In 2013, the second international consensus conference on the scapula was held in Kentucky to discuss and accumulate knowledge of scapular involvement in various shoulder injuries ( Kibler et al, 2013).
The major conclusions were
1) scapular dyskinesis is present in a high percentage of shoulder injuries
2) shoulder impingement symptoms are particularly affected by scapular dyskinesis
3) treatment strategies can be more effective if they include evaluation of the dyskinesis
4) rehabilitation programs to restore scapular position and motion can be effective within a more comprehensive shoulder rehab program.
Multiple studies have identified appropriate and effective strategies, positions and exercises to activate scapular control muscles as well as identifying optimal scapular positions for movement. A 2008 Study by Kibler et al, demonstrated the effectiveness of scapular muscle motor control exercise using EMG biofeedback and was able to determine appropriate exercises for the difference muscles contributing to scapular dyskinesis
With knowledge of the anatomy of the shoulder and scapula we are able to assess scapular dysfunction and determine whether it is purely a motor control issue or if there is a mobility issue that is preventing proper scapular movement. When a proper assessment has been performed we can then attain great results based on the individuals deficiencies. If a motor control program is indicated we are able to use our dual channel EMG biofeedback machine which allows patients to view on a TV monitor their activation and gives them visual feedback when trying to achieve better control. If range of motion is indicated a combination of hands on treatment and stretching will be included in the patients treatment plan
Do you see a difference?
If you are suffering from shoulder pain why not contact the team at Sydney Physio Solutions to have it checked out.