{"id":1411,"date":"2014-11-26T12:24:12","date_gmt":"2014-11-26T12:24:12","guid":{"rendered":"https:\/\/andreasphysioblog.com\/?p=1411"},"modified":"2021-04-24T12:28:39","modified_gmt":"2021-04-24T12:28:39","slug":"opsummering-pa-the-consensus-statement-on-scapular-dyskinesis-kibler-b-et-al-2013","status":"publish","type":"post","link":"https:\/\/andreasphysioblog.com\/?p=1411","title":{"rendered":"Opsummering p\u00e5 the consensus statement on scapular dyskinesis, Kibler, B. et al, 2013."},"content":{"rendered":"<header class=\"entry-header\">\n<h1 class=\"entry-title\">The consensus statement on scapular dyskinesis, Kibler, B., et al,\u00a02013<\/h1>\n<\/header>\n<div class=\"entry-body\">\n<div class=\"entry-content\">\n<h2><strong>Opsummering p\u00e5 the consensus statement on scapular dyskinesis,\u00a0<\/strong><strong>Kibler, B. et al,\u00a0<\/strong><strong>2013.<\/strong><\/h2>\n<p><em><a href=\"http:\/\/www.oliverfinlay.com\/assets\/pdf\/kibler%20et%20al%20(2013)%20clinical%20implications%20of%20scapular%20dyskinesis%20in%20shoulder%20injury.%20%202013%20consensus%20statement%20from%20the%20scapular%20summit.pdf\">Clinical implications of scapular dyskinesis<\/a>\u00a0<a href=\"http:\/\/www.oliverfinlay.com\/assets\/pdf\/kibler%20et%20al%20(2013)%20clinical%20implications%20of%20scapular%20dyskinesis%20in%20shoulder%20injury.%20%202013%20consensus%20statement%20from%20the%20scapular%20summit.pdf\">in shoulder injury: the 2013 consensus statement<\/a>\u00a0<\/em><a href=\"http:\/\/www.oliverfinlay.com\/assets\/pdf\/kibler%20et%20al%20(2013)%20clinical%20implications%20of%20scapular%20dyskinesis%20in%20shoulder%20injury.%20%202013%20consensus%20statement%20from%20the%20scapular%20summit.pdf\"><em>from the \u2018scapular summit<\/em><br \/>\n<\/a><\/p>\n<p>Har du brug for behandling eller genoptr\u00e6ning kan du\u00a0finde mere info p\u00e5\u00a0<a href=\"http:\/\/xn--sernesfysioterapi-00b.dk\/\">S\u00f8ernesFysioterapi.d<\/a>k.\u00a0<strong>Du kan ogs\u00e5 f\u00f8lge med p\u00e5\u00a0facebook:<a href=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/08\/skc3a6rmbillede-2014-08-28-kl-21-49-43.png\">\u00a0<\/a><\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.facebook.com\/pages\/Andreasbjerregaardwordpresscom\/1460600300839186\">Andreasbjerregaard.wordpress.com<\/a><\/li>\n<li><a href=\"https:\/\/www.facebook.com\/pages\/S%C3%B8ernes-Fysioterapi\/1470212533260034\">S\u00f8ernesfysioterapi<\/a><\/li>\n<\/ul>\n<p>Kom gerne med feedback til om den fungere for jer og link gerne til gode skulder\u00f8velser<\/p>\n<p><strong>Hvad er scapula dyskinesi<\/strong><\/p>\n<p>Scapula dyskinesi er en \u00e6ndret bev\u00e6gelse og position af skulderbladet, idet \u2018dys\u2019 betyder \u00e6ndring og \u2018kinesi\u2019 betyder bev\u00e6gelse. Dyskinesi afspejler sig derved i tab af normal kontrol\u00a0af bev\u00e6gelse. Ben Kibler kalder Scapula dyskinesi for en <em>impairment of optimal function<\/em>, ikke en diagnose.<\/p>\n<figure id=\"attachment_4774\" class=\"wp-caption aligncenter\" data-shortcode=\"caption\" aria-describedby=\"caption-attachment-4774\"><a href=\"http:\/\/instagram.com\/p\/v4Wru0JBvn\/?modal=true\"><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-4774 size-medium\" src=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-26-kl-23-58-31.png?w=300&amp;h=180\" sizes=\"(max-width: 300px) 100vw, 300px\" srcset=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-26-kl-23-58-31.png?w=300&amp;h=180 300w, https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-26-kl-23-58-31.png?w=600&amp;h=360 600w, https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-26-kl-23-58-31.png?w=150&amp;h=90 150w\" alt=\"Sk\u00e6rmbillede 2014-11-26 kl. 23.58.31\" width=\"300\" height=\"180\" data-attachment-id=\"4774\" data-permalink=\"https:\/\/physioblogandreasbjerregaard.com\/2014\/11\/26\/the-2013-consensus-statement-on-scapular-dyskinesis\/skaermbillede-2014-11-26-kl-23-58-31\/\" data-orig-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-26-kl-23-58-31.png\" data-orig-size=\"1536,922\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Sk\u00e6rmbillede 