Cargando…

Scapular Dyskinesia, the forgotten culprit of shoulder pain and how to rehabilitate

The improper movement of the scapula during shoulder movement is termed scapular dyskinesis 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; which is a major determinant of the ef...

Descripción completa

Detalles Bibliográficos
Autores principales: Panagiotopoulos, Andreas Christos, Crowther, Ian Martyn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: EDP Sciences 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6701878/
https://www.ncbi.nlm.nih.gov/pubmed/31430250
http://dx.doi.org/10.1051/sicotj/2019029
_version_ 1783445126422462464
author Panagiotopoulos, Andreas Christos
Crowther, Ian Martyn
author_facet Panagiotopoulos, Andreas Christos
Crowther, Ian Martyn
author_sort Panagiotopoulos, Andreas Christos
collection PubMed
description The improper movement of the scapula during shoulder movement is termed scapular dyskinesis 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; which is a major determinant of the efficiency and efficacy of the upper limb. We provide an overview of the complex regional anatomy of the shoulder girdle and how this allows the scapula to act as a both a dynamic and static stabilizer to the upper limb. We explore the normal biomechanics and the aetiology, epidemiology and pathological occurrences which can disrupt the normal function and lead to scapula dyskinesis. Scapula dyskinesis is a poorly understood condition and provides a challenge for the clinician in both diagnosis and management. We provide a summary of the clinical assessment which is most likely to identify the source of the pathology and guides the treatment which is largely rehabilitation of the musculature with focused and specialized physiotherapy.
format Online
Article
Text
id pubmed-6701878
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher EDP Sciences
record_format MEDLINE/PubMed
spelling pubmed-67018782019-09-05 Scapular Dyskinesia, the forgotten culprit of shoulder pain and how to rehabilitate Panagiotopoulos, Andreas Christos Crowther, Ian Martyn SICOT J Review Article The improper movement of the scapula during shoulder movement is termed scapular dyskinesis 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; which is a major determinant of the efficiency and efficacy of the upper limb. We provide an overview of the complex regional anatomy of the shoulder girdle and how this allows the scapula to act as a both a dynamic and static stabilizer to the upper limb. We explore the normal biomechanics and the aetiology, epidemiology and pathological occurrences which can disrupt the normal function and lead to scapula dyskinesis. Scapula dyskinesis is a poorly understood condition and provides a challenge for the clinician in both diagnosis and management. We provide a summary of the clinical assessment which is most likely to identify the source of the pathology and guides the treatment which is largely rehabilitation of the musculature with focused and specialized physiotherapy. EDP Sciences 2019-08-20 /pmc/articles/PMC6701878/ /pubmed/31430250 http://dx.doi.org/10.1051/sicotj/2019029 Text en © The Authors, published by EDP Sciences, 2019 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Panagiotopoulos, Andreas Christos
Crowther, Ian Martyn
Scapular Dyskinesia, the forgotten culprit of shoulder pain and how to rehabilitate
title Scapular Dyskinesia, the forgotten culprit of shoulder pain and how to rehabilitate
title_full Scapular Dyskinesia, the forgotten culprit of shoulder pain and how to rehabilitate
title_fullStr Scapular Dyskinesia, the forgotten culprit of shoulder pain and how to rehabilitate
title_full_unstemmed Scapular Dyskinesia, the forgotten culprit of shoulder pain and how to rehabilitate
title_short Scapular Dyskinesia, the forgotten culprit of shoulder pain and how to rehabilitate
title_sort scapular dyskinesia, the forgotten culprit of shoulder pain and how to rehabilitate
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6701878/
https://www.ncbi.nlm.nih.gov/pubmed/31430250
http://dx.doi.org/10.1051/sicotj/2019029
work_keys_str_mv AT panagiotopoulosandreaschristos scapulardyskinesiatheforgottenculpritofshoulderpainandhowtorehabilitate
AT crowtherianmartyn scapulardyskinesiatheforgottenculpritofshoulderpainandhowtorehabilitate