This 2013 consensus statement synthesizes expert opinion from the second Scapular Summit on scapular dyskinesis across shoulder pathologies. It covers definition, clinical assessment tools (SDT, SAT, SRT), and rehabilitation outcomes across impingement, rotator cuff tears, labral injuries, AC separations, MDI, and scapular muscle detachment. The central question: when does dyskinesis matter, and how do you assess and treat it?
For any shoulder complaint — impingement, rotator cuff disease, labral injury, AC separation. Include a structured scapular assessment as a standard step, not an afterthought.
Observe for winging or dysrhythmia with the SDT (weighted flexion and abduction). Then use the SAT and SRT: if manually correcting scapular position reduces pain or restores strength, scapular stabilizers are your first rehabilitation target, not the rotator cuff.
For type 3 AC separations, assess for SICK scapula syndrome specifically. The 70.6% prevalence of dyskinesis in this group and its association with significantly worse functional scores means the presence or absence of dyskinesis should inform your surgical versus non-operative decision and your rehab plan.
For patients with chronic full-thickness rotator cuff tears or SLAP lesions who are borderline surgical candidates, a formal scapular rehabilitation program is worth a real trial. The data show 80% and 50% surgery avoidance rates, respectively. Numbers worth citing when counseling patients.
This 2013 consensus statement synthesizes expert opinion from the second Scapular Summit on scapular dyskinesis across shoulder pathologies. It covers definition, clinical assessment tools (SDT, SAT, SRT), and rehabilitation outcomes across impingement, rotator cuff tears, labral injuries, AC separations, MDI, and scapular muscle detachment. The central question: when does dyskinesis matter, and how do you assess and treat it?
For any shoulder complaint — impingement, rotator cuff disease, labral injury, AC separation. Include a structured scapular assessment as a standard step, not an afterthought.
Observe for winging or dysrhythmia with the SDT (weighted flexion and abduction). Then use the SAT and SRT: if manually correcting scapular position reduces pain or restores strength, scapular stabilizers are your first rehabilitation target, not the rotator cuff.
For type 3 AC separations, assess for SICK scapula syndrome specifically. The 70.6% prevalence of dyskinesis in this group and its association with significantly worse functional scores means the presence or absence of dyskinesis should inform your surgical versus non-operative decision and your rehab plan.
For patients with chronic full-thickness rotator cuff tears or SLAP lesions who are borderline surgical candidates, a formal scapular rehabilitation program is worth a real trial. The data show 80% and 50% surgery avoidance rates, respectively. Numbers worth citing when counseling patients.