Sahrmann Scapular Syndromes Flashcards
Scapular Downward Rotation:
Faulty Movement Pattern
-scap down rotates during GH flex/abd
Scapular Downward Rotation:
Faulty Recruitment Pattern
- Rhomb/levator too dominant
- decrease activity of serratus and trap
Scapular Downward Rotation:
Faulty Mm Length/Strength
Short: rhomb, levator, pec min, lats, delt
Long: upper trap, serratus
Scapular Downward Rotation:
Confirming Test
- observation of insufficient up rot
- passive up rot of scap during GH elevation eliminates symptoms
Scapular Downward Rotation:
Pain Problems
- GH impingement
- rotator cuff tear
- humeral subluxation
- TOS
Scapular Depression:
Faulty Movement Pattern
-Excessive scap depression
Scapular Depression:
Faulty Recruitment Pattern
- Low trap dominant
- recruitment of lats
Scapular Depression:
Faulty Mm Length/Strength
- Short: lats, pec major
- Long: upper trap, levator
Scapular Depression:
Confirming Tests
-passive elevation decrease Sx in neck and increases ROM of GH
Scapular Depression:
Pain Problems
- neck pain
- up trap pain
- GH impingement
Scapular Abduction:
Faulty Movement Pattern
-scap abducts excessively during elevation
Scapular Abduction:
Faulty Recruitment Pattern
- dominance of serratus over trap
- dominance of pec major/minor
Scapular Abduction:
Faulty Mm Length/Strength
- Short: pecs, delt
- Long/weak: mid/low trap, rhomboids, levator
Scapular Abduction:
Pain Problems
- GH impingement
- TOS
- humeral subluxation
Scapular Tilt:
Faulty Movement Pattern
-Tilt during GH elevation or return from elevation
Scapular Tilt:
Faulty recruitment Pattern
- Dominance of pec minor
- decreased activity of serratus, low trap
Scapular Tilt:
Faulty Mm Length/Strength
- Short: pec minor
- Long: serratus
Scapular Tilt:
Pain Problems
- GH impingement
- TOS
Scapular Winging:
Faulty Movement Pattern
-winging during GH elevation or return from elevation
Scapular Winging:
Faulty Recruitment Pattern
- dominance of pec minor
- dec activity serratus
- timing problem of low trap
Scapular Winging:
Faulty Mm Length/Strength
- Long/Weak: serratus
- Short: serratus (winging on return)
Scapular Winging:
Pain Problems
- GH impingement
- TOS
- GH subluxation
Scapular Elevation:
Faulty Movement Pattern
-excessive scap elevation during GH elevation
Scapular Elevation:
Faulty Movement Pattern
- Dominant upper trap
- dominant rhomboids
Scapular Elevation:
Faulty Mm Length/Strength
-Short: upper trap, levator, rhomboids, GH medial rotators
Scapular Elevation:
Pain Problems
- cervical pain
- upper trap/levator pain
