Scapular Alignment and possible causes for dyskinesia

Рет қаралды 145,581

7 жыл бұрын

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. Correct scapular alignment is necessary for proper shoulder girdle function. The scapula plays an integral role in this construct. Many muscles attach onto it from different sides and dysfunction in any of those muscles can lead to a misalignment and possible shoulder pathology e.g. dyskinesia
Articles:
www.ncbi.nlm.nih.gov/pubmed/2...
www.ncbi.nlm.nih.gov/pmc/arti...
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Пікірлер: 61

@Juvodotorg 3 жыл бұрын

I genuinely appreciate how you guys keep all of your content online to show how you progress with the evidence and how you are willing to challenge previous narratives. It shows true humility and modesty and it makes you guys all that much easier to stand behind! Thank you for making wonderful content so accessible to the general public

@user-it2qw8lz1y 5 жыл бұрын

PERFECT. I study for my Pilates course and this is the best information. With all examples af ways of movements and all. Thanks a lot!!! I will follow with interest.

@ryanlie6250 2 жыл бұрын

Incredible simple and clear explanation. Thank you!!

@jeffko563 4 жыл бұрын

Thank you! It is very good! Learn a lot in this video!

@priyankamidha5071 4 жыл бұрын

You are amazing, thank you!

@samwinter5522 5 жыл бұрын

Scapular Alignment Depression/elevation - T1= Shoulder + acromial height - T2= Superior angle - T7= Inferior angle (Depression= more horizontal alignment) Abduction/adduction - Medial border= 4 fingers from spine Rotation: - 30 degrees (or around thorax) Movements of scapular: - Downward/upward rotation - Anterior/posterior tilting - External/internal rotation Muscles responsible for abnormal position: Upward rotation: Short/actions: - Descending trapezius and inferior serratus - Pectoral minor Downward rotation: Inferior angle more medial Short/actions - Levator scapular - Rhomboid Long/weak - Descending trapezius - Serratus Anterior Posterior tilting: - Ascending trapezius Anterior Tilted Scapula: Inferior angle tilting off the thorax Short (muscles attaching to coracoid): - Pectoralis minor - Biceps Branchii (short head) - Coracobranchialis Adduction: Short/action - Transverse part of trapezius - Superior trapezius - Rhomboids Long/weak: - Serratus anterior Abduction: Distance between medial border and spine >7.5 cm. Glenoid anterior Short/action - Serratus anterior - Pectoral major Depression: Action/short - Pectoralis major - Latissimus Dorsi Weak - Descending/superior Trapezius Elevator: Just ACJ elevation- (i.e) with rotation Short - Levator scapulae Superior angle + ACJ elevation Short - Levator scapulae - Descending trapezius Entire scapular spine Short - Levator scapulae - Descending trapezius - Rhomboids Winging Scapula: Short/actions: - Subscapularis Long/weak: - Serratus anterior Other: - Hyperkyphosis - Scoliosis

@saritaylor3648 4 жыл бұрын

This is the best for anatomy education thx for sharing

@mohamedshalabi7149 2 жыл бұрын

Many thanks

@emansalah5927 2 жыл бұрын

Thank you so much

@klgo.LuisMartinezQuintul 11 ай бұрын

thank youuuu. este video es oroooo :) congrats for made this excelent video

@roderickbaytajr.6348 5 жыл бұрын

Thanks bro

@draishwaryaa8242 6 жыл бұрын

Amazing! Thanks a ton

@Physiotutors 6 жыл бұрын

You’re welcome 😊

@ignacioortiz6638 4 жыл бұрын

Gracias por subtitular el video en español, saludos desde Chile, Santiago.

@Physiotutors 4 жыл бұрын

De nada, saludos desde Amsterdam

@brunosantos2211 5 жыл бұрын

Sensacional! Muito obrigado!

@Physiotutors 5 жыл бұрын

Thx Bruno, appreciate it!

@physioweng 7 жыл бұрын

For those who've never heard of this before: Upper Trapezuis - trapezius pars descendans Middle Trapezius - trapezius pars transversa Lower Trapezius - trapezius pars ascendens Btw wonderful video, really helpful!

@Physiotutors 7 жыл бұрын

True, maybe that should have been clarified. We used the latin nomenclature.

@ashrafabdoolcader 6 жыл бұрын

do some videos how to engage lower traps and serratus stabilizer for exercises to glide scapula around thorax and during pushup chin up military press etc how to engage them please

@Physiotutors 6 жыл бұрын

It seems like motor control exercises for the scapular most probably don't alter kinematics: www.ncbi.nlm.nih.gov/pubmed/26847012. So we'd rather focus on general strengthening of the scapular muscles: kzfaq.info/get/bejne/nNyWpb1etNa5d2Q.html

@carrenpereira4393 4 жыл бұрын

Thanks a lot .

@Physiotutors 4 жыл бұрын

Ur welcome!

@mohammedalmosawe7672 6 жыл бұрын

can u talk about scapular dislocation thank u

@zacli8736 4 жыл бұрын

Can I ask how to tell the difference between 4:32 Superior Angle+ACT elevated and 4:38 Entire Scapular spine elevated ? I really appreciate if someone can answer for me.

