The scapula is a link in the kinetic chain that transfers energy from the legs and core into the arm; if that link is weak, the arm has to work twice as hard.
Teaching on assessment, testing, investigation, diagnosis and physiotherapy treatment of scapular dyskinesis








Scapular dyskinesis refers to an alteration in the normal motion of the shoulder blade. The term is derived from 'dys,' meaning alteration, and 'kinesis,' meaning motion. It is characterized by movement patterns like winging or hitching during shoulder elevation. Rather than being a specific disease or diagnosis, it is considered a movement impairment that often acts as a signal for underlying issues within the shoulder system.
While scapular dyskinesis is highly prevalent in those with shoulder injuries—appearing in 64% to 100% of cases—it is not always linked to pain. Research indicates that approximately 27% of individuals with no shoulder pain also exhibit these exact movement patterns. Because abnormal motion can be normal for some, clinicians must use a framework that connects these movement patterns to the patient's specific pain and functional limitations.
Assessment involves moving beyond just observing the shoulder to determine if the scapula is a 'victim' of a bad joint or the 'culprit' causing the trouble. Physical therapy assessment focuses on whether the dyskinesis is an impairment related to the patient's symptoms. Since movement patterns vary, the goal is to create a framework that connects the observed shoulder biomechanics directly to the patient's clinical presentation and injury risk.
Creado por exalumnos de la Universidad de Columbia en San Francisco
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Creado por exalumnos de la Universidad de Columbia en San Francisco