2014-11-26 kl. 23.58.31\" data-image-description=\"\" data-medium-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-26-kl-23-58-31.png?w=300\" data-large-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-26-kl-23-58-31.png?w=825\" \/><\/a><figcaption id=\"caption-attachment-4774\" class=\"wp-caption-text\">Instagram: andreasbjaard<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p>N\u00e5r man unders\u00f8ger for scapula dyskinesi, kigger man efter anterior tilt, internal rotation og manglende upward rotation\u00a0b\u00e5de i hvile (statisk position) og under bev\u00e6gelse. Er det tilstede kan det resultere i en protraheret scapula stilling.<\/p>\n<p>Dog er der mange multifaktorerelle \u00e5rsager du kan for\u00e5rsage dyskinesi. B. Kibler beskriver dem som:<\/p>\n<ul>\n<li><img decoding=\"async\" class=\"alignright wp-image-4773 size-medium\" src=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-26-kl-22-25-06.png?w=300&amp;h=217\" sizes=\"(max-width: 300px) 100vw, 300px\" srcset=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-26-kl-22-25-06.png?w=300&amp;h=217 300w, https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-26-kl-22-25-06.png?w=598&amp;h=434 598w, https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-26-kl-22-25-06.png?w=150&amp;h=109 150w\" alt=\"Sk\u00e6rmbillede 2014-11-26 kl. 22.25.06\" width=\"300\" height=\"217\" data-attachment-id=\"4773\" data-permalink=\"https:\/\/physioblogandreasbjerregaard.com\/2014\/11\/26\/the-2013-consensus-statement-on-scapular-dyskinesis\/skaermbillede-2014-11-26-kl-22-25-06\/\" data-orig-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-26-kl-22-25-06.png\" data-orig-size=\"1058,768\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Sk\u00e6rmbillede 2014-11-26 kl. 22.25.06\" data-image-description=\"\" data-medium-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-26-kl-22-25-06.png?w=300\" data-large-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-26-kl-22-25-06.png?w=825\" \/><strong>Strukturelle faktorer:<\/strong> fx thorakal kyfose<\/li>\n<li><strong>Knogler:<\/strong> Clavicula og scapula frakturer<\/li>\n<li><strong>Led:<\/strong>\u00a0Labrum skade, GH instabilitet, AC-instabilitet, biceps tendinitis and A-C separations\u00a0eller AC-artrose<\/li>\n<li><strong>Neurologisk:<\/strong> Cervical\u00a0radiculopathy, nerve palsy<\/li>\n<li><strong>Soft tissue mekanismer<\/strong>: Stramhed af pec. minor og biceps brachii der (lille hoved)\u00a0via sit tilh\u00e6fte p\u00e5 processus coracoideus giver et anterior tilt og protraktion af scapula.<\/li>\n<li><strong>D\u00e5rlig motor kontrol:<\/strong> nedsat aktivitet\/styrke i m. serratur og laver trapezius og hypertonus i \u00f8vre trapezius (medf\u00f8rer manglende posterior tilt).<\/li>\n<li><strong>Nedsat kinetic\u00a0chain factors<\/strong> include hip\/leg weakness and core weakness<\/li>\n<\/ul>\n<p><strong>Er Scapula involveret i smerterne? SAT og SRT test<\/strong><\/p>\n<p>Her benytter Ben Kibler to test for at vurdere scapula involvering.<\/p>\n<ul>\n<li>Scapular assistance (SAT): Her assisteres\u00a0scapula i upward rotaion. S\u00e5 hvis man har en positiv smertebue eller inpingement, og man udf\u00f8rer denne test, og smerterne g\u00e5r v\u00e6k, s\u00e5 kan man finde for\u00a0ud af om Scapula har medindflydelse p\u00e5 symptomerne.<br \/>\n<em>In the SAT, scapular movement quality is examined. Reduction of pain during this movement compared with non-assistance confirms scapular involvement in the shoulder complaints.