deltoid isometrics in scapular plane

Make sure to keep your back straight during . This presentation, created by Stephanie Pascoe as part of the OMPT Fellowship in 2010, describes a how to guide for scapulothoracic rehabilitation. The information contained on this site is for informational purposes only, and should not be used as a substitute for the advice of a professional health care provider. Shoulder muscle activity and function in common shoulder rehabilitation exercises. Begin sub-maximal pain-free deltoid isometrics in the scapula plane (avoid shoulder extension when isolating posterior deltoid) Progress PROM: o Forward flexion and elevation in the scapular plane in supine to 120-140 degrees as tolerated. J Bone Joint Surg Am. PDF Reverse Total Shoulder Arthroplasty 05-13-2013 - sghs.org American Journal of Physical Medicine & Rehabilitation. %PDF-1.5 Work with a personal trainer to learn how to do isometric exercises correctly. The effect of scapular protraction on isometric shoulder rotation strength in normal subjects. <> Do 10 to 15 repetitions, and then move on to the next exercise: isometric shoulder abduction. - PROM ER in scapular plane to available ROM (20-30 degrees) - No IR ROM AROM of cervical spine, elbow, wrist, hand Periscapular sub-max/pain free isometrics Days 15-21 - Sub max pain free deltoid isometrics in scapular plane Weeks 3-6: - Progress FF/elevation in scapular plane to 120 degrees - ER in scapular plane to tolerance . Begin isometric exercises: abduction, external turn, biceps, . Although we strive to deliver accurate and up-to-date information, no guarantee to that effect is made. stream However, some assessment methods have proven to be reliable. Shoulder packing is another isometric exercise that works the rhomboids and trapezius muscles. Effects of scapular stabilization exercise training on scapular kinematics, disability, and pain in subacromial impingement: a randomized controlled trial. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). << /Length 5 0 R /Filter /FlateDecode >> Shoulder Scapular Retraction Exercise. Various shrug exercises can change scapular kinematics and scapular rotator muscle activities in subjects with scapular downward rotation syndrome. \%\? Begin shoulder PROM: o Forward flexion and elevation in the scapular plane in supine to 120 degrees as tolerated. [25], In the SAT, the patient is asked to do arm flexion and rate the pain on the numerical pain rating scale. Bethesda, MD 20894, Web Policies 4 0 obj Press the hand against the wall and hold. The altered mechanics in SD are increased scapular anterior tilt, increased scapular internal rotation, and altered scapular upward rotation. Perform the isometric scapular retraction exercise to strengthen these muscles. Hold the pressure against the wall for 5 seconds, and then release slowly. Disclaimer. Modifying a shrug exercise can facilitate the upward rotator muscles of the scapula. the exercise. Interrater reliability of the modified scapular assistance test with and without handheld weights. 2 0 obj Start in the same position as you did for the shoulder packing exercise, but lift your shoulders upward rather than pulling them backward. International Journal of Sports Physical Therapy. Review of scapular movement disorders among office workers having ergonomic risk. 3 - 6 Weeks: Progress exercises listed above. ?A$WXDj"=@Q> ,"``bd`v N0 t endstream The strength of active external rotation and of abduction of the shoulder when the humerus was in the plane of the scapula (30 degrees of horizontal flexion anterior to the coronal plane) was measured isokinetically and isometrically in thirty-nine normal volunteers, who were stratified by age and sex. 65g"n|aA*V ER to 60 deg; Begin IR to tolerance NOT to exceed 50 deg; Initiate GH and ST joint mobs ( grade 1 and 2 ) <> Strengthening Begin submaximal pain-free deltoid isometrics in scapular plane (avoid shoulder extension when isolating posterior deltoid) Goals to Progress to Next Phase 1. Isokinetic and isometric measurement of strength of external rotation and abduction of the shoulder. Isometric exercise for shoulders. If the pain felt by the patient is decreased or the strength is increased with the assistance the test is positive. PDF Reverse Total Shoulder Crall - Mammoth Ortho Limit ER (external rotation) to neutral 30 degrees. 