Article

Appropriate evaluation of scapular dyskinesis is essential for
therapeutic strategies. Although the current visual-based assessment is rapid and
practical, the reliability of this method is unsatisfactory. It is necessary to
adequately understand the conditions of assessment to maximize the benefit of
therapeutic interventions. OBJECTIVE: To explore the influence of different test
positions on clinical assessment for scapular dyskinesis.
DESIGN: Observational
study. SETTING: University rehabilitation department. PATIENTS: A total of 102
subjects diagnosed with unilateral shoulder disorder were recruited from among
rehabilitation outpatients from November 2015 to February 2016. METHODS: Two
experienced raters categorized the subjects' scapular movement pattern according
to Kibler et al classification by the vision-palpation method at 4 test positions
(at rest, and the end range of elevation in the sagittal, scapular, and coronal
planes). MAIN OUTCOME MEASUREMENTS: The overall prevalence of scapular
dyskinesis, the distribution of types, and the reproducibility of types at the 4
test positions were analyzed. RESULTS: The overall prevalence of scapular
dyskinesis was 90.08%, and the highest frequency was found at the resting
position. Type III was the most common type in our sample. In reproducibility
analysis, 21.57% of subjects presented with the same type at any position, and
75.49% of subjects presented with 2 types. CONCLUSIONS: Scapular dyskinesis in
individuals with shoulder disorder showed a high prevalence, especially at the
resting position. More than 1 type of scapular pattern would be present if
assessed at different positions. This study indicates that test positions can
affect the results of scapular dyskinesis assessment, and that the resting
position should primarily be applied.
LEVEL OF EVIDENCE: III.
CI - Copyright (c) 2017 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS