Scapular Dyskinesia

Question 1

Etiologu of scapular dyskinesia

Answer 1

mm stiffness
lig stiffness
arthritis
bony factors
jt pathologies
scapular neuropathies

Question 2

How to measure ant head carriage

Answer 2

bottom line- horizon

angled line- point between c7 or t1 and the centre of the tragus

Question 3

What mm may have have neural inhibition in upper crossed syndrome

Answer 3

The weaker mm

so ant cerv mm and lower back ones

Question 4

Normal scapulo humeral rythem

Answer 4

Involves scapulothoracic and genohumeral motion

The scapular and humerus move in a 1:2 ratio
-when the arm is abducted 180 degrees, 6 degrees occurs by rot of the scapula and 12 by the rot of humerus in shoulder jt

Question 5

grade 1 thru 5 of mm testing

Answer 5

1- only fasiculation
2- only can move if gravity removed
3. can move against gravity
4. can move against mod resistence
5. can move against full resistance

Question 6

Common presenting symptoms of scapular winging

Answer 6

• post shoulder pain (may radiate down the arm or up ipsilateral neck)
• Pain
• ROM (limited forward elevation/abductuon)
• Weakness
• Sounds (clicking, catching, poping)

Question 7

What is a type 1 scapular dyskinesia

Answer 7

Inf medial border of scapular is obvious

usually pain during abduction and externally rotated pos

Question 8

What is the weak and tight mm in scapular dyskenesia

Answer 8

Weakness- Low trap, lat dorsi, serratus ant

Tight- pec minor/major

Question 9

What is a type 2 scapular dyskenesia and what is weak

Answer 9

Entire medial scapular border is post

weakness- rhomboids, serratus ant, traps

Question 10

What is a type 3 scapular dyskinesia and what is overactive/imballance

Answer 10

Sup medial scapular border of scapular is obvious
sup migration of scap

tightness- lev scap
Imbalance- upper + lower trap mm activity

Question 11

What is the isometric scapular pinch test and pos

Answer 11

hold scap isometric pinch for 15-20 sec

pos= burning pain or mm weakness

Question 12

Wall push up test and pos

Answer 12

test serratus ant strength (like push up plus)

-weakness 5-10

Question 13

what is lat scapular slide test and pos

Answer 13

Measure medial angle of scap to sp at resting, w hands on hip, arms @ 90 with int rot

> 1.5cm asymmetry is sig

Question 14

what is scapular assistance test and pos

Answer 14

stabalize scap with post pressure and help rotate inf scap

-sig reduction of symptoms and identify the weak/symptomatic mm will be pos

Question 15

What is scapular retraction test + pos

Answer 15

Stabalizes med border w hand, and pt elevates similar to neer impingement test

Pos- pt feel better GH motion and reduction of impingement symptos

Question 16

What is SICK scapula

Answer 16

Scapula malpos
inf medial border prominance
Coracoid pain and malposition
DysKinesia of scapular mvmt