8 0 obj . Tie the middle of a resistance band to a doorknob and hold the ends. To perform isometric shoulder internal rotation: Remember, no motion should occur in your shoulder during the exercise. Journal of Shoulder and Elbow Surgery. Flex your elbows and pull them behind your back as far as possible, squeezing your shoulder blades together. RTC is best able to maintain GH stability 29.3 deg anterior to coronal plane of the body. 3 Weeks to 6 Weeks: Progress practise listed above. PDF Shoulder Isometric Strengthening Program - OrthoIndy Please check with the appropriate physician regarding health questions and concerns. Begin sub-maximal pain-free deltoid isometrics in scapular plane (avoid shoulder extension when isolating posterior deltoid). V{;QOsO4&5N;.u hb```@( CC(aI Ui3 vX%D0wiiq [e#) lx(DPh`eWQu\P10/lrpg10_yH |9-r Strengthening the scapular muscles is essential for improving and maintaining scapulohumeral rhythm -- the coordinated movements between the humerus bone of your upper arm and the scapula bone, which includes the shoulder socket in which the head of the humerus fits. Limit FE (supine forward elevation in the scapular plane) to 90 degrees. Progress PROM: Forward flexion and raise in the scapular plane in passive to 120 graduate. A specific type of glenohumeral joint elevation that happens in the plane of the scapula, which is 30 degrees anterior to the frontal plane. GaxezGP3 2 QTz!{@"v z_av'.rOYLz S:5)qYBJ:Uq~"O'fw3fnVX4 kfsHJ3s7O$I]"d!e{@JI(V.Hwpn;50'Wj;/V!4i0|1H% eCollection 2018. The movement of the scapula can be divided into 3 motions and 2 translations. Once you start regaining shoulder muscle activation, you can progress by incorporating dynamic resistance band isometrics and shoulder active ROM. Posture-related: Excessive thoracic kyphosis and cervical lordosis, which are the changes that athletes are more tend to show are related causes of SD. EMG OF SHOULDER MUSCLES DURING REACTIVE ISOMETRIC ELASTIC RESISTANCE EXERCISES. He earned a Master of Science in human movement from A.T. Rhythmic stabilization drills for internal and external rotation with Scapular Dyskinesia, the forgotten culprit of shoulder pain and how to rehabilitate. Operative Techniques in Sports Medicine. Scapular dyskinesis: from basic science to ultimate treatment. Hold for five seconds, and then slowly release. Hold this position for five seconds or more. hYo6WP5m ijkP[ Analysis of the kinetic chain in asymptomatic individuals with and without scapular dyskinesis. The same movement is repeated with gluteal muscle contraction. Setting: Laboratory setting. Sit or stand with your arms at your sides, chest forward and chin up. Open Orthop J. eCollection 2022 Mar. > e5xN.| .d Manual resistance of the arm at 130 of flexion (for the serratus anterior), Manual resistance of the arm at 130-150 of abduction (for the lower and middle trapezius), Extension of the arm at the side (for the rhomboid). Scapular dyskinesis and its relation to shoulder pain. Clin Orthop Relat Res. endstream endobj 580 0 obj <>/Metadata 28 0 R/PageLayout/OneColumn/Pages 577 0 R/StructTreeRoot 47 0 R/Type/Catalog>> endobj 581 0 obj <>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 582 0 obj <>stream They act as a force couple during upper extremity movements and are particularly important in the overhead position. MeSH . FOIA Ebq=nD.Jsq. [4][5][6], SD can be seen in overhead athletes or patients with shoulder pathology such as rotator cuff disease, glenohumeral instability, impingement syndrome, and labral tears as well as in healthy people. A physical therapist can prescribe a set of moves specific to your needs and show you how to do them properly. The supraspinatus and infraspinatus components of the rotator cuff contributed a variable proportion