| Journal: | Brazilian journal of physical therapy |
| Database: | PERIÓDICA |
| System number: | 000380165 |
| ISSN: | 1809-9246 |
| Authors: | Miachiro, Newton Y1 Camarini, Paula M.F1 Tucci, Helga T2 McQuade, Kevin J3 Oliveira, Anamaria S1 |
| Institutions: | 1Universidade de Sao Paulo, Faculdade de Medicina de Ribeirao Preto, Rio de Janeiro. Brasil 2Universidade Federal de Sao Paulo, Departamento de Ciencias do Movimento Humano, Sao Paulo. Brasil 3University of Washington, School of Medicine, Seattle, Washington. Estados Unidos de América |
| Year: | 2014 |
| Season: | May-Jun |
| Volumen: | 18 |
| Number: | 3 |
| Pages: | 282-289 |
| Country: | Brasil |
| Language: | Portugués, inglés |
| Document type: | Artículo |
| Approach: | Aplicado, analítico |
| English abstract | Altered scapular rotation and position have been named scapular dyskinesis. Visual dynamic assessment could be applied to classify this alteration based on the clinical observation of the winging of the inferior medial scapular border (Type I) or of the prominence of the entire medial border (Type II), or by the excessive superior translation of the scapula (Type III). Objective: The aim of this study was to determine if there were differences in scapular rotations (Type I and II) and position (Type III) between a group of subjects with scapular dyskinesis, diagnosed by the clinical observation of an expert physical therapist, using a group of healthy individuals (Type IV). Method: Twenty‑six asymptomatic subjects volunteered for this study. After a fatigue protocol for the periscapular muscles, the dynamic scapular dyskinesis tests were conducted to visually classify each scapula into one of the four categories (Type IV dyskinesis-free). The kinematic variables studied were the differences between the maximum rotational dysfunctions and the minimum value that represented both normal function and a small dysfunctional movement. Results: Only scapular anterior tilt was significantly greater in the type I dyskinesis group (clinical observation of the posterior projection of the inferior angle of the scapula) when compared to the scapular dyskinesis-free group (p=0.037 scapular and p=0.001 sagittal plane). Conclusions: Clinical observation was considered appropriate only in the diagnoses of dyskinesis type I. Considering the lower prevalence and sample sizes for types II and III, further studies are necessary to validate the clinical observation as a tool to diagnose scapular dyskinesis |
| Disciplines: | Medicina |
| Keyword: | Diagnóstico, Neurología, Discinesia, Escápula, Biomecánica, Hombro, Diagnóstico clínico |
| Keyword: | Medicine, Diagnosis, Neurology, Dyskinesia, Scapula, Biomechanics, Shoulder, Clinical diagnosis |
| Full text: | Texto completo (Ver PDF) |
