Table 2.
Clinical assessments of scapulothoracic dyskinesis
Assessment | Methodology |
---|---|
McClure et al. visual assessment | Visual classification based on degree of dyskinesis: normal, subtle, obvious |
Uhl et al. visual assessment | Visual classification based on presence or absence of scapulothoracic dyskinesis |
Kibler et al. visual assessment | Based on 4 movement patterns: pattern I—inferomedial scapular border; pattern II—medial scapular border; pattern III—superior scapular border; pattern IV—symmetric |
Scapular assistance test | Examiner assists patient in upward rotation and posterior tilt during shoulder activation. Test is positive if ROM is increased or pain is reduced |
Scapular retraction test | Examiner assists with active elevation by applying external rotation and posterior tilt to the scapula. Test is positive if pain is reduced during exam |
Lateral scapular slide test | Examiner measures distance from superior angle of scapula, scapular spine, and inferior angle of scapula to the thoracic spine with arm place in three different positions. Test is positive if measurement variation exceeds 1.5 cm |
Isometric scapular pinch test | Patient is asked to retract scapula together as much as possible and to hold the isometric contraction for 20 seconds. Test is positive if burning sensation is present |
Wall pushup test | Patient is asked to perform 20 pushups. Test is positive if wing scapula is present |