<\/em><\/li>\n<li>scapular retraction\/reposition tests (SRT): Scapular retraction\/reposition tests (SRT):\u00a0<em>The SRT investigates scapular stability. The test is positive for scapular involvement when the initial pain, present in the empty-can position, disappears during the SRT<\/em><\/li>\n<li><em><a href=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-27-kl-01-15-12.png\"><img decoding=\"async\" class=\"size-medium wp-image-4785 aligncenter\" src=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-27-kl-01-15-12.png?w=300&amp;h=147\" sizes=\"(max-width: 300px) 100vw, 300px\" srcset=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-27-kl-01-15-12.png?w=300&amp;h=147 300w, https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-27-kl-01-15-12.png?w=600&amp;h=294 600w, https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-27-kl-01-15-12.png?w=150&amp;h=74 150w\" alt=\"Sk\u00e6rmbillede 2014-11-27 kl. 01.15.12\" width=\"300\" height=\"147\" data-attachment-id=\"4785\" data-permalink=\"https:\/\/physioblogandreasbjerregaard.com\/2014\/11\/26\/the-2013-consensus-statement-on-scapular-dyskinesis\/skaermbillede-2014-11-27-kl-01-15-12\/\" data-orig-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-27-kl-01-15-12.png\" data-orig-size=\"1022,502\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Sk\u00e6rmbillede 2014-11-27 kl. 01.15.12\" data-image-description=\"\" data-medium-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-27-kl-01-15-12.png?w=300\" data-large-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-27-kl-01-15-12.png?w=825\" \/><\/a><\/em><\/li>\n<\/ul>\n<p><strong>SAT &amp; SRT test vs. Mulligan Concept Mobilisation with Movement (MWM)<\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-4784 size-medium\" src=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-27-kl-01-14-51.png?w=300&amp;h=200\" sizes=\"(max-width: 300px) 100vw, 300px\" srcset=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-27-kl-01-14-51.png?w=300&amp;h=200 300w, https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-27-kl-01-14-51.png?w=598&amp;h=400 598w, https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-27-kl-01-14-51.png?w=150&amp;h=100 150w\" alt=\"Sk\u00e6rmbillede 2014-11-27 kl. 01.14.51\" width=\"300\" height=\"200\" data-attachment-id=\"4784\" data-permalink=\"https:\/\/physioblogandreasbjerregaard.com\/2014\/11\/26\/the-2013-consensus-statement-on-scapular-dyskinesis\/skaermbillede-2014-11-27-kl-01-14-51\/\" data-orig-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-27-kl-01-14-51.png\" data-orig-size=\"762,510\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Sk\u00e6rmbillede 2014-11-27 kl. 01.14.51\" data-image-description=\"\" data-medium-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-27-kl-01-14-51.png?w=300\" data-large-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-27-kl-01-14-51.png?w=762\" \/>Min mest benyttede behandlingsform er MulliganConcept. For mig minder SAT &amp; SRT meget om det jeg g\u00f8r ved alle test i hele kroppen, hvor jeg laver en mobilisering, hvorefter min patient aktivt udf\u00f8rer en smertefri bev\u00e6gelse selv. Fx l\u00f8fte armen.<\/p>\n<p>Kibler bruger SAT og SRT som test. Men hvis det skulle overf\u00f8res til min Mulligan tankegange, s\u00e5 kan selve testen ogs\u00e5 v\u00e6re en del af behandling og udf\u00f8res fx. 10 rep. x 3 set.<br \/>\nL\u00e6s mere om MulliganConcept her. <a href=\"http:\/\/mulligan.dk\/\">Mulligan.dk<\/a><\/p>\n<h2><strong>Conference consensus 2013<\/strong><\/h2>\n<figure id=\"attachment_4787\" class=\"wp-caption alignleft\" data-shortcode=\"caption\" aria-describedby=\"caption-attachment-4787\"><a href=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-27-kl-01-13-47.png\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-4787\" src=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-27-kl-01-13-47.png?w=155&amp;h=225\" sizes=\"(max-width: 155px) 100vw, 155px\" srcset=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-27-kl-01-13-47.png?w=155&amp;h=225 155w, https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-27-kl-01-13-47.png?w=310&amp;h=450 310w, https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-27-kl-01-13-47.png?w=103&amp;h=150 103w, https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-27-kl-01-13-47.png?w=206&amp;h=300 206w\" alt=\"Sk\u00e6rmbillede 2014-11-27 kl. 01.13.47\" width=\"155\" height=\"225\" data-attachment-id=\"4787\" data-permalink=\"https:\/\/physioblogandreasbjerregaard.com\/2014\/11\/26\/the-2013-consensus-statement-on-scapular-dyskinesis\/skaermbillede-2014-11-27-kl-01-13-47\/\" data-orig-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-27-kl-01-13-47.png\" data-orig-size=\"670,974\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Sk\u00e6rmbillede 2014-11-27 kl. 01.13.47\" data-image-description=\"\" data-medium-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-27-kl-01-13-47.png?w=206\" data-large-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2014\/11\/skc3a6rmbillede-2014-11-27-kl-01-13-47.png?w=670\" \/><\/a><figcaption id=\"caption-attachment-4787\" class=\"wp-caption-text\">Billede af Ann Cools udf\u00f8rer SAT og SRT test<\/figcaption><\/figure>\n<p>This consensus conference revealed that scapular involvement\u00a0in almost all types of shoulder pathology may play an important,\u00a0but as of now not a completely understood role in creating\u00a0or exacerbating the shoulder dysfunction. Shoulder impingement\u00a0symptoms in particular appear to be affected by scapular\u00a0position and motion. Scapular dyskinesis is probably most aptly\u00a0viewed as a potential impairment to optimum shoulder function\u00a0and shoulder be evaluated and treated as part of the comprehensive\u00a0treatment protocol.<\/p>\n<p><a title=\"Kibler, W.B. et al (2013). Clinical implications of scapular dyskinesis in shoulder injury: the 2013 consensus statement from the &quot;Scapular Summit&quot;. Br J Sports Med; 47: pp877-885\" href=\"http:\/\/www.oliverfinlay.com\/assets\/pdf\/kibler%20et%20al%20(2013)%20clinical%20implications%20of%20scapular%20dyskinesis%20in%20shoulder%20injury.%20%202013%20consensus%20statement%20from%20the%20scapular%20summit.pdf\" target=\"_blank\" rel=\"noopener\">Kibler, W.B. et al (2013). \u00a0Clinical implications of scapular dyskinesis in shoulder injury: \u00a0the 2013 consensus statement from the \u201cScapular Summit\u201d. \u00a0Br J Sports Med; 47: pp877-885<\/a><\/p>\n<h2><strong>Hvor starter vi tr\u00e6ningen.<br \/>\n<\/strong><\/h2>\n<p>Her er en video med Mike Reinold, der giver cue til scapula\u00f8velser. Is\u00e6r SAT \u00f8velsen. I samme omb\u00e6ring vil jeg anbefale Mike Reinold 8 ugers <a href=\"http:\/\/shoulderseminar.com\/\">ShoulderSeminar<\/a>\u00a0som jeg deltog online i forrige \u00e5r.<\/p>\n<div class=\"jetpack-video-wrapper\"><span class=\"embed-youtube\"><iframe class=\"youtube-player\" src=\"https:\/\/www.youtube.com\/embed\/f2shm_Jz0WQ?version=3&amp;rel=1&amp;showsearch=0&amp;showinfo=1&amp;iv_load_policy=1&amp;fs=1&amp;hl=en&amp;autohide=2&amp;wmode=transparent\" sandbox=\"allow-scripts allow-same-origin allow-popups allow-presentation\" allowfullscreen=\"allowfullscreen\" data-ratio=\"0.5636363636363636\" data-width=\"825\" data-height=\"465\" data-mce-fragment=\"1\"><\/iframe><\/span><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The consensus statement on scapular dyskinesis, Kibler, B., et al,\u00a02013 Opsummering p\u00e5 the consensus statement on scapular dyskinesis,\u00a0Kibler, B. et al,\u00a02013. Clinical implications of scapular dyskinesis\u00a0in shoulder injury: the 2013 consensus statement\u00a0from the \u2018scapular summit Har du brug for behandling eller genoptr\u00e6ning kan du\u00a0finde mere info p\u00e5\u00a0S\u00f8ernesFysioterapi.dk.\u00a0Du kan ogs\u00e5 f\u00f8lge med p\u00e5\u00a0facebook:\u00a0 Andreasbjerregaard.wordpress.com S\u00f8ernesfysioterapi Kom gerne med feedback til om den fungere for jer og link gerne til gode skulder\u00f8velser Hvad er scapula dyskinesi Scapula dyskinesi er en \u00e6ndret bev\u00e6gelse og position af skulderbladet, idet \u2018dys\u2019 betyder \u00e6ndring og \u2018kinesi\u2019 betyder bev\u00e6gelse. Dyskinesi afspejler sig derved i tab af normal kontrol\u00a0af bev\u00e6gelse. Ben Kibler kalder Scapula dyskinesi for en impairment of optimal function, ikke en diagnose. Instagram: andreasbjaard &nbsp; N\u00e5r man unders\u00f8ger for scapula dyskinesi, kigger man efter anterior tilt, internal rotation og manglende upward rotation\u00a0b\u00e5de i hvile (statisk position) og under bev\u00e6gelse. Er det tilstede kan det resultere i en protraheret scapula stilling. Dog er der mange multifaktorerelle \u00e5rsager du kan for\u00e5rsage dyskinesi. B. Kibler