to the total strength of abduction (25 to 50 per cent) and external rotation (50 to 75 per cent) throughout the range of motion. [52][53] But, this exercise should not be in the first 4-6 weeks of rehabilitation, or it can delay the restoration of scapular muscle balance. ER in scapular plane to available gentle PROM (as documented in Operative Note) - usually around 30 degrees. J Shoulder Elbow Surg. The pectoralis minor and serratus anterior muscles contract to pull the outer edges of the scapula bones in your upper back forward -- called scapular protraction. The rhomboids and trapezius muscles in your upper back help facilitate this movement. Limit FE (supine forward elevation in the scapular plane) to 90 degrees Limit ER (external rotation) to neutral 30 degrees Do Not perform Pendulums. % Normalization procedures using maximum voluntary isometric contractions for the serratus anterior and trapezius muscles during surface EMG analysis. Reverse Whole Shoulder Arthroplasty Audit: General Information: Reverse instead Inverse Complete Shoulder Arthroplasty (rTSA) is designed explicitly for this. PDF Laterjet Open Anterior Shoulder Stabilization endobj Unauthorized use of these marks is strictly prohibited. Kinnucan E, Molcjan MT, Wright DM, Switzer JA. [15]. You may wish to use a folded-up towel for a little extra comfort. The push-ups on an unstable surface increase the trapezius activation while decreasing the serratus anterior activation. - Begin sub maximal deltoid isometrics in the scapula plane (Avoid shoulder extension) - Continue frequent Cryotherapy 4-5 times day for about twenty minutes NO strengthening or resistance until 6 weeks 3-6 Weeks Progress exercise listed above Progress PROM: - Flexion in the scaption plane to 120 - ER in scapula plane to tolerance, [33][34], The structures around the scapula can be assessed for pain, loss of function, soft tissue laxity and muscle power. https://www.physio-pedia.com/index.php?title=Scapular_Dyskinesia&oldid=332603, Medial/lateral sliding around the curvature of the thorax, Posterosuperior scapular pain (may radiate into the ipsilateral para spinous cervical region or radicular/thoracic outlet-type symptoms in the affected upper extremity can be found). stream Introduction to the second international conference on scapular dyskinesis in shoulder injurythe Scapular summitreport of 2013. Isometric adduction produces increase subacromial space. Restore active range of motion (AROM) of elbow/wrist/hand 3. Clinical implications of scapular dyskinesis in shoulder injury: the 2013 consensus statement from the Scapular Summit. %PDF-1.3 If two or more points of pain decrease after assisted movement, the test is positive. With forward flexion/abduction, discourage scapular compensation; consider exercises in front of mirror 5. That is usually the journal article where the information was first stated. <> The examiner stands behind the patient. endobj Begin Deltoid/Cuff isometrics Removal of sling for showering: maintain arm in sling position. 1986 Jun 1;65(3):111-24. Bookshelf Stand about six inches away from a wall with your back facing it. Would you like email updates of new search results? Epub 2014 Apr 23. Hold this position for at least five seconds, then relax and return your arms to your sides. Repeat eight to 12 times. Get Top Tips Tuesday and The Latest Physiopedia updates, The content on or accessible through Physiopedia is for informational purposes only. Frequent (4-5 times a day for about 20 minutes) cold packs/ice. ?^DG%~t-_ixiW`\.|`=bG%B" Weeks 3 to 6: Progress above exercises. 68,69,71 Isometric . endobj Management of scapular dyskinesis in overhead athletes. <> X08252 (Rev. [11][12]. xr]UyA*Gl:HJ#" e%Vc*QjOmf_E]ty#7Y.