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Scapula dysfunction

Matthew T Provencher, Hannah Kirby, Lucas S McDonald, Petar Golijanin, Daniel Gross, Kevin J Campbell, Lance LeClere, George Sanchez, Shawn Anthony, Anthony A Romeo
BACKGROUND: Pectoralis minor (PM) tightness has been linked to pain and dysfunction of the shoulder joint secondary to anterior tilt and internal rotation of the scapula, thus causing secondary impingement of the subacromial space. PURPOSE: To describe outcomes pertaining to nonoperative and operative treatment via surgical release of the PM tendon for pathologic PM tightness in an active population. STUDY DESIGN: Case series; Level of evidence, 4...
September 9, 2016: American Journal of Sports Medicine
Simon J Roche, Lennard Funk, Aaron Sciascia, W Ben Kibler
The scapula fulfils many roles to facilitate optimal function of the shoulder. Normal function of the shoulder joint requires a scapula that can be properly aligned in multiple planes of motion of the upper extremity. Scapular dyskinesis, meaning abnormal motion of the scapula during shoulder movement, is a clinical finding commonly encountered by shoulder surgeons. It is best considered an impairment of optimal shoulder function. As such, it may be the underlying cause or the accompanying result of many forms of shoulder pain and dysfunction...
October 2015: Shoulder & Elbow
Aliaa M El-Abd, Abeer R Ibrahim, Haytham M Hel-Hafez
BACKGROUND: While postural correction is commonly used for mechanical neck dysfunction (MND), efficacy of KT has received considerable attention. This study was conducted to determine the effectivness of kinesio taping (KT) versus postural correction exercises on pain intensity and axioscapular muscles activation in patients with (MND). METHODS: Randomized clinical trial for which forty six patients with MND were randomly assigned in to 1 of 2 groups received 4 weeks treatment; KT group: received kinesio taping, PCE group: performed postural correction exercises...
July 7, 2016: Journal of Sports Medicine and Physical Fitness
Sean M Tweedy, Emma M Beckman, Timothy J Geraghty, Daniel Theisen, Claudio Perret, Lisa A Harvey, Yves C Vanlandewijck
Traumatic spinal cord injury (SCI) may result in tetraplegia (motor and/or sensory nervous system impairment of the arms, trunk and legs) or paraplegia (motor and/or sensory impairment of the trunk and/or legs only). The adverse effects of SCI on health, fitness and functioning are frequently compounded by profoundly sedentary behaviour. People with paraplegia (PP) and tetraplegia (TP) have reduced exercise capacity due to paralysis/paresis and reduced exercising stroke volume. TP often further reduces exercise capacity due to lower maximum heart-rate and respiratory function...
March 9, 2016: Journal of Science and Medicine in Sport
Nidhi A Shah, Apurv P Shimpi, Savita A Rairikar, Shyam Ashok, Parag K Sancheti
BACKGROUND: Playing guitar can cause adoption of asymmetric postures and affect the shoulder's stability. OBJECTIVE: To assess the presence of scapular dysfunction in professional guitar players. METHOD: A lateral scapular slide test was performed at the level of the spine of the scapula and at the inferior angle of the scapula in 20 professional guitar players (age: 18-40 years) and was compared with 20 age-matched non-players at angles of 0°, 45° and 90° of shoulder abduction with both limbs loaded with 0...
September 2016: International Journal of Occupational Safety and Ergonomics: JOSE
Dayana P Rosa, John D Borstad, Elisa D Pires, Paula R Camargo
BACKGROUND: Pectoralis minor adaptive shortening may change scapula resting position and scapular kinematics during arm elevation. A reliable and clinically feasible method for measuring pectoralis minor length will be useful for clinical decision making when evaluating and treating individuals with shoulder pain and dysfunction. OBJECTIVES: To evaluate intrarater, interrater, and between-day reliability of a pectoralis minor (PM) muscle length measurement in subjects with and without signs of shoulder impingement...
March 15, 2016: Brazilian Journal of Physical Therapy
Lia Jacobson, Raj Dedhia, Niels Kokot, Ara Chalian
PURPOSE: Total lower lip and mandible defects following tumor resection present challenging reconstructions. The use of dual free flaps leads to increased donor-site morbidity and risk of flap failure. We present a single scapular free flap approach with unique use of osteotomies for lip reconstruction in a small series of patients. METHODS: A case series was conducted from 2007 to 2012 on three patients with squamous cell carcinoma of the oral cavity requiring large resection...
