Case Study One
I had a client who came to me with shoulder discomfort and had been previously diagnosed with subacromial impingement. The client was 23 years old and goes to the gym regularly. He does mixed sessions, from mobility and stability work to lifting weights, and also trains in mixed martial arts 4 times a week. His shoulder pain was affecting his sporting activities and having an impact on his overall health. The client’s shoulder impingement was previously treated with exercises and sports massage; however, the client never felt like his shoulders were improving and the pain would gradually come back over time.
I completed a postural assessment (as done on all consultations) and started asking more about when the pain started, what movements caused discomfort, and did it stop him continuing in his sporting activities. We completed a range of specific tests such as; Hawkins Kennedy, Speeds Test, Kuhns Test, scapula load, scapula wall slide, Scapula Activation Test and visual assessment of the scapula function. Most of these tests came back positive, I then diagnosed the client with Scapula Dyskinesia.
Below is a video of the function of the clients scapula movement at the begining of his treatment, week four and 3 months later.
5th May 2020
Before visiting Abbey, I was suffering with shoulder pain that was affecting gym performance and daily tasks to an extent.
After professionally diagnosing the injury, treating it and giving me stretches and exercises to do at home, my shoulder had regained functionality and was pain free within weeks.
Since then I have been going back for maintenance treatment. I highly reccommend Abbey as she is very knowledgeable, friendly and professional.
Rehabilitation Programme (PDF)
Below are the exercise rehabilitation programmes used to help improve this client’s shoulder dysfunction/pain for this case. Each rehabilitation programme that I put together is bespoke and each individual and each injury will vary.
The exercises used within the rehabilitation programme within the first four weeks were effective (as shown in the videos) and commonly used exercises to help with scapula dyskinesia and can be proven from the Holmgren, Öberg, Sjöberg, Ohansson, (2012) study.
What is Scapula Dyskinesia?
Scapular dyskinesia is my favourite shoulder dysfunction.
Scapular dyskinesia is usually found in overhead athletes (Sciascia & Kibler, 2015). Scapular dyskinesia is known as an alteration in dynamic scapular control and does not always cause pain. It has also been shown that it can occur without being caused by a specific injury, but it can lead to injuries within the shoulder as it puts increased amount of stress on the acromioclavicular, subacromial space and muscle activation (Moura, Monteiro, Lucareli, & Fukuda, 2016). Scapula dyskinesia is commonly known for affecting the raising and lowering phase.
Scapula Dyskinesia Articles
The Reijneveld et al, (2017) study, found that there was a difference between the effectiveness of treating scapula dyskinesia between using kinesiology tape and rigid tape. Kinesiology tape and rigid tape were tested to see which of these treatments improved the scapula movement and helped to lengthen the pectoralis minor most effectively. This study showed that Kinesiology taping was more effective for lengthening the pectoralis minor.
The Ozer, Karabay, & Yesilyaprak, (2018) study, investigated how kinesiology taping vs rigid taping would affect scapular dyskinesia, scapular upward rotation, and pectoralis minor length in overhead athletes. This study shown that rigid taping was not effective and kinesiology taping had a positive effect on lengthening the pectoralis minor which helped to improve the scapula rhythm in the short term.
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