Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 25, Issue 11 , Pages 1240-1248 , November 2009

Evaluation of Clinical Assessment Methods for Scapular Dyskinesis

  • Tim L. Uhl, Ph.D., P.T., A.T.C.

      Affiliations

    • Division of Athletic Training, University of Kentucky, Lexington, Kentucky, U.S.A.
    • Corresponding Author InformationAddress correspondence and reprint requests to Tim L. Uhl, Ph.D., P.T., A.T.C., Division of Athletic Training, University of Kentucky, 206 Charles T. Wethington Bldg, 900 S Limestone, Lexington, KY 40536, U.S.A.
  • ,
  • W. Ben Kibler, M.D.

      Affiliations

    • Shoulder Center of Kentucky, Lexington, Kentucky, U.S.A.
  • ,
  • Ben Gecewich, M.S., A.T.C.

      Affiliations

    • Greenville Hospital System, Greenville, South Carolina, U.S.A.
  • ,
  • Brady L. Tripp, Ph.D., A.T.C., L.A.T.

      Affiliations

    • Department of Applied Physiology and Kinesiology, University of Florida, Gainesville, Florida, U.S.A.

Received 19 September 2008 ,Accepted 10 June 2009.

References 

  1. Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther. 2000;80:276–291
  2. Paletta GA, Warner JJP, Warren RF, Deutsch A, Altchek DW. Shoulder kinematics with two-plane x-ray evaluation in patients with anterior instability or rotator cuff tearing. J Shoulder Elbow Surg. 1997;6:516–527
  3. Warner JJP, Micheli LJ, Arslanian LE, Kennedy J, Kennedy R. Scapulothoracic motion in normal shoulders and shoulders with glenohumeral instability and impingement syndrome (A study using Moiré topographic analysis). Clin Orthop Relat Res. 1992;191–199
  4. Kibler WB, McMullen J. Scapular dyskinesis and its relation to shoulder pain. J Am Acad Orthop Surg. 2003;11:142–151
  5. Burkhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder: Spectrum of pathology (Part I: Pathoanatomy and biomechanics). Arthroscopy. 2003;19:404–420
  6. Kibler WB. Role of the scapula in the overhead throwing motion. Contemp Orthop. 1991;22:525–532
  7. Myers JB, Laudner KG, Pasquale MR, Bradley JP, Lephart SM. Glenohumeral range of motion deficits and posterior shoulder tightness in throwers with pathologic internal impingement. Am J Sports Med. 2006;34:385–391
  8. Inman VT, Saunders M, Abbot LC. Observations of the function of the shoulder joint. J Bone Joint Surg Am. 1944;26:1–30
  9. Poppen NK, Walker PS. Normal and abnormal motion of the shoulder. J Bone Joint Surg Am. 1976;58:195–201
  10. Bey MJ, Zauel R, Brock SK, Tashman S. Validation of a new model-based tracking technique for measuring three-dimensional, in vivo glenohumeral joint kinematics. J Biomech Eng. 2006;128:604–609
  11. Karduna AR, McClure PW, Michener LA, Sennett B. Dynamic measurements of three-dimensional scapular kinematics: A validation study. J Biomech Eng. 2001;123:184–190
  12. 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;10:269–277
  13. Odom CJ, Taylor AB, Hurd CE, Denegar CR. Measurement of scapular asymmetry and assessment of shoulder dysfunction using the lateral scapular slide test: A reliability and validity study. Phys Ther. 2001;81:799–809
  14. Plafcan DM, Turczany PJ, Guenin BA, Kegerris S, Worrell TW. An objective measurement technique for posterior scapular displacement. J Orthop Sports Phys Ther. 1997;25:336–341
  15. Johnson MP, McClure PW, Karduna AR. New method to assess scapular upward rotation in subjects with shoulder pathology. J Orthop Sports Phys Ther. 2001;31:81–89
  16. Su KP, Johnson MP, Gracely EJ, Karduna AR. Scapular rotation in swimmers with and without impingement syndrome: Practice effects. Med Sci Sports Exerc. 2004;36:1117–1123
  17. Kibler WB, Uhl TL, Maddux JQ, McMullen J, Brooks PV, Zeller B. Qualitative clinical evaluation of scapular dysfunction (A reliability study). J Shoulder Elbow Surg. 2002;11:550–556
  18. Oyama S, Myers JB, Wassinger CA, Ricci D, Lephart SM. Asymmetric resting scapular posture in healthy overhead athletes. J Athl Train. 2008;43:565–570
  19. Wu G, van der Helm FC, Veeger HE, et al. ISB recommendation on definitions of joint coordinate systems of various joints for the reporting of human joint motion—Part II: Shoulder, elbow, wrist and hand. J Biomech. 2005;38:981–992