September 2016: Microsurgery
Michael Saper, Connor Kasik, Douglas Dietzel
Snapping scapula syndrome at the superomedial corner of the scapula can lead to significant shoulder dysfunction. Bursectomy with or without partial scapulectomy is currently the most beneficial primary method of treatment in patients in whom nonoperative therapy fails. Arthroscopic access to the scapulothoracic space is simple and reproducible with the technique described in this report. The bursal tissue can be cleared, optimizing visualization of the scapulothoracic space and the anatomic structures. Arthroscopic decompression of the scapulothoracic bursa and resection of the superomedial corner of the scapula are highlighted in a video example...
December 2015: Arthroscopy Techniques
Kevin J McQuade, John Borstad, Anamaria Siriani de Oliveira
Stabilization exercises have been a focus and mainstay of many therapeutic and performance training programs in the past decade. Whether the focus is core stabilization for the spine or scapular stabilization, clinicians and trainers alike have endorsed these programs, largely on the basis of conceptual theory and anecdotal experience. The notion that an unstable scapula is related to shoulder dysfunction and pathology is well accepted, but is it accurate? The aim of this perspective article is to challenge the concept of scapular stabilization through the application of biomechanical and motor control constructs...
August 2016: Physical Therapy
Apurv P Shimpi, Shah Bhakti, Karnik Roshni, Savita A Rairikar, Ashok Shyam, Parag K Sancheti
BACKGROUND: Racquet sports, especially lawn tennis and badminton have been gaining popularity in Asian countries like India. With this increase in popularity, the injury rate in the sport has also increased. OBJECTIVES: The study will help detect the presence of gleno-humeral movement dysfunction and scapular resting position abnormality in asymptomatic racquet players, thus providing basis for screening the players and allow the clinician to determine if the asymmetry is a normal adaptation in the player or an abnormal change associated with injury...
December 2015: Asian Journal of Sports Medicine
Ezequiel E Zaidenberg, Luciano A Rossi, Santiago L Bongiovanni, Ignacio Tanoira, Gaston Maignon, Maximiliano Ranalletta
BACKGROUND: Scapulo-thoracic joint disorders, including bursitis and crepitus, are commonly misdiagnosed problems and can be a source of persistent pain and dysfunction PRESENTATION OF THE CASE: This article describes an unusual case of a snapping scapula syndrome secondary to a migration through the lateral cortex of a rib splint intramedullary fixation device into the scapulothoracic joint. DISCUSSION: Recently, the operative fixation of multiple ribs fractures with intramedullary fixation devices has become popular...
2015: International Journal of Surgery Case Reports
Ji-Hyun Lee, Heon-Seock Cynn, Woo-Jeong Choi, Hyo-Jung Jeong, Tae-Lim Yoon
Scapular dyskinesis, characterized by scapular downward rotation syndrome (SDRS) affects scapula-humeral rhythm and results in shoulder dysfunction. Previous study has led to the recommendation of standard shrug exercise to contend with SDRS and strengthen the upper trapezius (UT) muscle. However, few researchers have examined which shrug exercise is most effective. The aim of this research was to compare scapular kinematic changes and scapular rotator muscles activity across three different shrug exercises in SDRS...
February 2016: Human Movement Science
Rong Zhang, Huifang Niu, Xiaohui Kang, Tao Ban, Hong Hong, Jing Ai
BACKGROUND/AIMS: The purpose of the present study was to clarify whether chronically elevated plasma neuropeptide Y (NPY) might affect heart function and cardiac remodeling in rats. METHODS: Male Wistar rats were administered NPY (85 μg for 30 days) by mini-osmotic pump subcutaneously implanted between the scapulae. Associated indices for heart function, cardiac remodeling and hypertrophy were evaluated. RESULTS: Compared to the sham group, the baseline systolic blood pressure (SBP) in rats administered NPY was significantly increased; cardiac function was significantly decreased, as indicated by reduced ejection fraction (EF), left ventricular end-systolic pressure (LVESP), maximum change velocity of left ventricular pressure in the isovolumic contraction or relaxation period (± dp/dtmax) and increased left ventricular end-diastolic pressure (LVEDP); hematoxylin-eosin (H&E) staining detection displayed enlarged cell areas and a consistent increase in heart-to-body weight ratios (HW/BW) was observed; quantitative real time PCR (qRT-PCR) and Western blot analysis showed markedly increased expressions of β-myosin heavy chain (β-MHC), calcineurin (CaN) and phosphorylated p38 proteins, while no changes were found in the expressions of p38 total protein and the phosphorylations of JNK and ERK...
