Scapular Dyskinesis and Shoulder Pain

Scapular dyskinesis is generally thought of as 'abnormal' shoulder blade biomechanics that leads to pain in the shoulder. But what does the research say? This video discusses what scapular dyskinesis is, how it is diagnosed, and exercises that can help (including subacromial shoulder pain).

Sources:
Shire, Alison R., et al. "Specific or general exercise strategy for subacromial impingement syndrome–does it matter? A systematic literature review and meta analysis." BMC musculoskeletal disorders 18.1 (2017): 1-18.

Hotta, Gisele Harumi, et al. "Causal mechanisms of a scapular stabilization intervention for patients with subacromial pain syndrome: a secondary analysis of a randomized controlled trial." Archives of Physiotherapy 12.1 (2022): 1-9.

Plummer, Hillary A., et al. "Observational scapular dyskinesis: known-groups validity in patients with and without shoulder pain." journal of orthopaedic & sports physical therapy 47.8 (2017): 530-537.

Hotta, Gisele Harumi, et al. "Effects of adding scapular stabilization exercises to a periscapular strengthening exercise program in patients with subacromial pain syndrome: A randomized controlled trial." Musculoskeletal Science and Practice 49 (2020): 102171.

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Who am I? 🤔

I'm a chiropractor with an interest in rehabilitation, tendinopathy, and chronic pain. I graduated from the University of Washington with a Bachelor's in Science and from Palmer Chiropractic College West with a Doctorate in Chiropractic.

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🚨Disclaimer: 🚨 The videos on this channel are for informational purposes only and do not constitute medical advice; the content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have watched on this channel.

#shoulderpain #subacromialshoulderpain #scapulardyskinesis

[myla]

I really like your overall message in this video. After more than a year of struggling with shoulder pain after a nasty injury it's sort of what I've been coming to believe.
I also like the responses you've given to others ie that you don't go so much on what you seee but on what the patient feels. I wasted a bit of time seeing a therapist who each session told me I was better and stronger when I was actually feeling worse. He ignored me each time I said the pain was bad. Obviously gave up on him but I still did three sessions because you keep thinking that these clever people must know better. 😊

[silviofontana]

Have you ever watched a dog with a sore front leg? Well, even when in severe pain, the dog still moves and attempts to place his paw on the ground. In other words, the dog keeps moving. Then within 4-6 weeks movement has increasingly returned. Unless, of course if it is broken, but even with a broken foot, the dog will still move.

[Tianzi]

Lots of time wasted here.

The diagnosis of scapular dyskinesia is reliable for people who know for certain they previously were able to lift their arms vertically overhead (or other shoulder movement) without pain or impingement and now are limited in range of motion and experience pain with the movement. People who have never regularly played sports or performed strength training probably don’t know, but those who have will. Reprogramming the mind-muscle connection after a diagnosis of scapular dyskinesia and fixing dysfunctional movement patterns was the key for me to once again perform shoulder presses pain free, as well as being able to run, etc etc without shoulder pain.

[nidhi]

I had minor bicep tendonitis (minor injury during chest press) which caused discomfort in twisting movements.. later a certain point in shoulder was minorly painful, within a month the twisting motion has nearly resolved but I've noticed as I'm healing from this, im experiencing muscular pain in lower part of scapula.. could it be scapular dyskinesis because of my existing shoulder injury

[df]

I found it very helpful, greetings from Brazil

[Ankyl-Osaur]

I'd love to hear you and my PT argue! :) My doc did the Scapular Assistance Test on me and I did not feel a difference. He said he saw improvement. What do you think of that test? And outside of subacromial pain, are there any reasons why dyskinesis might be a big issue? It seems like you are saying PTs should stop worrying about it all together.

[sagarsharma-bqkp]

Thanks for good rehab video specially who have scapula dyskenesia .

[MariosPOS]

yeah but how many times per week? for how long? should i progressively add more load/less elastic bands? should i do this for both shoulders equally or only the painful one?

[tacosmargs]

does scoliosis cause scapular dyskinesis?