Prevalence Of Scapular Dyskinesis Research Articles

Prevalence of Scapular Dyskinesia in Cricket Bowlers

Background Bowling is an overhead activity which causes a ballistic motion of the body. Scapular Dyskinesia is believed to be more common in cricket bowlers due to their heavy reliance on unilateral upper extremity function. The scapula serves many roles in order for proper shoulder function to occur. Due repetitive overhead activity of cricket bowlers, there are more chances of Scapular Dyskinesia to occur in Cricket Bowlers hence the study was carried out. Objective The purpose of this study was to find out prevalence of Scapular Dyskinesia in Cricket Bowlers. One of the objective of this study was to find out wheather the Scapular Dyskinesia is associated with pain or not while doing throwing movement. Methods 30 male Cricket Bowlers of age group 18 to 35 years with minimum experience of 2 years in bowling were selected to inclusion and exclusion criteria. Consent had taken from Cricket Bowlers prior to study. Scapular Dyskinesia had been evaluated by Scapular Dyskinesia test. Data was collected and was statistically analyzed. Result Out of 30 participants, 3 participants were tested positive for Scapular Dyskinesia. Conclusion The study concludes that the Prevalence of scapular dyskinesis was found in 10% of total participants.

Prevalence of scapular dyskinesis in office workers with neck and scapular pain

Objectives. This study aimed to investigate the presence of scapular dyskinesis (SD) in office workers with neck and scapular complaints. The postural malalignment and related muscle adaptations were also explored. Methods. SD and its subtypes were determined. Postural deviations and the length of commonly reported muscle tightness were evaluated. Results. Among 99 participants, 90% of them had SD. Considering both sides or 198 scapula, 90.4% were identified as having painful scapula and 19% as having painless scapula. There was a difference in the proportion of SD on painful (93%) and painless (69%) sides. Postural deviations including rounded shoulder (100%), forward head (43.3%) and thoracic hyperkyphosis (54.5%) were prevalent. Persons with type III SD had a higher percentage of forward head than other types. There was also tightness of the pectoralis minor (100%), levator scapulae (93.0%) and upper trapezius (98.3%) muscles without different proportions among types of SD. The greatest proportion of persons with SD had tightness of the levator scapulae. Conclusions. There was a high prevalence of SD among office workers with neck and scapular complaints. SD was also associated with abnormal posture and muscle tightness. The proper management of SD and working posture is warranted.

Scapula Dyskinesis

Scapular dyskinesis is any alteration of its static position or kinematics during movements in the shoulder joint. The correct scapula orientation is associated with the tone of the muscles attached to it. The prevalence of scapular dyskinesis is high among patients with subacromial impingement syndrome, partial rotator cuff tears, shoulder joint instability and SLAP injuries. Scapular dyskinesis can be caused by a whole range of factors, including upper cross syndrome and postural adaptations predisposing to it, neurological disorders. However, instrumental diagnosis of scapular dyskinesis is difficult, which makes the use of clinical tests the main method of its detection. In this lecture, the etiology of scapular dyskinesis, classification, diagnostic tests and treatment methods are analyzed in detail. The detection of scapular dyskinesis and its type determination in patients with shoulder joint pathologies allows us to form an optimal rehabilitation therapy protocol, including techniques of myofascial release, passive and active stretching of spasmodic and training of weak muscle groups aimed at correcting postural disorders, pathology of the scapulohumeral rhythm, restoration of the glenohumeral joint normal biomechanics.

Scapular Dyskinesis in Elite Boxers with Neck Disability and Shoulder Malfunction.

Background and Objectives: Neck and shoulder injuries commonly occur during boxing, and scapular dyskinesis is related to those injuries. This study investigated scapular dyskinesis with neck disability and shoulder malfunction in elite boxers. Materials and Methods: Seventy-two elite boxers participated in this study. Scapular dyskinesis was evaluated as normal, subtle, and obvious. Neck disability index (NDI), shoulder internal (IR), and external (ER) range of motion (ROM), isometric strength of IR and ER, and pectoralis minor length were measured and compared with the severity of scapular dyskinesis. Results: Thirty-eight boxers (52.7%) showed scapular dyskinesis. NDI score was significantly different (normal = 3.89 ± 3.08, obvious = 7.36 ± 4.95, p = 0.025). Isometric IR strength was significantly different (normal = 10.48 ± 2.86, obvious = 8.46 ± 1.74, p = 0.01). The length of the pectoralis minor was significantly different (normal = 10.17 ± 0.67, subtle = 9.87 ± 0.79, obvious = 9.47 ± 0.85; p = 0.001), and the dominant and non-dominant arm IR ROM was significantly different (dominant = 57.43 ± 11.98, non-dominant = 64.62 ± 10.3, p = 0.001). Conclusions: The prevalence of scapular dyskinesis is high among elite boxers. Boxers with scapular dyskinesis presented shoulder malfunction as well as neck disability. Further investigation is necessary to examine the relationship between scapular dyskinesis and neck disability in boxers.

