Conservative treatment for scapular dyskinesia includes manual therapy, therapeutic exercise, neuromuscular reeducation and therapeutic activities. The importance of warming-up muscles before physical therapy has been confirmed to decrease the chance of injury and increase performance.14 Kelly et al.,15 suggests that using an upper body ergometer for 5 minutes at 65-85% of age predicted max heart rate is a sufficient warm-up before physical therapy. In a study by Naidu and Ramteka16, grade IV mobilizations and grade V manipulations to the cervical and thoracic spine significantly decreased pain, improved results in the NDI and increased neck range of motion. It has been suggested that thoracic manipulation may decrease neck pain by normalizing biomechanics thus targeting the effects of scapular dyskinesia. Scapular position with a decrease in upward rotation has been found to increase the amount of scapular internal rotation leading to increased contact pressure and tightness within the glenohumeral joint.17 Therefore, provided the impairments of each patient, manual therapy to the glenohumeral joint may be indicated.
A common finding in scapular dyskinesia is tightness in the pectoralis minor, upper trapezius and posterior capsule of the glenohumeral joint.18 Yesilyaprak et al19 found that tightness of the pectoralis minor and upper trapezius …show more content…
Page20 suggests that both static and contract-relax stretching methods are effective in increasing range of
A common finding in scapular dyskinesia is tightness in the pectoralis minor, upper trapezius and posterior capsule of the glenohumeral joint.18 Yesilyaprak et al19 found that tightness of the pectoralis minor and upper trapezius …show more content…
Page20 suggests that both static and contract-relax stretching methods are effective in increasing range of