  20. Karduna AR, McClure PW, Michener LA. Scapular kinematics: Effects of altering the Euler angle sequence of rotations. J Biomech. 2000;33:1063–1068
  21. Tripp BL, Uhl TL, Mattacola CG, Srinivasan C, Shapiro R. A comparison of individual joint contributions to multijoint position reproduction acuity in overhead-throwing athletes. Clin Biomech (Bristol, Avon). 2006;21:466–473
  22. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–174
  23. Gaunche C, Knatt T, Solomonow M, Lu Y, Barratta R. The synergistic action of the capsule and the shoulder muscles. Am J Sports Med. 1995;23:301–306
  24. Morgan CD, Burkhart SS, Palmeri M, Gillespie M. Type II SLAP lesions: Three subtypes and their relationships to superior instability and rotator cuff tears. Arthroscopy. 1998;14:553–565
  25. Stetson WB, Templin K. The crank test, the O'Brien test, and routine magnetic resonance imaging scans in the diagnosis of labral tears. Am J Sports Med. 2002;30:806–809
  26. Levy AS, Lintner S, Kenter K, Speer KP. Intra- and interobserver reproducibility of the shoulder laxity examination. Am J Sports Med. 1999;27:460–463
  27. McFarland EG, Torpey BM, Curl LA. Evaluation of shoulder laxity. Sports Med. 1996;22:264–272
  28. Calis M, Akgun K, Birtane M, Karacan I, Calis H, Tuzun F. Diagnostic values of clinical diagnostic tests in subacromial impingement syndrome. Ann Rheum Dis. 2000;59:44–47
  29. MacDonald PB, Clark P, Sutherland K. An analysis of the diagnostic accuracy of the Hawkins and Neer subacromial impingement signs. J Shoulder Elbow Surg. 2000;9:299–301
  30. Bahk M, Keyurapan E, Tasaki A, Sauers EL, McFarland EG. Laxity testing of the shoulder: A review. Am J Sports Med. 2007;35:131–144
  31. Lintner SA, Levy A, Kenter K, Speer KP. Glenohumeral translation in the asymptomatic athletes shoulder and its relationship to other clinically measurable anthropometric variables. Am J Sports Med. 1996;24:716–720
  32. McBride ME. Evidence of biomechanical functional symmetry in the presence of lower extremity structural asymmetry during running (Masters of Physical Education). Vancouver: University of British Columbia; 1993;
  33. Witvrouw E, Bellemans J, Lysens R, Danneels L, Cambier D. Intrinsic risk factors for the development of patellar tendinitis in an athletic population (A two-year prospective study). The Am J Sports Med. 2001;29:190–195
  34. Cavanagh PR. The biomechanics of lower extremity action in distance running. Foot Ankle. 1987;7:197–217
  35. Ogston JB, Ludewig PM. Differences in 3-dimensional shoulder kinematics between persons with multidirectional instability and asymptomatic controls. Am J Sports Med. 2007;35:1361–1370
  36. Lukasiewicz AC, McClure P, Michener L, Pratt N, Sennett B. Comparison of 3-dimensional scapular position and orientation between subjects with and without shoulder impingement. J Orthop Sports Phys Ther. 1999;29:574–586
  37. Ekstrom RA, Donatelli RA, Soderberg GL. Surface electromyographic analysis of exercises for the trapezius and serratus anterior muscles. J Orthop Sports Phys Ther. 2003;33:247–258
  38. Scovazzo ML, Browne A, Pink M, Jobe FW, Kerrigan J. The painful shoulder during freestyle swimming, an electromyographic cinematographic analysis of twelve muscles. Am J Sports Med. 1991;19:577–582
  39. Gumina S, Carbone S, Postacchini F. Scapular dyskinesis and SICK scapula syndrome in patients with chronic type III acromioclavicular dislocation. Arthroscopy. 2009;25:40–45
  40. McClure PW, Bialker J, Neff N, Williams G, Karduna A. Shoulder function and 3-dimensional kinematics in people with shoulder impingement syndrome before and after a 6-week exercise program. Phys Ther. 2004;84:832–848
  41. Laudner KG, Myers JB, Pasquale MR, Bradley JP, Lephart SM. Scapular dysfunction in throwers with pathologic internal impingement. J Orthop Sports Phys Ther. 2006;36:485–494

 Supported by the American Shoulder and Elbow Surgeons. The authors report no conflict of interest.

PII: S0749-8063(09)00519-2

doi: 10.1016/j.arthro.2009.06.007

Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 25, Issue 11 , Pages 1240-1248 , November 2009