Effect of thrower’s ten exercise program on scapular dyskinesia and throwing accuracy in cricket bowlers

Background: 19.8–34.1% of Upper limb injuries are recorded of total injuries in cricket. Shoulder joint is the most affected joint in bowlers. Inadequate force generation due to improper position of scapula and less strength of shoulder muscle might affect the performance of the players. So the objectives of the study was to see the effect of Thrower’s Ten Exercise Program on scapular dyskinesia and throwing accuracy . Methodology: 30 cricket bowlers (district and state level) with scapular dyskinesia were selected. Pre and post evaluation for scapular dyskinesia and Functional Throwing Performance Index (FTPI) was done post intervention. The intervention was carried out for 6 weeks . Results: There was significant improvement seen in scapular dyskinesia (p=0.0001) and in throwing accuracy (p=0.0002). Conclusion: This study concludes that the Thrower’s Ten Exercise Program when given for a period of 3dyas for 6 weeks showed highly significant improvement in scapular dyskinesia and throwing accuracy. KEY WORDS: Scapular Dyskinesia, Cricket Bowlers, Throwing Accuracy, Thrower’s ten program.

The role of scapular dyskinesis on rotator cuff tears: a narrative review of the current knowledge

Scapular dyskinesis can be present in healthy individuals as in patients with shoulder pathology. Altered patterns of scapular kinematics can cause or exacerbate rotator cuff tear pathology. However, more research is needed. Regardless of the cause or the consequence of rotator cuff tear, scapular dyskinesis impairs shoulder function, worsens the symptoms, and compromises the success of clinical intervention. The available literature suggests physical therapy as the first treatment for degenerative cuff tears, and scapular dyskinesis should be addressed if present. Non-responsive cases or traumatic tears may require surgery. Postsurgical physical therapy protocols after rotator cuff repair must consider scapular dyskinesia to improve the outcomes. Cite this article: EFORT Open Rev 2021;6:932-940. DOI: 10.1302/2058-5241.6.210043

Focus on the Scapular Region in the Rehabilitation of Chronic Neck Pain Is Effective in Improving the Symptoms: A Randomized Controlled Trial

Chronic neck pain is a common human health problem. Changes in scapular posture and alteration of muscle activation patterns of scapulothoracic muscles are cited as potential risk factors for neck pain. The purpose of this study was to compare the effects of neck exercise training (NET) with and without scapular stabilization training (SST) on pain intensity, the scapula downward rotation index (SDRI), forward head angle (FHA) and neck range of motion (ROM) in patients with chronic neck pain and scapular dyskinesia. A total of sixty-six subjects with chronic neck pain and scapular dyskinesia were randomly divided into three groups: neck exercise training, n = 24, combined training (NET + SST), n = 24 and a control group, n = 24. Pain intensity, SDRI, FHA and ROM were measured by the numerical rating scale, caliper, photogrammetry and IMU sensor, respectively. When the combined intervention group consisting of NET and SST was compared with NET alone at six weeks, there was a statistically significant difference in pain intensity, SDRI, FHA and cervical ROM for flexion and extension (p ≤ 0.05). Adding scapular exercises to neck exercises had a more significant effect in decreasing pain intensity, SDRI, FHA and increased cervical ROM than neck exercises alone in patients with chronic neck pain. These findings indicate that focus on the scapular posture in the rehabilitation of chronic neck pain effectively improves the symptoms.

Prevalence of Scapular Dyskinesia in Young Adults with Trapezitis - A Cross-Sectional Study

Background: An abnormal movement of the scapula during shoulder movement is termed as scapular dyskinesia and is an often-forgotten cause of pain and dysfunction. The scapula is a key part of the upper limb kinematic chain and is a vital component of the glenohumeral rhythm. Trapezitis is an inflammatory pain resulting from trapezius muscle. Trapezius is a stabilizer in Scapular dynamics contributing to scapulohumeral rhythm. Weakness or improper activation of Scapular stabilizers can alter Scapular positioning and mechanics. Aim of this study is to find prevalence of Scapular Dyskinesia in young adults with Trapezitis. Methodology: One hundred eighteen young adults of age 18-25 years with Trapezitis selected by convenience sampling participated in this cross sectional study. Participants were allotted to three groups (mild, moderate, severe) according to severity of Trapezitis on the basis of their VAS score. Dynamic scapular Dyskinesis test was used to assess Scapular Dyskinesia. Statistical analysis was done using Microsoft excel version 2010. Results: 118 participants had participated in the study. Out of which 32% participants had mild trapezitis, 37% had moderate trapezitis and 31% had severe trapezitis. In subjects with mild trapezitis 37% of their population had scapular dyskinesia whereas in subjects with moderate trapezitis 57% had scapular dyskinesia and in participants with severe trapezitis, scapular dyskinesia was witnessed in 72% of their population. Conclusion: Present study evidences high prevalence of Scapular Dyskinesia in young adults with Trapezitis. Key words: Scapular Dyskinesia, Trapezitis, Young adults.

Immediate effect of proprioceptive neuromuscular facilitation on scapular dyskinesia of volleyball players

Background: Scapular dyskinesia can be caused by several factors, such as poor posture (thoracic kyphosis or cervical hyperlordosis) or changes in the activation and coordination of the scapular stabilizing muscles. Therefore, the term is correctly used when there is a change in the scapular biomechanics at rest or during movement. Objective: The objective of this study was to evaluate the effects of PNF on scapular dyskinesia of volleyball players. Methods: This is a quasi-experimental study with volleyball players. The study sample consisted of 32 individuals of both sexes, with ages between 14 and 17 years who presented scapular dyskinesia, identified by anamnesis and physical examination. To collect data, a sociodemographic evaluation developed by the researchers was used, containing personal data, pain evaluation through the Nordic Pain Questionnaire, and an image and video record was made for the analysis of photogrammetry and the Scapular Dyskinesia Test. For the data analysis a significance level of 5% was adopted. Results: Most of the sample (71.9%) practiced volleyball for more than a year, 65.6% trained three times a week, 84.4% were attackers, 96.9% were right-handed and 100% of the sample presented pain symptoms in the last twelve months. There was a significant difference in the abduction test of both scapulae and in the weight discharge of the right upper limb after the protocol. Conclusion: PNF has been shown to be effective in the initial phase of the treatment of scapular dyskinesia acting on neuromuscular balance and scapular orientation.