@keithkevinvinci 6 жыл бұрын

Thanks 👍👍

@Physiotutors 6 жыл бұрын

Ur welcome!

@moritzkohler9214 5 жыл бұрын

Thanks amazing

@Physiotutors 5 жыл бұрын

Thank you Moritz

@tommasomartinetti1209 5 жыл бұрын

Thanks for the video, I have a right downward rotated scapula and i'm trying to reinforce my right upper trap. Why do you say that this could be caused by a short levator scapulae? Shouldn't be the opposite? A short levator shouldn't pull my scapula up?

@Physiotutors 5 жыл бұрын

If you look at the axis of rotation of the scapula you can see that it is a downward rotator of the scapula. It does pull the scapula up though, that's correct and is another function of this muscle.

@wijnaldumasesjo6278 4 жыл бұрын

@@Physiotutors Hello ! It is ok to abuse levator muscles for downward rotation to get more range of motion etc ?

@gilllie666 6 жыл бұрын

(With inferior angle dyskinesia in mind) would it be fair to reason that static dyskinesia is more likely due to hypertonicity while dynamic dyskinesia might be due to muscle weakness (especially in the eccentric phase)?

@Physiotutors 6 жыл бұрын

don't know what you mean with inferior angle dyskinesia but for example winging (static) can be apparent with a lesion of the long thoracic nerve which results in the complete opposite of hypertonicity. I could agree with your second statement that impaired strength could alter kinematics though we know that (despite maybe in overhead athletes) scapula dyskinesia is not evident in the general population

@TEORAsui 4 жыл бұрын

4:04 Short Pec major or Pec minor ?

@akolkar2530 3 жыл бұрын

Sir PL make color musle pictures to understand it better.

@hadi257 5 жыл бұрын

My scapula inferior angle is not really angled outwards but inwards. Been searching for some self rehab but cant seem to find any.

@Physiotutors 5 жыл бұрын

Can be a normal variation. No need to worry about it as no research up to date shows that scapular dyskinesis is linked to the development of shoulder pain except in elite rugby and elite handball players.

@Aruna1991 7 жыл бұрын

weak lower traps can be the reason for dyskinesia ? and overactive upper trap

@Physiotutors 7 жыл бұрын

+ANKIT TIVREKAR yes as stated in the video

@shumailabhutto4171 10 ай бұрын

Is scapular dyskinesia and sick scapula same terms?

@keithkevinvinci 6 жыл бұрын

Do u have any videos of gait analysis???

@Physiotutors 6 жыл бұрын

Our Gait Analysis video is the second most viewed video on the Channel. Simply check the videos tab 👍🏼

@leonardoadf2796 4 жыл бұрын

Shoutout idubbbz content cop theme haha

@mahilaabbas2148 5 жыл бұрын

hi. what about when the medial border of the scapula is prominant? scapula will rotate in the vertical plane. so will the scapula will be abducted or adducted ? nd which muscles will appear to be weak or tight ?

@Physiotutors 5 жыл бұрын

Hi Mahila, what do you mean by vertical plane? With a prominent medial border there is often weakness of the serratus anterior.

@mahilaabbas2148 5 жыл бұрын

@@Physiotutors thanks alot. I checked ur other videos and made my self clear. :)

@johsch5363 4 жыл бұрын

hey, in minute 3 you was saying/showing, that the Serratus is also adducting the Scapula? This is really true? I dont find any literature witch says this.

@sydisemma 4 жыл бұрын

Might be referring to serratus posterior superior, in case you were thinking of serratus anterior that is!

@johsch5363 4 жыл бұрын

@@sydisemma yes of course i was thinking the serratus anterior. They only talking about the Anterior and even the Serratus Posterior have not really direct impact on the shoulderblade (in my knowledge).

@mohammedalmosawe7672 6 жыл бұрын

is there any excercise to reset scapula position abd shape thank u

@Physiotutors 6 жыл бұрын

Think the video gives certain example of why a scapula might be "discplaced" in the first place. Strengthen the weaker muscles and stretch the short/stiff muscles. There is no single exercise.

@darrenlyfts 5 жыл бұрын

It depends. There are X amount of exercises for what you said. You have to be very specific along with knowing what to do with those exercises and performing them without any compensations.

@annap1191 Жыл бұрын

My scapula misalignment has caused TOS

@sweetyrajan1396 7 жыл бұрын

informative video but couldnt follow it completely due to the poor understanding of the terminologies and scapular tipping movement

@Physiotutors 7 жыл бұрын

+Sweety Rajan Thanks! If you can let us know what was unclear, we can maybe clarify it here in the comments. Any concrete questions about the terminology and scapular tipping?

@sweetyrajan1396 7 жыл бұрын

Physiotutors I would like to know the scapular movements especially the anterior and posterior tipping and rotations with the muscle work..

@Physiotutors 7 жыл бұрын

But that's explained in the video. We mention which muscles are primarily concerned with the motions you describe or are we missing something?

@sweetyrajan1396 7 жыл бұрын

Physiotutors I mean the biomecanics of movement with the muscles and insted of ascending desecending ..upper and lower fibers will give more clariry