Kibler W Ben, McMullen John
Medical Director, Lexington Sports Medicine Center, Lexington, KY 40504, USA.
J Am Acad Orthop Surg. 2003 Mar-Apr;11(2):142-51. doi: 10.5435/00124635-200303000-00008.
Scapular dyskinesis is an alteration in the normal position or motion of the scapula during coupled scapulohumeral movements. It occurs in a large number of injuries involving the shoulder joint and often is caused by injuries that result in the inhibition or disorganization of activation patterns in scapular stabilizing muscles. It may increase the functional deficit associated with shoulder injury by altering the normal scapular role during coupled scapulohumeral motions. Scapular dyskinesis appears to be a nonspecific response to shoulder dysfunction because no specific pattern of dyskinesis is associated with a specific shoulder diagnosis. It should be suspected in patients with shoulder injury and can be identified and classified by specific physical examination. Treatment of scapular dyskinesis is directed at managing underlying causes and restoring normal scapular muscle activation patterns by kinetic chain-based rehabilitation protocols.
肩胛运动障碍是指在肩肱关节联合运动过程中肩胛骨正常位置或运动的改变。它发生在大量涉及肩关节的损伤中，通常由导致肩胛稳定肌激活模式受抑制或紊乱的损伤引起。通过改变肩肱关节联合运动期间正常的肩胛骨作用，它可能会增加与肩部损伤相关的功能缺陷。肩胛运动障碍似乎是对肩部功能障碍的一种非特异性反应，因为没有特定的运动障碍模式与特定的肩部诊断相关联。对于肩部损伤患者应怀疑有肩胛运动障碍，并且可以通过特定的体格检查来识别和分类。肩胛运动障碍的治疗旨在处理潜在病因，并通过基于动力链的康复方案恢复正常的肩胛肌肉激活模式。