beskriver dem som: Strukturelle faktorer: fx thorakal kyfose Knogler: Clavicula og scapula frakturer Led:\u00a0Labrum skade, GH instabilitet, AC-instabilitet, biceps tendinitis and A-C separations\u00a0eller AC-artrose Neurologisk: Cervical\u00a0radiculopathy, nerve palsy Soft tissue mekanismer: Stramhed af pec. minor og biceps brachii der (lille hoved)\u00a0via sit tilh\u00e6fte p\u00e5 processus coracoideus giver et anterior tilt og protraktion af scapula. D\u00e5rlig motor kontrol: nedsat aktivitet\/styrke i m. serratur og laver trapezius og hypertonus i \u00f8vre trapezius (medf\u00f8rer manglende posterior tilt). Nedsat kinetic\u00a0chain factors include hip\/leg weakness and core weakness Er Scapula involveret i smerterne? SAT og SRT test Her benytter Ben Kibler to test for at vurdere scapula involvering. Scapular assistance (SAT): Her assisteres\u00a0scapula i upward rotaion. S\u00e5 hvis man har en positiv smertebue eller inpingement, og man udf\u00f8rer denne test, og smerterne g\u00e5r v\u00e6k, s\u00e5 kan man finde for\u00a0ud af om Scapula har medindflydelse p\u00e5 symptomerne. In the SAT, scapular movement quality is examined. Reduction of pain during this movement compared with non-assistance confirms scapular involvement in the shoulder complaints. scapular retraction\/reposition tests (SRT): Scapular retraction\/reposition tests (SRT):\u00a0The SRT investigates scapular stability. The test is positive for scapular involvement when the initial pain, present in the empty-can position, disappears during the SRT SAT &amp; SRT test vs. Mulligan Concept Mobilisation with Movement (MWM) Min mest benyttede behandlingsform er MulliganConcept. For mig minder SAT &amp; SRT meget om det jeg g\u00f8r ved alle test i hele kroppen, hvor jeg laver en mobilisering, hvorefter min patient aktivt udf\u00f8rer en smertefri bev\u00e6gelse selv. Fx l\u00f8fte armen. Kibler bruger SAT og SRT som test. Men hvis det skulle overf\u00f8res til min Mulligan tankegange, s\u00e5 kan selve testen ogs\u00e5 v\u00e6re en del af behandling og udf\u00f8res fx. 10 rep. x 3 set. L\u00e6s mere om MulliganConcept her. Mulligan.dk Conference consensus 2013 Billede af Ann Cools udf\u00f8rer SAT og SRT test This consensus conference revealed that scapular involvement\u00a0in almost all types of shoulder pathology may play an important,\u00a0but as of now not a completely understood role in creating\u00a0or exacerbating the shoulder dysfunction. Shoulder impingement\u00a0symptoms in particular appear to be affected by scapular\u00a0position and motion. Scapular dyskinesis is probably most aptly\u00a0viewed as a potential impairment to optimum shoulder function\u00a0and shoulder be evaluated and treated as part of the comprehensive\u00a0treatment protocol. Kibler, W.B. et al (2013). \u00a0Clinical implications of scapular dyskinesis in shoulder injury: \u00a0the 2013 consensus statement from the \u201cScapular Summit\u201d. \u00a0Br J Sports Med; 47: pp877-885 Hvor starter vi tr\u00e6ningen. Her er en video med Mike Reinold, der giver cue til scapula\u00f8velser. Is\u00e6r SAT \u00f8velsen. I samme omb\u00e6ring vil jeg anbefale Mike Reinold 8 ugers ShoulderSeminar\u00a0som jeg deltog online i forrige \u00e5r.<\/p>\n","protected":false},"author":1,"featured_media":1413,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"postBodyCss":"","postBodyMargin":[],"postBodyPadding":[],"postBodyBackground":{"backgroundType":"classic","gradient":""},"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[164,8],"tags":[16],"class_list":["post-1411","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-conference","category-shoulder","tag-shoulder"],"blocksy_meta":{"styles_descriptor":{"styles":{"desktop":"","tablet":"","mobile":""},"google_fonts":[],"version":7}},"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.2 - aioseo.com -->\n\t<meta name=\"description\" content=\"The consensus statement on scapular dyskinesis, Kibler, B., et al, 2013 Opsummering p\u00e5 the consensus statement on scapular dyskinesis, Kibler, B. et al, 2013. 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