Time to challenge your beliefs again! Does Scapular Dyskinesis Matter? How do you assess it, do you even need to bother to correct it?
Thanks to @infophysiotherapy, Anthony Teoli MScPT for allowing MMT Premium access to one of his amazing webinars!
We recently did a Facebook Live presentation discussing whether or not scapular dyskinesis in and of itself is a relevant finding upon physical examination.⠀
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This recently published article by Willmore & Smith does a great job at summarizing the current challenges to the evidence regarding scapula dyskinesis:⠀
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1️⃣️ Scapular dyskinesis is defined as any deviation of "normal" scapular kinematics or a deviation in scapular position/motion. Therefore, in the absence of an identified normal, abnormal is an unknown entity.⠀
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2️⃣️ There is tons of variability in human anatomy and movement from one individual to the next. What is perceived as "abnormal", may in fact be a normal adaptation strategy. ⠀
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3️⃣Tests used to supposedly identified abnormalities cannot be claimed to do so given that they lack construct validity. In addition, scapular physical examination tests DO NOT have the ability to discriminate between those with and those without shoulder pain or a specific pathology.
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4️⃣Measurements are unreliable and prone to measurement error and bias. If a measure is not reliable, it cannot be valid.
We recently did a Facebook Live presentation discussing whether or not scapular dyskinesis in and of itself is a relevant finding upon physical examination.⠀
⠀
This recently published article by Willmore & Smith does a great job at summarizing the current challenges to the evidence regarding scapula dyskinesis:⠀
⠀
1️⃣️ Scapular dyskinesis is defined as any deviation of "normal" scapular kinematics or a deviation in scapular position/motion. Therefore, in the absence of an identified normal, abnormal is an unknown entity.⠀
⠀
2️⃣️ There is tons of variability in human anatomy and movement from one individual to the next. What is perceived as "abnormal", may in fact be a normal adaptation strategy. ⠀
⠀
3️⃣Tests used to supposedly identified abnormalities cannot be claimed to do so given that they lack construct validity. In addition, scapular physical examination tests DO NOT have the ability to discriminate between those with and those without shoulder pain or a specific pathology.
⠀
4️⃣Measurements are unreliable and prone to measurement error and bias. If a measure is not reliable, it cannot be valid.
Anthony Teoli graduated from McGill University with a Master’s
of Science in Physical Therapy. He has gained experience working with oncology
patients, patients with neurological conditions (multiple sclerosis, stroke and
cerebral palsy) and patients with musculoskeletal injuries in both the hospital
and private clinic settings. Anthony currently works as a physiotherapist at
CBI Concordia Sport Physio, a private physiotherapy clinic located in Laval,
Quebec. He is also the Founder & President of InfoPhysiotherapy, an online
educational website dedicated to providing affordable, evidence-based
continuing education lectures and courses for healthcare professionals
worldwide.
Anthony has a keen interest for research and knowledge
translation, having conducted two research studies examining the relationship
between knee osteoarthritis and walking biomechanics. This research was
presented at provincial, national and international conferences. His first
peer-reviewed article was published in July 2016, along with two co-authors.
Anthony is also currently pursuing his PhD in Rehabilitation Science at McGill
University, with a focus on knee osteoarthritis, gait biomechanics and
knowledge translation.