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Related Experiment Video

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Measurement of Dynamic Scapular Kinematics Using an Acromion Marker Cluster to Minimize Skin Movement Artifact
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Scapular dyskinesia: evolution towards a systems-based approach.

Elaine G Willmore1, Michael J Smith2

  • 1Gloucestershire Hospitals NHS Foundation Trust, Physiotherapy Department, Cheltenham General Hospital, Cheltenham, UK.

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|September 2, 2016
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Summary

Scapular dyskinesia is shifting from an isolated issue to a systems problem. This paradigm shift emphasizes patient-centered care and the entire neuromuscular system for better treatment.

Keywords:
assessmentdyskinesisrehabilitationscapulashoulder

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Area of Science:

  • Sports Medicine
  • Biomechanics
  • Clinical Rehabilitation

Background:

  • Scapular dyskinesia traditionally viewed as an isolated clinical entity.
  • Previous treatments focused on local muscle activity.
  • Recent evidence suggests a broader, systemic influence on scapular function.

Purpose of the Study:

  • To propose a paradigm shift in understanding and managing scapular dyskinesia.
  • To integrate scapular function within the wider kinetic chain and patient-centered needs.
  • To move beyond isolated assessments towards a holistic neuromuscular perspective.

Main Methods:

  • Literature review and synthesis of current research on scapular kinematics and neuromuscular control.
  • Analysis of the limitations of isolated treatment approaches.
  • Conceptual framework development for a systems-based approach.

Main Results:

  • The traditional view of scapular dyskinesia as isolated is insufficient.
  • Scapular movement is influenced by the kinetic chain and patient-specific factors.
  • A systems-based approach offers a more comprehensive understanding.

Conclusions:

  • Scapular dyskinesia should be viewed within the context of the entire neuromuscular system.
  • Patient-centered care and kinetic chain interactions are crucial for effective management.
  • A paradigm shift towards a holistic approach is necessary for improved clinical outcomes.