Int J Sports Med 2018; 39(10): 782-790
DOI: 10.1055/a-0608-4584
Orthopedics & Biomechanics
© Georg Thieme Verlag KG Stuttgart · New York

Evaluation of a New Exercise Program in the Treatment of Scapular Dyskinesis

Joerg Nowotny
1  Technische Universitat Dresden, University Hospital Carl Gustav Carus, Dresden, Germany
,
Philip Kasten
2  OCC, Orthopädisch Chirurgisches Centrum, Tübingen, Germany
,
Christian Kopkow
3  University of Applied Sciences, Department für Angewandte Gesundheitswissenschaften, Bochum, Germany
,
Achim Biewener
1  Technische Universitat Dresden, University Hospital Carl Gustav Carus, Dresden, Germany
,
Frieder Mauch
4  Sportklinik-Stuttgart, Department Sportorthopädie/Sporttraumatologie Obere Extremität/Schulterprothetik/, Stuttgart, Germany
› Author Affiliations
Further Information

Publication History



accepted 28 March 2018

Publication Date:
27 August 2018 (online)

Abstract

An abnormal motion of the scapula, or scapular dyskinesis (SD), can be effectively treated through conservative therapy. The aim of this study is to evaluate a new specific exercise program to restore normal position. A standardized and specific exercise program was created. In a prospective multi-center approach, patients were randomized into two groups: one group received the specific exercise program over a period of six weeks and the controls received massage therapy. The visual-analog scale, QuickDASH score, SICK scapula rating scale, hand press-up position test, lateral scapular slide test and internal rotation of the shoulder were evaluated. Twenty-eight patients were included in the study: fifteen in the exercise group and thirteen in the control group. Pain levels on the visual analog scale (VAS) were significantly reduced in both groups (exercise p=0.007; control p=0.004). The scores for QuickDASH (p=0.001), SICK scapula rating scale (p=0.003) and hand press-up position test (p=0.026) were significantly improved in the exercise group only. Scapula-focused exercise programs, as well as massage therapy, can effectively relieve pain in patients with SD. However, scapula-focused exercises resulted, specifically, in greater improvement of shoulder function.