#19 Scapula Dyskinesis; do we need to fix it? - with Filip Struyf
Sep 27, 2022
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Guest Filip Struyf, PhD discusses the question of whether or not to fix scapula dyskinesis in our physical examination. They explore the scapula assistance test, the role of scapula strengthening exercises, scapula positioning, and the importance of movement in treatment.
Focusing on load tolerance of the system rather than correcting scapula dyskinesis can improve pain and function.
Exercise is the primary treatment approach for scapula dyskinesis, with manual therapy and taping as potential adjunct treatments.
Deep dives
Scapula dyskinesis and the role of load tolerance
Scapula dyskinesis is not required to improve pain and function. Focusing on the load tolerance of the system rather than correcting scapula dyskinesis can yield positive outcomes. Improving strength and conditioning of the shoulder complex, including rotator cuff exercises, is key.
Manual therapy and taping in scapula dyskinesis
The role of manual therapy and taping in scapula dyskinesis is complex. From a clinical rationale, manual therapy targeting tight muscles, such as pectoralis or trapezius, may be considered. However, research on the specific effects of manual therapy and taping is limited. These interventions may provide short-term effects and potentially improve compliance, but exercise remains the central focus of treatment.
Patient-specific considerations
The use of manual therapy and taping should be individualized based on patient needs and preferences. Some patients may benefit from these adjunct treatments, while others may require a greater focus on self-efficacy and independence. Patient-centered care and a focus on movement as the primary treatment approach is essential.
Key takeaway
Exercise is the champion of treatment for scapula dyskinesis. Manual therapy and taping can be considered as adjunct treatments to improve compliance and provide short-term effects, but the focus should always be on strengthening and conditioning the shoulder complex.
In this podcast, I discuss the scapula with Filip Struyf, PhD. Filip is a former guest on the show (episode 2) and I've pulled him back on the podcast to tackle the hard problems as they relate to the scapula. Specifically, in this episode we consider the question: "If we identify a scapula dyskinesis in our physical examination, should we attempt to rectify it?".