It can thus be found in healthy individuals or be responsible for a syndrome characterised by several symptoms and objective findings, called SICK, which indicates the main features of the disease. Our purpose is to describe the anatomical, pathogenetic and clinical characteristics of the condition, and to highlight the appropriate management. Discussion The vast majority of patients with scapular dyskinesis were overhead athletes, particularly baseball, rugby, tennis and volleyball players. Treatment is based on rehabilitation, using numerous exercises for activating scapulothoracic muscles. However, few studies report the results of the rehabilitative therapy.
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Br J Sports Med. Epub Dec 8. Current concepts: scapular dyskinesis. The scapula serves many roles in order for proper shoulder function to occur. 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. Each role is vital to proper arm function and can only occur when the anatomy around the shoulder is uncompromised.
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 rather than a specific response to certain glenohumeral pathology. The presence or absence of scapular dyskinesis needs to be determined during the clinical examination. 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.
Treatment of scapular dyskinesis should begin with optimised anatomy and then progress to the restoration of dynamic scapular stability by strengthening of the scapular stabilisers utilising kinetic chain-based rehabilitation protocols.
Current concepts: scapular dyskinesis.
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