Scapular dyskinesis has become a ‘black sheep’ of therapeutic intervention. The cause for this is probably that scapular dyskinesis is quite subjective, complex to assess, and even harder to treat. Many, including myself, has found that common exercises targeting the serratus anterior and lower trapezius (i.e ‘cookie cutter’ programs), rarely will yield fruitful results when dealing with these issues. Furthermore, the relatively few specialists that do understand scapular mechanics well, often have poor understanding of exercise, and is thus often not able to help resolving exercise induced pain.
This module will provide a practical, in depth approach to identifying and permanently resolving scapular dyskinesis, by addressing the motor dysfunction rather than the secondary dysfunctions, which are the muscles. Muscular imbalances relating to scapular dyskinesis are almost always secondary to motor and/or habitual impairment. Thus, the latter will need to be addressed first, and then either later or simultaneously, the muscles. It will also teach you to properly assess and rehabilitate the glenohumeral joint, which is quite simple once you’ve understood scapular mechanics, and virtually impossible if you don’t understand scapular mechanics.
We will go through scapular mechanics and ostekinematic angles in most common push and pull patterns, so that you will also be able to use these skills with athletes.
Scapular dyskinesis is also associated with both neck pain, thoracic outlet syndrome and costoclavicular space syndrome. Thus, working knowledge with regards to identification and treatment of scapular dyskinesis will be paramount. That is also why this module is obligatory before venturing forth to my nerve entrapment and upper cervical dysfunction modules.
The knowledge you learn in this class will be very practical, and you’ll be able to use it immediately after class. You will greatly improve your success-rate, both short and long term, when dealing with shoulder and neck pain syndromes.
Before you take this class, I recommend rehearsing the main scapular movements. You can review them here – This article also contains a great deal of scientific evidence regarding scapular dysfunction.:
- Larsen K. Postural cues for scapular retraction and depression promote costoclavicular space compression and thoracic outlet syndrome. Anaesth Pain & Intensive Care 2018;22(2):256-267