Scapular dyskinesis, also known as scapular winging or dyskinesia, is a condition characterized by abnormal movement or positioning of the scapula (shoulder blade). The scapula is a triangular bone located on the back of the ribcage that plays an important role in the stability and movement of the shoulder joint. Scapular dyskinesis can result in altered scapular movement patterns, which can lead to shoulder pain, reduced shoulder function, and altered biomechanics of the shoulder complex.
Scapular dyskinesis can be caused by various factors, including muscle imbalances, weakness or tightness of certain muscles, nerve injuries, postural abnormalities, trauma, and repetitive overuse activities. It is often found with other shoulder conditions and a major contributing cause to rotator cuff injuries, shoulder impingement syndrome, and shoulder instability.
Common signs and symptoms of scapular dyskinesis may include visible winging or prominence of the scapula, pain or discomfort in the shoulder or upper back, reduced shoulder range of motion, weakness or muscle imbalances around the shoulder, and altered shoulder joint mechanics during movement.
Treatment for scapular dyskinesis typically involves addressing the underlying causes, such as muscle imbalances or postural abnormalities, through physical therapy, strengthening exercises, stretching, and correction of movement patterns. In some cases, other interventions such as bracing, taping, or modalities like electrical stimulation may also be used. It’s important to consult with a qualified healthcare professional, such as a physical therapist or orthopedic specialist, for an accurate diagnosis and appropriate treatment plan tailored to the individual’s specific needs.
Early diagnosis and intervention can help prevent long-term complications and improve shoulder function. So, if you suspect you have scapular dyskinesis or are experiencing shoulder pain or dysfunction, it’s important to seek professional medical advice for proper evaluation and management. As always, this information is not a substitute for professional medical advice, diagnosis, or treatment. Please consult with a qualified healthcare professional for proper evaluation and management of your specific condition.
- Kibler WB, Sciascia AD. Scapular dyskinesis: current concepts. Br J Sports Med. 2010;44(5):300-305. doi:10.1136/bjsm.2008.052961
- Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther. 2000;80(3):276-291. doi:10.1093/ptj/80.3.276
- Desmeules F, Cote CH, Fremont P. Therapeutic exercise and orthopedic manual therapy for impingement syndrome: a systematic review. Clin J Sport Med. 2003;13(3):176-182. doi:10.1097/00042752-200305000-00011
- Kibler WB, McMullen J. Scapular dyskinesis and its relation to shoulder pain. J Am Acad Orthop Surg. 2003;11(2):142-151. doi:10.5435/00124635-200303000-00008
- McClure PW, Michener LA, Sennett BJ, Karduna AR. Direct 3-dimensional measurement of scapular kinematics during dynamic movements in vivo. J Shoulder Elbow Surg. 2001;10(3):269-277. doi:10.1067/mse.2001.113506
- Cools AM, Dewitte V, Lanszweert F, Notebaert D, Roets A, Soetens B, Cagnie B, Witvrouw EE. Rehabilitation of scapular dyskinesis: from the office worker to the elite overhead athlete. Br J Sports Med. 2014;48(8):692-697. doi: 10.1136/bjsports-2012-091620.