2015: Cellular Physiology and Biochemistry
Atsushi Yoshida
Malunion after double disruption injuries of the superior shoulder suspensory complex accompanied by shoulder pain and dysfunction has been reported infrequently. A 37-year-old man had a double disruption injury (fractures of the distal clavicle and the base of the coracoid process). Conservative treatment resulted in malunion. Twelve months after the injury, pain continued in the coracoclavicular interval, and there was only 125° forward shoulder elevation. Radiographs showed 50° inferior angulation of the distal clavicle and elongated base of the coracoid process...
August 2015: Orthopedics
Simone Horwitz, Aimee Stewart
PURPOSE: To determine whether an association between cervical dysfunction and perimenstrual migraines exists. METHODS: Forty perimenstrual migraine sufferers and 46 controls were compared. Information on the participants' ages and perceptions of neck pain and stiffness were solicited. The blinded physical examination of the cervical area consisted of postural, range of motion, muscle strength, muscle length, trigger point, neural mobility, and segmental cervical joint movement assessment...
2015: Physiotherapy Canada. Physiothérapie Canada
Bassem T Elhassan, Eric R Wagner
HYPOTHESIS: The purpose of this study was to evaluate the outcome of transfer of the sternal head of the pectoralis major with its bone insertion to the inferior pole of the scapula for symptomatic winging. METHODS: Our study included 51 patients with serratus anterior dysfunction secondary to chronic muscle or long thoracic nerve injury. Indications included pain, scapular winging, and limited active motion after failed conservative management. All patients underwent transfer of the sternal head of the pectoralis major with its bone insertion to the scapular inferior pole...
May 2015: Journal of Shoulder and Elbow Surgery
Julia K Terzis, Dimitrios Karypidis, Ricardo Mendoza, Zinon T Kokkalis, Norou Diawara
BACKGROUND: Obstetric brachial plexus paralysis (OBPP) has been associated with shoulder deformities, scapular growth, and shoulder function impairment. The absence of balanced muscular forces acting on the scapula has been considered responsible for scapula dysplasia and impaired growth as compared with the normal side. Scapula growth impairment may also lead to shoulder and upper extremity dysfunction. This study aims at showing the association of primary nerve reconstruction with the restoration of scapular bone growth potential...
September 2014: Hand: Official Journal of the American Association for Hand Surgery
Kuan-Ting Lee, Chiung-Cheng Chuang, Chien-Hung Lai, Jing-Jhao Ye, Chien-Lung Wu
The scapula is stabilized in or moved to a certain position to coordinate shoulder function and achieve shoulder and arm movement during the athletic and daily activities. An alteration in the scapular position both at rest and during arm movements is commonly associated with shoulder injury or dysfunction. The purpose of this study was to assess the influence of the depressed scapular position using pressure pain threshold (PPT) and delayed muscle activation of the upper and middle trapezius muscles. The study included 20 subjects who were divided into normal shoulder (n = 12) and depressed shoulder (n = 8) group...
February 2015: Manual Therapy
Ann M Cools, Tanneke Palmans, Fredrik R Johansson
CONTEXT: Tennis requires repetitive overhead movements that can lead to upper extremity injury. The scapula and the shoulder play a vital role in injury-free playing. Scapular dysfunction and glenohumeral changes in strength and range of motion (ROM) have been associated with shoulder injury in the overhead athlete. OBJECTIVE: To compare scapular position and strength and shoulder ROM and strength between Swedish elite tennis players of 3 age categories (<14, 14-16, and >16 years)...
September 2014: Journal of Athletic Training
Michael Beckett, Michael Hannon, Christopher Ropiak, Christopher Gerona, Karen Mohr, Orr Limpisvasti
BACKGROUND: Proper scapulothoracic and hip mechanics are essential aspects of the throwing kinetic chain. Little is known regarding these entities in preadolescent and adolescent baseball players. HYPOTHESIS: Scapular malposition and dyskinesis as well as hip dysfunction are highly prevalent in preadolescent and adolescent baseball players and may be identified by simple clinical testing. STUDY DESIGN: Descriptive laboratory study. METHODS: A total of 112 baseball players aged 7 to 18 years were recruited from local Little Leagues, traveling teams, and high schools...
October 2014: American Journal of Sports Medicine
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