Document Detail


Evaluation and management of scapular dysfunction.
MedLine Citation:
PMID:  22311292     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The scapula plays an important role in shoulder function and requires both significant mobility and stability. Normal motion is 3-dimensional, and during arm elevation consists of upward rotation, posterior tilting, and external rotation as well as clavicular elevation and retraction. Examination should include visual observation, symptom alterations tests, testing of muscle strength, and flexibility of key structures including the pectoralis minor, posterior shoulder and thoracic spine. Treatment consists of graded resistive exercise, neuromuscular retraining, stretching, manual therapy, and taping where necessary. Although several studies suggest a relationship between abnormal scapular motion and symptoms, strong evidence directly supporting a causal relationship is lacking and further work is necessary to clarify this relationship.
Authors:
Philip McClure; Elliot Greenberg; Stephen Kareha
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Sports medicine and arthroscopy review     Volume:  20     ISSN:  1538-1951     ISO Abbreviation:  Sports Med Arthrosc     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-02-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9315689     Medline TA:  Sports Med Arthrosc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  39-48     Citation Subset:  IM    
Affiliation:
*Department of Physical Therapy, Arcadia University, Glenside †Sports Medicine and Performance Center at The Children's Hospital of Philadelphia, King of Prussia ‡WellSpan Health, Deatrick Commons Rehab, Gettysburg, PA.
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