterns of scapular dyskinesis corresponding to the alternation of the scapular kinematics and muscular activities. Main outcome measures: (1) 8 patterns of scapular movement (2) Scapular kinematics (scapular upward/ downward rotation, anterior/ posterior tipping and internal/ external rotation, elevation/ depression). (3) Scapular muscular activities (upper/ middle/ lower trapezius and serratus anterior). (4) Muscle force. Results: The novel scapular dyskinesis classification test reached moderate to substantial inter-rater reliability. In validity part, there were less scapular upward rotation (7°) and elevation (1.7 cm) in pattern III group in raising phase, and there was more scapular internal rotation (5°~7°) in pattern II group in lowering phase. Results from EMG data only showed significant difference in serratus anterior muscle (raising: increase 15~19%; lowering: decrease 8%). Conclusion: The novel scapular dyskinesis classification test reached satisfactory reliability. The validity of this test has been demonstrated that the alternations of scapular kinematics were found mostly in specific pattern of scapular dyskinesis group compared with normal pattern group in raising and lowering phase of arm elevation. EMG showed that only the alternation of serratus anterior muscle activity was found, which may be consistent with the fact of distinctive strategy of using scapular muscles by each subject.
Book chapters on the topic "Scapular Dyskinesis"
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Griffiths, Emmet. "Scapular Dyskinesis." In Diagnostic Clusters in Shoulder Conditions, 189–96. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-57334-2_22.
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Warth, Ryan J., and Peter J. Millett. "Scapular Dyskinesis." In Physical Examination of the Shoulder, 219–39. New York, NY: Springer New York, 2015. http://dx.doi.org/10.1007/978-1-4939-2593-3_9.
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Panayiotou Charalambous, Charalambos. "Scapular Dyskinesis." In The Shoulder Made Easy, 529–40. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-98908-2_47.
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Cools, Ann M., Todd S. Ellenbecker, and Lori A. Michener. "Rehabilitation of Scapular Dyskinesis." In Disorders of the Scapula and Their Role in Shoulder Injury, 179–92. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-53584-5_16.
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Ben Kibler, W., and Aaron Sciascia. "Scapular Dyskinesis in Athletes." In Sports Injuries of the Shoulder, 71–97. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-23029-6_4.
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Ben Kibler, W., and Aaron D. Sciascia. "Scapular Dyskinesis and Glenohumeral Instability." In Disorders of the Scapula and Their Role in Shoulder Injury, 79–89. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-53584-5_7.
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Sciascia, Aaron, and W. Ben Kibler. "Scapular Dyskinesis: Part I. Overhead Athletes." In Sports Injuries to the Shoulder and Elbow, 141–56. Berlin, Heidelberg: Springer Berlin Heidelberg, 2015. http://dx.doi.org/10.1007/978-3-642-41795-5_14.
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PARK, Jin-Young, and Jung-Taek Hwang. "Scapular Dyskinesis: Part II. A New Diagnostic Modality – Three-Dimensional Wing CT." In Sports Injuries to the Shoulder and Elbow, 157–66. Berlin, Heidelberg: Springer Berlin Heidelberg, 2015. http://dx.doi.org/10.1007/978-3-642-41795-5_15.
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Duncan, Scott F. M., and Christopher W. Flowers. "Scapular Dyskinesia (Periscapular and Rotator Cuff Strengthening)." In Therapy of the Hand and Upper Extremity, 43–44. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-14412-2_12.
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Cools, Ann, Kristof De Mey, Annelies Maenhout, and Annemie Vande Velde. "De revalidatie van scapulaire dyskinesie bij patiënten met schouderklachten." In Jaarboek Fysiotherapie Kinesitherapie 2013, 61–73. Houten: Bohn Stafleu van Loghum, 2013. http://dx.doi.org/10.1007/978-90-313-9173-8_4.
Full textConference papers on the topic "Scapular Dyskinesis"
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Verster, Jaco, Sudesh Sivarasu, Tinashe Mutsvangwa, and Janine Gray. "A Surface Curvature Technique for Analysing Scapular Dyskinesis." In 2019 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2019. http://dx.doi.org/10.1115/dmd2019-3275.
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Scapular dyskinesis is a common occurrence in overhead athletes, i.e. athletes who participate in any sport where the upper arm and shoulder is used above the athlete’s head. However, no consensus has been reached on how to evaluate scapular dyskinesis quantitatively. This article describes the development of a measurement technique that can be used to evaluate certain key clinical parameters specific to scapular dyskinesis. The technique employs a 3D structured light computer vision approach to create a surface map of the soft-tissue across the scapula. This surface map is then analyzed using a surface curvature analysis to identify the key clinical parameters associated with scapular dyskinesis. The main advantage of this method is that it provides a marker-less 3D approach. This may aid with diagnosis and monitoring of scapular dyskinesis by allowing measurement data to be collected both before and after treatment and rehabilitation. We expect that this technique will make the monitoring of treatment effectiveness easier while contributing to diagnostic computer vision.
Reports on the topic "Scapular Dyskinesis"
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Chen, Yue, Yimei Hu, Panyun Mu, Yanni Zhou, Feng Jie, Peihua Qu, Feng Xiong, and Xu Ma. Do traverse-couple trainings improve proprioception in patients with scapular dyskinesis ? A systematic review with meta-analyses. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, December 2020. http://dx.doi.org/10.37766/inplasy2020.12.0059.
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