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Muscles of the Shoulder

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The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
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The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...

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Clinical Efficacy of Ultrasound-Assisted Scoliosis-Specific Exercise in Mild-Grade Adolescent Idiopathic Scoliosis

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Upward pulling plus exercise improves scapulocostal pain and scapular position.

¹Department of Physical Therapy, College of Biomedical Science and Engineering, Inje University, Republic of Korea.

Journal of Physical Therapy Science

|December 13, 2016

Summary

Upward pulling plus exercise significantly reduced scapulocostal pain and improved scapular positioning in a patient with severe pain. This exercise may be a primary treatment for scapulocostal pain.

Keywords:

Computer worker Pulling plus Scapulocostal pain

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Area of Science:

Physical Therapy
Musculoskeletal Rehabilitation

Background:

Scapulocostal pain is a common condition affecting the area around the shoulder blade.
Scapular malposition can contribute to pain and dysfunction.

Observation:

A 22-year-old female presented with severe bilateral scapulocostal pain.
Measurements included scapular position (horizontal distance from inferior angle to spine) and pain levels.

Findings:

Upward pulling plus exercise led to a significant reduction in scapulocostal pain (to 2/10).
The exercise intervention also decreased the horizontal distance from the inferior angle to the spinal process, indicating improved scapular alignment.

Implications:

Upward pulling combined with shoulder retraction exercise shows promise as a therapeutic intervention.
This approach may be recommended for managing scapulocostal pain and scapulocostal syndrome.