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Updated: Aug 2, 2026

Measurement of Dynamic Scapular Kinematics Using an Acromion Marker Cluster to Minimize Skin Movement Artifact
Published on: February 10, 2015
Scapular position: the validity of skin surface palpation
1Department of Physiotherapy, Chelsea and Westminster Healthcare NHS Trust, London. jeremy.lewis@chelwest.nhs.uk
Surface palpation is a valid method for assessing scapular resting position and upper quadrant posture. This study confirms palpation accurately identifies bony landmarks on the scapula and thorax.
Area of Science:
- Anatomy
- Biomechanics
- Clinical Assessment
Background:
- Assessing the resting position of the scapula is crucial for evaluating upper quadrant posture.
- Accurate landmark identification is essential for reliable postural assessments.
Purpose of the Study:
- To validate surface palpation as an accurate method for determining the resting position of the scapula.
- To compare surface palpation findings with actual bony landmark locations on the scapula and thoracic spine.
Main Methods:
- Twelve embalmed shoulders were utilized for the study.
- Surface palpation was used to identify three scapular and three thoracic bony landmarks.
- The palpated locations were compared against the actual bony positions to determine accuracy.
Main Results:
- Surface palpation demonstrated high accuracy for scapular landmarks, with confidence intervals for differences ranging from 0.46 cm to 0.98 cm.
- Accuracy for thoracic landmarks was also confirmed, with confidence intervals for differences ranging from 1.01 cm to 1.46 cm.
- The findings indicate minimal deviation between palpated and actual bony landmark positions.
Conclusions:
- Surface palpation is a valid and reliable method for assessing the resting position of the scapular.
- Palpation can accurately identify thoracic landmarks, providing valuable reference points for scapular positioning assessments.
- These findings support the use of surface palpation in clinical settings for postural evaluation.
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