Scapular dyskinesis refers to abnormal movement or positioning of the shoulder blade (scapula) during shoulder motion. This can lead to shoulder pain, dysfunction, and an increased risk of injury. In this guide, we will discuss the symptoms, diagnosis, and treatment options for scapular dyskinesis, with a focus on how physical therapy can help you improve your shoulder function and reduce pain.
Understanding Scapular Dyskinesis
Scapular dyskinesis can be caused by:
- Muscle imbalances or weakness in the muscles that control the scapula
- Poor posture, particularly forward head and rounded shoulders
- Overuse or repetitive strain, common in athletes or individuals with certain occupations
- Trauma or injury to the shoulder
- Nerve injuries that affect the muscles controlling the scapula
Symptoms to Watch Out For
- Visible abnormal movement or positioning of the shoulder blade during arm movements
- Pain in the shoulder, neck, or upper back
- Decreased range of motion and strength in the shoulder
- A feeling of instability or "heaviness" in the arm
- Increased fatigue in the shoulder during activities
How is Scapular Dyskinesis Diagnosed?
To diagnose scapular dyskinesis, your healthcare provider will:
- Perform a physical examination, observing the movement of your shoulder blades during various arm movements
- Assess muscle strength, flexibility, and posture
- May use video analysis or special tests to evaluate scapular motion more precisely
The Benefits of Physical Therapy for Scapular Dyskinesis
Physical therapy is an effective treatment for scapular dyskinesis. A physical therapist can help you:
- Strengthen the muscles that control the scapula, improving stability and function
- Increase flexibility in the muscles and soft tissues around the shoulder and thoracic spine
- Correct postural imbalances that contribute to abnormal scapular movement
- Develop a personalized exercise program to maintain improvements and prevent future issues
- Educate you on proper shoulder mechanics during activities and sports
What to Expect in a Physical Therapy Session
- A comprehensive assessment of your posture, muscle strength, and scapular movement
- Hands-on techniques to mobilize the joints and soft tissues, improving mobility
- Stretching and strengthening exercises targeted at the muscles that support the scapula and shoulder
- Exercises to improve coordination and control of scapular movement
- Education on proper body mechanics and posture to optimize shoulder function
Conclusion
Scapular dyskinesis can lead to shoulder pain and dysfunction, but with the right treatment, including physical therapy, you can improve your shoulder function and reduce pain. By working closely with a physical therapist and following a personalized rehabilitation plan, you can correct abnormal scapular movement, strengthen supporting muscles, and return to your daily activities and sports with confidence.
Comments