The presence or absence of scapular dyskinesis needs to be determined during the clinical examination. An exam consisting of visual inspection of scapular position at rest and during dynamic humeral movements along with the performance of objective posture measurements and scapular corrective maneuvers will help the clinician ascertain the extent to which the scapula is involved in the shoulder injury. Treatment of scapular dyskinesis should begin with optimized anatomy and then progress to the restoration of dynamic scapular stability via strengthening of the scapular stabilizers utilizing kinetic–chain based rehabilitation protocols.
British Journal of Sports Medicine, 12/18/09
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