The comparison of acromiohumeral distance and scapular dyskinesis prevalence in females with and without rounded shoulder posture.

Background: Altered scapular kinematics in individuals with rounded shoulder posture (RSP) may affect acromiohumeral distance (AHD). The purpose of this study was to compare AHD and scapular dyskinesis prevalence in individuals with and without RSP. Methods: A total of 44 women (RSP, n=21; control, n=23) participated in the study. RSP was assessed by measuring acromion to table distance (ATD) in supine position and forward shoulder angle (FSA) using a camera and the AutoCAD software from the lateral side. According to these measurements, ATD more than 2.6 cm and FSA equal or more than 52° were considered as RSP. AHD was measured via ultrasonography with the arm at rest and 90 º of active elevation in scapular plane (scaption). Also, scapular dyskinesis was assessed by Uhl yes/no rating system. Independent and paired t tests were used to compare AHD between and within groups’ comparisons, respectively. Chi-square test was used to compare the scapular dyskinesis prevalence in individuals with or without RSP. The data were analyzed using the SPSS statistical software version 17. Significance level was set at 0.05 Results: There were no statistically significant differences in participants’ AHD in rest position (dominant side, p=0.187, nondominant side, p=0.144) and 90° scaption (dominant side, p=0.144, nondominant side, p=0.182) in each side between the 2 groups. Also, the results of chi-square test showed that there were not any significant differences in the prevalence of scapular dyskinesis during shoulder flexion (dominant side, p=0.653, nondominant side, p=0.541) and shoulder abduction (dominant side, p=0.141, nondominant side, p=0.277) in individuals with and without rounded shoulder postures. Conclusion: According to our results, RSD cannot lead to reduced AHD and higher prevalence of scapular dyskinesis.

Original Article Effect of Scapular Position:Motion Maintenance Exercise Programme During Post Traumatic Shoulder Immobilization

Background: The scapula plays a key role in nearly every aspect of normal shoulder function. Alteration in scapular position and motion is found in association with most shoulder injuries. This alteration is term as scapular dyskinesis. Prevalence of scapular dyskinesis is about 67 to 100%. But many literature focus on treatment after occurrence but very few aim at prevention during immobilization phase.This made indeed to study the effect of scapular position-motion maintenance programme during shoulder immobilization phase. Objectives: To determine the effect of scapular position-motion maintenance exercise programme during post traumatic shoulder immobilization phase, To compare the effect of scapular position -motion maintenance exercise programme and conventional physiotherapy during post traumatic shoulder immobilization phase. Method: A Total of 40 subjects were selected aged between 20 to 50 years. They were divided into two groups. Group A (experimental) and group B (conventional). Both groups received treatment for 6 weeks for a duration of 30 minutes. The outcome measure used were VAS, Posture assessment, pectoralis minor muscle length, Linnies test and scapular assistance test. Result: The study concludes that experimental group (scapular position-motion programme) proved more efficacious in reducing risk of scapular dyskinesisin patients with humerus fracture during immobilization phase as compared with conventional treatment.

Effect of Scapular Position- Motion Maintenance Exercise Programme During Post Traumatic Shoulder Immobilization

Background: The scapula plays a key role in nearly every aspect of normal shoulder function. Alteration in scapular position and motion is found in association with most shoulder injuries. This alteration is term as scapular dyskinesis. Prevalence of scapular dyskinesis is about 67 to 100 %. But many literature focus on treatment after occurrence but very few aim at prevention during immobilization phase.This made indeed to study the effect of scapular position – motion maintenance programme during shoulder immobilization phase. Objectives: To determine the effect of scapular position -motion maintenance exercise programme during post traumatic shoulder immobilization phase, To compare the effect of scapular position -motion maintenance exercise programme and conventional physiotherapy during post traumatic shoulder immobilization phase. Method: A Total of 40 subjects were selected aged between 20 to 50 years. They were divided into two groups. Group A (experimental) and group B (conventional). Both groups received treatment for 6 weeks for a duration of 30 minutes. The outcome measure used wereVAS, Posture assessment, pectoralis minor muscle length ,Linnies test and scapular assistance test. Result:The study concludes that experimental group (scapular position- motion programme)proved more efficacious in reducing risk of scapular dyskinesisin patients with humerus fracture during immobilization phase as compared with conventional treatment.

