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    Categories>Health>Scapular Dyskinesis: Assessing Shoulder Motion and Injury Risk

    Scapular Dyskinesis: Assessing Shoulder Motion and Injury Risk

    21 min
    |
    |
    May 15, 2026
    HealthScienceEducation

    Explore scapular dyskinesis and shoulder biomechanics. Learn to assess if scapular winging is a symptom or a cause of shoulder pain and injury risk.

    Scapular Dyskinesis: Assessing Shoulder Motion and Injury Risk

    Best quote from Scapular Dyskinesis: Assessing Shoulder Motion and Injury Risk

    “

    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.

    ”

    This audio lesson was created by a BeFreed community member

    Input question

    Teaching on assessment, testing, investigation, diagnosis and physiotherapy treatment of scapular dyskinesis

    Host voices
    Lenaplay
    Milesplay
    Learning style
    Deep
    Knowledge sources
    Current Views of Scapular Dyskinesis and its Possible Clinical Relevance
    link
    https://ncbi.nlm.nih.gov/pmc/articles/PMC8805107/
    Managing Scapular Dyskinesis
    link
    https://www.binasss.sa.cr/may23/55.pdf
    A Clinical Method for Identifying Scapular Dyskinesis, Part 2: Validity
    link
    https://meridian.allenpress.com/jat/article/44/2/165/110819/A-Clinical-Method-for-Identifying-Scapular
    Frontiers | Effect of scapular stabilization exercises on subacromial pain (impingement) syndrome: a systematic review and meta-analysis of randomized controlled trials
    link
    https://www.frontiersin.org/articles/10.3389/fneur.2024.1357763/full
    Effect of scapular stabilization and mobilization-based rehabilitation on pain and shoulder function in subacromial impingement syndrome: a randomized controlled trial - PMC
    link
    https://pmc.ncbi.nlm.nih.gov/articles/PMC13088711/
    Scapular Dyskinesis: From Basic Science to Ultimate Treatment
    link
    https://www.mdpi.com/1660-4601/17/8/2974

    Frequently Asked Questions

    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.

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    Key Takeaways

    1

    The Wing That Won't Fly

    0:00
    0:33
    1:09
    1:24
    1:41
    1:51
    2:10
    2

    The GAS System of the Shoulder

    2:35
    2:59
    3:06
    3:31
    3:35
    3:50
    3:57
    4:16
    4:25
    4:42
    3

    Spotting the Smoke in the System

    4:56
    5:15
    5:23
    5:43
    5:49
    6:06
    6:10
    6:26
    6:31
    6:47
    3:35
    7:10
    4

    The Clinical "Aha" Moments

    7:20
    7:44
    3:35
    8:02
    8:08
    8:30
    8:36
    8:52
    9:05
    9:18
    3:35
    5

    When the Wires are Crossed

    9:44
    10:00
    10:21
    10:22
    10:46
    10:54
    11:10
    3:35
    11:37
    3:57
    12:01
    12:08
    6

    Moving Beyond Just Strength

    12:19
    12:32
    12:50
    12:57
    13:16
    13:25
    13:41
    3:35
    14:03
    14:09
    14:30
    14:37
    14:51
    7

    The Practical Playbook

    14:58
    15:12
    15:14
    15:29
    3:35
    15:53
    15:58
    16:16
    3:35
    16:34
    16:38
    16:54
    16:56
    17:15
    17:24
    8

    Avoiding the Common Pitfalls

    17:36
    17:47
    18:03
    3:35
    18:30
    3:35
    18:55
    19:03
    19:15
    19:23
    19:27
    9

    Bringing it All Back to the Base

    19:42
    19:54
    3:35
    20:24
    20:31
    20:39
    20:48
    20:54
    21:02
    21:05
    21:18

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