//l33\n] }v? <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Direct 3-dimentional measurement of scapular kinematics during dynamic movements in vivo. Tip. These exercises are also beneficial if you have poor posture. Effective Examination of the Shoulder Complex: New Advances Kibler WB, Ludewig PM, McClure PW, Michener LA, Bak K, Sciascia AD. Subjects performed maximal isometric and concentric isokinetic contractions of shoulder protraction and retraction in scapular and sagittal planes, at slow (12.2 cm/s) and fast (36.6 cm/s) speeds. Isometric exercises for tendonopathic problems are gaining increasing evidence to improve collagen type 1 re growth in tend. ] RNQu;wfgb|o3 p5 mRADDl.`;wT|uGhdQeNGc+;J*ph^d}fI+cHBDg}ER'S:M/kJDG?BMT98xJjIkPok\{PV[r:IA>Q2Yzc0fKHtm\|o;P 1994 Jul;(304):108-15. Gently press into the wall as if you are trying to lift your arm out to the side, and hold it there for five seconds. Begin sub-maximal pain-free deltoid isometrics in scapular plane (avoid shoulder extension when isolating posterior deltoid.) 5 0 obj The role of scapular dyskinesis on rotator cuff tears: a narrative review of the current knowledge. Shoulder shrugs work the levator scapulae muscles on either side of your neck and the upper fibers of the trapezius muscles, which coordinate to elevate the scapula bones. . Push your arm sideways into the wall, then relax and repeat. &cC. 6+ The data support standardization of the positions for testing the strength of motions of the shoulder: isometric strength of external rotation should be measured in the scapular plane with the shoulder in 45 degrees of abduction and 45 degrees of internal rotation; isometric strength of abduction, in the scapular plane with the shoulder in 45 degrees of abduction; and isokinetic strength of external rotation and abduction, in the scapular plane at 90 degrees per second. Hold a barbell across the front of your thighs or dumbbells at your sides to increase the resistance and make the exercise more challenging. shoulder medial/lateral rotation, horizontal abduction/adduction. (14/04/2023), Scapular dyskinesia (SD) is a term that describes a physical impairment in which the scapula's position and motion are altered. Begin Sub max pain free isometrics ( avoid shoulder ext ) PROM in a scapular plane. Isometric Shoulder Abduction at Wall. Verywell Health's content is for informational and educational purposes only. Accessibility V4g]#L Ujd"o}!ob5By%D)[=GbH/ Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. [vIVf[nIaZeC6` vn27l4-~X BkY/k d~tEC6 WHozyCBg? Journal of shoulder and elbow surgery. stream 604 0 obj <>/Filter/FlateDecode/ID[<3035BA907190C24E8449B0BBA548440B>]/Index[579 48]/Info 578 0 R/Length 118/Prev 159431/Root 580 0 R/Size 627/Type/XRef/W[1 3 1]>>stream Shoulder plyometrics, involving exerting maximum force in short intervals. 60`;@$i/hPVzhr$QR>ou6Ox"o7ru|N"ob2v9b3~>\^]1~ O1k2$KgOim)\^]5"3q;n;|FFz>w 'm3cXoq0ZQ{z9(jQW|_xK['5='x3,m6jHB6i!uH8r#8wu].O,;ZwFftY#DSB,Rzq7bF5/f% 2^}>KV7~ sJ[~pHoF0C ="`XaAB8Xf%];Zd_afC^h;k'l!Hh;ZpFI:7wl(Y819Vk,%YJ]%9f~(? Wrist and gripping excercises. % Int J Sports Phys Ther. Make sure you check in with your healthcare provider before starting this or any other exercise program. <>>> Modalities (i.e. [3], DASH is a measure that includes 30 items and assesses the disability and symptoms of the upper limb in patients with musculoskeletal disorders. Strengthening Begin submaximal pain-free deltoid isometrics in scapular plane (avoid shoulder extension when isolating posterior deltoid) Goals to Progress to Next Phase 1. Scapular motion in the presence of rotator cuff tears: a systematic review. %PDF-1.5 Repeat the exercise multiple times. Bend your elbow 90 degrees, make a fist, and press the back of your hand into the wall as if you were rotating your arm outwards. Gently press into the wall for about five seconds. Repeat testing demonstrated a high reliability of isokinetic measurements and of isometric measurements at angles within the range of the production of peak torque. This article is currently under review and may not be up to date. Stand so the band is to your side and use the arm farthest from it. Isometric shoulder external rotation is an exercise that can help strengthen your rotator cuff muscles, specifically your teres minor and your infraspinatus. Enhance PROM 2. &gg0{-tR. Make a fist, and gently press it into the wall behind you. https://www.youtube.com/watch?v=Ns6-J8MMMcw, https://www.youtube.com/watch?v=3AZ_iF-_RFE. 4 0 obj Use a small folded towel for padding. The shoulder you are exercising shoulder be closest to the wall. B <71.h RA2Lb+u+H#}d]-F"'TE'Q+AmtGcm2&B|+[Wp[pT(**U)[2rW 2Ob+NGoQk`@i9o0Edhh-!]X 4 0 obj In most cases Physiopedia articles are a secondary source and so should not be used as references. Frequent (4-5 times a day for about 20 minutes) cryotherapy. 