Effect of Scapular Position-Motion Maintenance Exercise Programme During Post Traumatic Shoulder Immobilization

Background: The scapula plays a key role in nearly every aspect of normal shoulder function. Alteration in scapular position and motion is found in association with most shoulder injuries. This alteration is term as scapular dyskinesis. Prevalence of scapular dyskinesis is about 67 to 100 %. But many literature focus on treatment after occurrence but very few aim at prevention during immobilization phase. This made indeed to study the effect of scapular position-motion maintenance programme during shoulder immobilization phase. Objectives: To determine the effect of scapular position-motion maintenance exercise programme during post traumatic shoulder immobilization phase. To compare the effect of scapular position-motion maintenance exercise programme and conventional physiotherapy during post traumatic shoulder immobilization phase. Method: A Total of 40 subjects were selected aged between 20 to 50 years. They were divided into two groups. Group A (experimental) and group B (conventional). Both groups received treatment for 6 weeks for a duration of 30 minutes. The outcome measure used were VAS, Posture assessment, pectoralis minor muscle length, Linnies test and scapular assistance test. Result: The study concludes that experimental group (scapular position-motion programme)proved more efficacious in reducing risk of scapular dyskinesisin patients with humerus fracture during immobilization phase as compared with conventional treatment.

Prevalence of Scapular Dyskinesis in Patients with Distal Radius Fracture with or without Shoulder Pain

Objective: To describe prevalence of scapular dyskinesis (SD) in adult patients with distal radius fractures (DRF). Material and methods: The current cross-sectional study was conducted at the San Borja Arriaran Clinical Hospital. 180 patients with a type an extra-articular DRF, according to the AO classification, were recruited. The presence of SD was evaluated with the yes/no dynamic test based on visual criteria, and the clinical diagnosis of shoulder pain was performed by orthopedic surgeon. Results: The prevalence of SD is shown in 80% of all patients with DRF, this value increases to 90.9% in group of patients with associated shoulder pain. The odds ratio was 10 with a 95% CI: 4.1-24.8 (p=0.0000). Conclusions: The prevalence of SD is shown in 80% of all patients with DRF; this value increases to 90.9% in the group of patients that present DRF with associated SP. The ratio for estimating prevalence is 10 times higher in patients with DRF with shoulder pain compared with the asymptomatics shoulders. There is a statistically significant association between the presence of SD and shoulder pain in patients with DRF.

The Influence of Test Positions on Clinical Assessment for Scapular Dyskinesis

BackgroundAppropriate evaluation of scapular dyskinesis is essential for therapeutic strategies. Although the current visual-based assessment is rapid and practical, the reliability of this method is unsatisfactory. It is necessary to adequately understand the conditions of assessment to maximize the benefit of therapeutic interventions. ObjectiveTo explore the influence of different test positions on clinical assessment for scapular dyskinesis. DesignObservational study. SettingUniversity rehabilitation department. PatientsA total of 102 subjects diagnosed with unilateral shoulder disorder were recruited from among rehabilitation outpatients from November 2015 to February 2016. MethodsTwo experienced raters categorized the subjects’ scapular movement pattern according to Kibler et al classification by the vision-palpation method at 4 test positions (at rest, and the end range of elevation in the sagittal, scapular, and coronal planes). Main Outcome MeasurementsThe overall prevalence of scapular dyskinesis, the distribution of types, and the reproducibility of types at the 4 test positions were analyzed. ResultsThe overall prevalence of scapular dyskinesis was 90.08%, and the highest frequency was found at the resting position. Type III was the most common type in our sample. In reproducibility analysis, 21.57% of subjects presented with the same type at any position, and 75.49% of subjects presented with 2 types. ConclusionsScapular dyskinesis in individuals with shoulder disorder showed a high prevalence, especially at the resting position. More than 1 type of scapular pattern would be present if assessed at different positions. This study indicates that test positions can affect the results of scapular dyskinesis assessment, and that the resting position should primarily be applied. Level of EvidenceIII