The role of the scapula in athletic shoulder function.

@article{Kibler1998TheRO,
  title={The role of the scapula in athletic shoulder function.},
  author={William Ben Kibler},
  journal={The American journal of sports medicine},
  year={1998},
  volume={26 2},
  pages={
          325-37
        }
}
  • W. Kibler
  • Published 1 March 1998
  • Medicine, Biology
  • The American journal of sports medicine
The exact role and the function of the scapula are misunderstood in many clinical situations. This lack of awareness often translates into incomplete evaluation and diagnosis of shoulder problems. In addition, scapular rehabilitation is often ignored. Recent research, however, has demonstrated a pivotal role for the scapula in shoulder function, shoulder injury, and shoulder rehabilitation. This knowledge will help the physician to provide more comprehensive care for the athlete. This "Current… 
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References

SHOWING 1-10 OF 36 REFERENCES

Neuromuscular testing and rehabilitation of the shoulder complex.

An exercise routine developed to enhance proprioception, kinesthesia, and neuromuscular control is described and clinical research studies examining the strength of the rotator cuff and scapular stabilizers, in addition to joint position sense, are reviewed.

Current concepts in the rehabilitation of the athletic shoulder.

  • K. WilkC. Arrigo
  • Medicine
    The Journal of orthopaedic and sports physical therapy
  • 1993
Several current concepts in the rehabilitative treatment of the athletic shoulder patient are discussed, including neuromuscular control, proprioception, force couple efficiency, plyometrics, eccentrics, and scapular stability, which can enhance dynamic functional stability for the overhead athlete.

Biomechanical analysis of the shoulder during tennis activities.

: Biomechanical analysis of the shoulder in tennis is still in early stages; however, the available data do allow some conclusions and some recommendations for conditioning, evaluation, and…

Shoulder pain in the overhand or throwing athlete. The relationship of anterior instability and rotator cuff impingement.

Use of the Apprehension Test followed by the Relocation Test has proved to be the most sensitive means of detecting occult anterior glenohumeral subluxation.

The winged scapula.

A simple clinical and etiologic classification of the winged scapula is proposed based on the study of patients with 23 different types of winging of the scapulas in conjunction with a review of the literature.

Scapulothoracic motion in normal shoulders and shoulders with glenohumeral instability and impingement syndrome. A study using Moiré topographic analysis.

Axioscapular muscle dysfunction is common with both instability and impingement syndrome of the shoulder, although it remains to be determined whether this represents a primary or secondary phenomenon.

Electromyographic study of the scapular rotators during arm abduction in the scapular plane.

It is believed that the patterns of muscle activity may be closely related to mechanical factors such as scapulohumeral rhythm and a migrating scapular Instantaneous Centre of Rotation (ICR) during arm elevation.

Normal and abnormal motion of the shoulder.

The roentgenographic parameters of motion in normal and abnormal shoulders, including the movement of the scapula, arm angle, glenohumeral angle, scapulothoracic angle, excursion of the humeral head, and instant center of motion for abduction in the plane of the spleen, were determined and raised the possibility of diagnostic clinical application.

Scapular Winging

The evaluation and treatment of the three types of scapular winging, which are primary, secondary, and voluntary, are discussed.

EMG analysis of the scapular muscles during a shoulder rehabilitation program

A group of 4 exercises was shown to make up the core of a scapular muscle strengthening program, including scaption, row ing, push-up with a plus, and press-up.