Rehabilitation Programming Progressions for Shoulder Impingement and Instability [news]
Assessing static scapula position and dynamic motion is an essential step in diagnosing shoulder impingement and instability. Static and dynamic assessment should be considered as two different issues.
While scapular resting position is commonly assessed in painful shoulders it is less common practice to assess scapular dyskinesis. Key assessment observations of scapular dyskinesis in injured patients are a loss of scapular upward rotation, excessive scapular internal rotation and excessive scapular anterior tilt (Ludewig and Cook, 2000).
There is also altered recruitment patterns and reduced strength in scapular stabiliser muscles (Smith et al. 2006)Written by Suzi Nevell