'PlB3J**& &FTu/X-(\ H1U5`#Z)Lh,9dbJA7CR9/[OE.H:)W:[@6 c*H~9C1eG}>.T=7G8n-8m-W%&JH n8j24N,>TW}J+FT**VL*/*eHf{oMyA3'l;iB{RC"Rpa \{AC$%j0*ol;nwB.4TYfa;ST;@ }6r&?l%;BLP`@j^Y ]]d: }UufzU9;ZB*ATa?=&PF:}H>m'H, An isometric shoulder exercise plan may include: Shoulder isometrics can be performed up to three times per day, but be sure to ask your physical therapist about the frequency for your specific condition. 3 0 obj stream An anthropometric analysis to derive formulae for calculating the dimensions of anatomically shaped humeral heads. HHS Vulnerability Disclosure, Help \_G#B0AGg `_[!U6ir,DY/h 8v}\jVfpA|&Y#8sx`DQq*f{D!YM.A7(1!'!rO5ZR[%B> A The effectiveness of scapular stabilization exercise in the patients with subacromial impingement syndrome. 2018 Jun;476(6):1276-1283. doi: 10.1097/01.blo.0000533628.06091.0a. The .gov means its official. o ER in scapular plane to tolerance, respecting soft tissue constraints. [18][19][12], 2. %%EOF [47][48] [49] Also, they are the main muscles that cause dyskinesia, [16] so they should be considered well in rehabilitation. =gP%`is~;5g$)+h S7P up =[`aPuE@5 Shoulder Isometric Scaption (Elevation in Scapular Plane) British journal of sports medicine. <> [>#b;xWTCo/oe7vU vY|PQhH^CBof+<1c:9MHXIX~yZ1x.DV%$| Keep your elbow straight so your hand is down near your hip. British journal of sports medicine. International journal of sports physical therapy,12(3), 417. Evaluation of clinical assessment methods for scapular dyskinesis. (Attention: DO NOT produce undue stress on the . Reverse Total Shoulder Replacement Rehab - Adam Watson Orthopaedic Continue standing perpendicular to a wallabout six inches from it. Giuseppe LU, Laura RA, Berton A, Candela V, Massaroni C, Carnevale A, Stelitano G, Schena E, Nazarian A, DeAngelis J, Denaro V. Barcia AM, Makovicka JL, Spenciner DB, Chamberlain AM, Jacofsky MC, Gabriel SM, Moroder P, von Rechenberg B, Sengun MZ, Tokish JM, MRAB Study Group. Can Shoulder Muscle Activity Be Evaluated With Ultrasound Shear Wave Elastography? [42] [44]. Slowly return to the starting position. 3 0 obj <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 14 0 R 15 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 4 weeks. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Perform the isometric scapular retraction exercise to strengthen these muscles. Archives of physical medicine and rehabilitation. xq, B78wD,QxHJ"eO'7>W#$$UCv/=9Mwfg?_?f7? This is especially important if you are just starting isometric exercise after shoulder surgery. The disabled throwing shoulder: spectrum of pathology Part I: pathoanatomy and biomechanics. Participants: Fifty-two subjects of both sexes: 26 healthy and 26 with traumatic anterior glenohumeral instability. Context in source publication. Perform 10 to 15 repetitions, and then move on to the final shoulder isometric exercise: isometric extension. The Correct Posture for One-Arm Dumbbell Rows. [50][51], Shrug exercises activate the upper and lower trapezius and increase the upward rotation angle. Manual therapy. Kim K, Hwang HJ, Kim SG, Lee JH, Jeong WK. PDF Rehabilitation Protocol for Rotator Cuff Repair-Small to Medium Sized Tears The site is secure. dq Progress PROM: Forward flexion and elevation in the scapular plane in supine to 120 degrees. ) _$pxi~f80yv!T{`16@Ezp/$}//qfu65f_*"g9_QMS*4Qu-=@j6S[8n";"V@$$OFjadhkp{8+$;'^6{>;NP(EBD}9~0;&]T!