Shoulder girdle Scapular dyskinesis (Kibler,2003) TypeⅠ:Inferior angle

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Presentation transcript:

Shoulder girdle Scapular dyskinesis (Kibler,2003) TypeⅠ:Inferior angle TypeⅡ:Medial border TypeⅢ:Superior angle TypeⅣ:Symmetric scapulohumeral Lateral scapular slide test

Algorithm for shoulder pain インピンジメント症状 Jobe+ Neer+ant Hawkins+ Apprehension+ (pain) ant Jobe- Neer+post Hawkins- Apprehension+ (pain) post External Subacromial impingement Internal posteriosuperior glenoid impingement Relocation+ release+(pain) Relocation+ release+(pain) Relocation- Primary impingement Secondary impingement Laxity tests+ apprehension+(appr) Relocation+(appr) O’Brien+ Speed’s+ biceps loadⅡ+ SAT+ SRT+ Full can+ IR ROM↓ Rotator cuff pathology Scapular dyskinesis Instability Biceps-SLAP pathology GIRD A M Cools et al, Br J Sports Med 2008;42:628-635