Rehabilitation goals



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463 Ohio Pike Cincinnati, OH 45255

513-354-3700


Scapular Dyskinesia


Rehabilitation goals

  • Improve scapulohumeral rhythm

  • Maximize flexibility of posterior capsule and pectoralis muscles

  • Improve strength of rotator cuff and scapular stabilizers

  • Pain free range of motion

  • Improve endurance of scapular stabilization musculature


Stretching

To be done throughout entire protocol and as a part of a home exercise program



  • Sleeper stretch

  • Cross body stretching

  • Corner stretch

  • Towel stretch


Phase 1: Scapular stabilization (0-3 weeks)

  • Scapular squeezes

  • Push ups with a plus

  • Closed kinetic chain exercises at low abduction and ER and progress to 90 degrees abduction as tolerated

    • Weight shifting – upper extremity

    • Wobble board

    • Scapular clock

  • Free weights, manual therapy or machines

    • Standing scaption

    • Shoulder shrugs

    • Serratus punches

    • Prone scaption and horizontal abduction

    • Prone and seated rows

    • Lat pull downs

    • Seated flys


Phase 2: Rotator cuff Strengthening (4-6 weeks)

**Begins only once scapular base has been restored**



  • Work on upper body endurance (UBE or Cybex)

  • Continue Phase 1 – increase weight and reps

  • Medicine ball chest passes

  • PNF patters (D1, D2)

  • Theraband exercises

    • Internal/External rotation at 0 and 90

    • Abduction to 90

    • Standing rows

    • Closed chain rhythmic stabilization


Phase 3: Endurance and Strengthening (7-10 weeks)



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