What is SCAPULAR DYSKINESIS?
Scapular rotation is important for proper shoulder function. The Scapula (shoulder blade) also serves as a stable base for rotator cuff activation and functioning. Any bony or soft tissue injury around the shoulder can alter the roles of the scapula in motion or at rest.
Scapular dyskinesis (which may also be referred to as SICK scapula syndrome) is an alteration or deviation in the normal resting or active position of the scapula during shoulder movement. For most people, the scapula moves in abnormal ways due to the repetitive use of the shoulder. These changes, though sometimes asymptomatic, can increase the chances of injury.

This syndrome is characterized by a drooping of the shoulder and is often seen in overhead athletes. It is thought to contribute to the development of shoulder injuries.  In most overhead athletes, abnormal positioning of the scapula can be detected. 
Although it seems that the affected shoulder has a lower position compared with the healthy side, actually there is scapula malposition consisting of forward tilting and protraction. 
According to Kibler, this clinical picture is associated with anterior coracoid pain, posterosuperior localized pain and pain at the superolateral side of the shoulder (subacromial space and acromioclavicular joint).

The anterior localized pain can be confused with other causes of anterior shoulder pain, such as instability or a SLAP lesion.  The pain at the posterior side is caused by insertional pain over the scapula and is due to chronic over tension by the abducted and protracted scapula.




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