CME CE

CEUL064070 - COPY OF Scapular Dyskinesis 2021: Guidelines to Evaluation and Treatment

Offered By
Audra Mehan

5769 N Kingsdale Ave.
Chicago, IL  60646  USA
  503.577.4776
  amehan2018@gmail.com

Course Description:

There has been a large amount of evolving scholarship that has identified alterations of scapular position and motion, called scapular dyskinesis, as contributing factors to the symptoms and dysfunction of patients with various types of shoulder injuries. However, the exact methods of identification of dyskinesis in patients and the treatment options from this identification, has been hindered by lack of basic understanding of dyskinesis. This education activity is designed to help clinicians better understand dyskinesis and how to evaluate and treat it in their practice.

Over the past 10 years, the literature has been consistent noting that scapular dyskinesis by itself is not an injury or a musculoskeletal diagnosis. Scapular dyskinesis should be viewed as a physical impairment similar to patellar tracking alterations seen in the knee. This characterization has been supported by recent literature that has identified increases in shoulder function when specific scapular muscles are working optimally but not hyperactively. Furthermore, classic descriptions of how the aforementioned scapular kinematics occur have been found to be incorrect and this misinformation is taught in various academic programs and professional courses.

When scapular motion becomes altered, the appropriate term to use would be scapular dyskinesis. “Dys” (alteration of) “kinesis” (motion) is a general term that reflects loss of control of normal scapular physiology, mechanics, and motion. To date, the most commonly utilized method of identifying scapular dyskinesis has been observational analysis by the clinician where a judgment is made by the examiner as to whether or not he or she believes the scapula is moving in an abnormal pattern. Although clinicians can become well trained at distinguishing between clinically significant and benign scapular dyskinesis, the inherent flaw with observational analysis is the natural subjectivity of the method. However, this subjective method is often selected by the vast majority of clinicians because other methods (bone pins, 3-dimensional motion analysis) are too costly and time consuming for clinicians to purchase and utilize in an active patient care practice. Recently, a device allowing clinicians to utilize an objective method to assess scapular motion that is inexpensive and easy to implement has been developed.

The goals for this educational program are to change the ability of the clinicians to clinically recognize scapular dyskinesis in patients with shoulder pain, and for them to assemble a group of testing procedures that can be included in their basic evaluation of patients with shoulder pain.

Function and dysfunction of the scapula must be fully understood by clinicians because approaching scapular dyskinesis with inaccurate knowledge about muscle function and seeing the dysfunction as a pathological entity rather than a physical impairment can misguide treatment protocols and lead to less than optimal rehabilitation outcomes. As such, scapular function, scapular dyskinesis, the role of the scapula in shoulder injury, clinical examination designed to detect the dysfunction at the scapula and shoulder, and ultimately the treatment approach for optimizing scapular-based impairments needs to be clarified for the participants of this session. Furthermore, preliminary data obtained from the novel motion capture device will be presented for discussion.

CME CE

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