`;*#dg,\07isp}7JzTI{5(GiCFZ_EKAnA;,A EZ@*\ zP9Av`>B#:.Z>xPq*Vc+o|>~}*{6XBH%9O!"8b8OyIY^07^+P\QFQt&Sdh!M}vn=:m<5I-HGdA:91vUmU\F(u(;sKw&y#>12R:8kJinNLnlhh3(.IX76yhkW|P>c3G~CZ\$rt* KY[u[lk("x9Hc#+Xjp.JUbw[)4uVG.w)V\^ }1YG/T4{h)0hq]S^JLGnc0VE'[[s~:~I7JVL7B7i9i J56$sl_NAV\ A physical therapist may recommend performing isometric-strengthening exercises if your scapulohumeral rhythm breaks down due to an injury. Begin sub-maximal pain-free deltoid isometrics in scapular plane (avoid shoulder extension available isolating posterior deltoid.) endobj 11/2019) AAHC \OT Shoulder/Scapula . PDF Department of Rehabilitation Services Reverse Total Shoulder 1 0 obj <> Lawrence RL, Ruder MC, Zauel R, Jalics A, Olszewski AM, Diefenbach BJ, Moutzouros V, Makhni EC, Muh S, Bey MJ. zZFkNBx!>'J,n&WfyGL@|wt$ [U$3P]x9Lk"W5tG. 2 0 obj Begin sub-maximal pain-free deltoid isometrics in scapular plane (avoid shoulder extension when isolating posterior deltoid.) Dynamic evaluation and early management of altered motor control around the shoulder complex. The sources cited below consist of evidence from peer-reviewed journals, prominent medical organizations, academic associations, and government data. 4 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> PDF Rehabilitation Protocol for Reverse Shoulder Arthroplasty 1 0 obj {^Q5|\2$,H7w 1 0 obj Evaluation of apparent and absolute supraspinatus strength in patients with shoulder injury using the scapular retraction test. PTA 130 Kinesiology Chapter 10 Shoulder Joint Flashcards Isometric exercises are stretches during which the muscle contracts without changing length and your joint doesn't move. endobj Just press gently into the wall to activate your shoulder muscles. Thank you, {{form.email}}, for signing up. PDF Reverse Total Shoulder Arthroplasty Post-Operative Care - Ortho Bethesda Effect of Resistance Training Maintaining the Joint Angle-torque Profile Using a Haptic-based Machine on Shoulder Internal and External Rotation. Independent with activities of daily living (ADLs) with modifications 8600 Rockville Pike The scapular plane is defined as the shoulder positioned in 30 degrees of abduction and forward flexion with neutral rotation. Kibler WB, Stone AV, Zacharias A, Grantham WJ, Sciascia AD. PDF Reverse Total Shoulder Replacement Therapy Protocol endobj Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. Setup. Matthew Schirm has worked in the sports-performance field since 1998. Journal of shoulder and elbow surgery. endobj . <> Leap to content. Revision of the Shoulder Normalization Tests is required to include rhomboid major and teres major. Edouard P, Samozino P, Julia M, Gleizes Cervera S, Vanbiervliet W, Calmels P, Gremeaux V. J Sport Rehabil. Protect anterior and posterior capsule from stretch, but begin passive ROM. [9][10], During the normal overhead upper extremity elevation with internal/external rotation being minimal until 100, primary scapular movement is upward rotation and secondary scapular movement is posterior tilt. . Isometric peak torque was greater than slow-speed (90 degrees per second) isokinetic peak torque, which in turn was greater than fast-speed (210 degrees per second) isokinetic peak torque. ?suo/*vhxUvUz[nUmX,E4xnl.hka/.Vvd;7v=P2E:wjo0tl{KV5/\>A'Ibvmb6T^#erk+A`{xxx>bsYm/|ZP>. Progress PROM: o Forward flexion and elevation in the scapular plane in supine to 120. 4 0 obj Minimal clinically important difference of the disabilities of the arm, shoulder and hand outcome measure (DASH) and its shortened version (QuickDASH). Electromyographic analysis of the serratus anterior and trapezius muscles during push-ups on stable and unstable bases in subjects with scapular dyskinesis. Franchignoni F, Vercelli S, Giordano A, Sartorio F, Bravini E, Ferriero G. Umehara J, Nakamura M, Nishishita S, Tanaka H, Kusano K, Ichihashi N. Umehara J, Nakamura M, Fujita K, Kusano K, Nishishita S, Araki K, Tanaka H, Yanase K, Ichihashi N. Struyf F, Nijs J, Meeus M, Roussel NA, Mottram S, Truijen S, Meeusen R. Bakurt Z, Bakurt F, Gelecek N, zkan MH. %PDF-1.3 Very little motion should occur at your shoulder. Available from: I give my consent to Physiopedia to be in touch with me via email using the information I have provided in this form for the purpose of news, updates and marketing.