Scapular Dyskinesis in above head sports athletes: integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i16.23987

Keywords:

Scapular dyskinesis; Injury in sport; Throwing athlete.

Abstract

The athlete has great training demands, which intensify during the sporting seasons. Excessive training tends to overload the structures responsible for the formation of movement, the greater the overload of a structure, the greater the risk of injury and pain, amplifying the risk of withdrawing from the sport. Athletes with sports that involve repetitive throwing can cause changes in the movement of the scapula in relation to the shoulder, one of the common changes being scapular dyskinesis, which can be described as malposition of the scapula during shoulder movements or at rest. This study aims to analyze, through the scientific literature, the scapular dyskinesis index in throwing athletes. This is an integrative literature review, carried out through a survey of scientific articles that addressed the relationship between scapular dyskinesis in runners through the following databases: Pubmed, Scielo, Lilacs and Medline, published between 2016 and 2021. A search strategy totaled 90 potentially relevant articles, with the title and abstract being reviewed, only 10 articles remained, which were retained and read in full. Finally, 3 articles were considered relevant and retained for analysis. The results demonstrated that scapular dyskinesis can increase the risk for shoulder injuries in athletes. Scapular dyskinesis is commonly present in specific sports for upper limbs, and age, training volume and loads can increase the chances of upper limb injuries when compared to athletes without changes in scapular movement.

References

Andersson, S. H., Bahr, R., Clarsen, B., & Myklebust, G. (2016). Preventing overuse shoulder injuries among throwing athletes: A cluster-randomised controlled trial in 660 elite handball players. British Journal of Sports Medicine, 51(14), 1073–1080. https://doi.org/10.1136/bjsports-2016-096226

Borms, D., Maenhout, A., & Cools, A. M. (2020). Incorporation of the kinetic chain into shoulder-elevation exercises: Does it affect scapular muscle activity? Journal of Athletic Training, 55(4), 343–349. https://doi.org/10.4085/1062-6050-136-19

Ercole, F. F., Melo, L. S. d., & Alcoforado, C. L. G. C. (2014). Integrative review versus systematic review. Reme: Revista Mineira de Enfermagem, 18(1). https://doi.org/10.5935/1415-2762.20140001

Giuseppe, L. U., Laura, R. A., Berton, A., Candela, V., Massaroni, C., Carnevale, A., Stelitano, G., Schena, E., Nazarian, A., DeAngelis, J., & Denaro, V. (2020). Scapular dyskinesis: From basic science to ultimate treatment. International Journal of Environmental Research and Public Health, 17(8), 2974. https://doi.org/10.3390/ijerph17082974

Hawkes, D. H., Khaiyat, O. A., Howard, A. J., Kemp, G. J., & Frostick, S. P. (2019). Patterns of muscle coordination during dynamic glenohumeral joint elevation: An EMG study. Plos One, 14(2), Artigo e0211800. https://doi.org/10.1371/journal.pone.0211800

Hejrati, B., Chesebrough, S., Bo Foreman, K., Abbott, J. J., & Merryweather, A. S. (2016). Comprehensive quantitative investigation of arm swing during walking at various speed and surface slope conditions. Human Movement Science, 49, 104–115. https://doi.org/10.1016/j.humov.2016.06.001

Hickey, D., Solvig, V., Cavalheri, V., Harrold, M., & Mckenna, L. (2017). Scapular dyskinesis increases the risk of future shoulder pain by 43% in asymptomatic athletes: A systematic review and meta-analysis. British Journal of Sports Medicine, 52(2), 102–110. https://doi.org/10.1136/bjsports-2017-097559

Huang, T.-S., Du, W.-Y., Wang, T.-G., Tsai, Y.-S., Yang, J.-L., Huang, C.-Y., & Lin, J.-J. (2018). Progressive conscious control of scapular orientation with video feedback has improvement in muscle balance ratio in patients with scapular dyskinesis: A randomized controlled trial. Journal of Shoulder and Elbow Surgery, 27(8), 1407–1414. https://doi.org/10.1016/j.jse.2018.04.006

Kekelekis, A., Nikolaidis, P. T., Moore, I. S., Rosemann, T., & Knechtle, B. (2020). Risk factors for upper limb injury in tennis players: A systematic review. International Journal of Environmental Research and Public Health, 17(8), 2744. https://doi.org/10.3390/ijerph17082744

Kibler, W. B., & Sciascia, A. (2019). Evaluation and management of scapular dyskinesis in overhead athletes. Current Reviews in Musculoskeletal Medicine, 12(4), 515–526. https://doi.org/10.1007/s12178-019-09591-1

McQuade, K. J., Borstad, J., & de Oliveira, A. S. (2016). Critical and theoretical perspective on scapular stabilization: What does it really mean, and are we on the right track? Physical Therapy, 96(8), 1162–1169. https://doi.org/10.2522/ptj.20140230

Meron, A., & Saint-Phard, D. (2017). Track and field throwing sports. Current Sports Medicine Reports, 16(6), 391–396. https://doi.org/10.1249/jsr.0000000000000416

Møller, M., Nielsen, R. O., Attermann, J., Wedderkopp, N., Lind, M., Sørensen, H., & Myklebust, G. (2017a). Handball load and shoulder injury rate: A 31-week cohort study of 679 elite youth handball players. British Journal of Sports Medicine, 51(4), 231–237. https://doi.org/10.1136/bjsports-2016-096927

Møller, M., Nielsen, R. O., Attermann, J., Wedderkopp, N., Lind, M., Sørensen, H., & Myklebust, G. (2017b). Handball load and shoulder injury rate: A 31-week cohort study of 679 elite youth handball players. British Journal of Sports Medicine, 51(4), 231–237. https://doi.org/10.1136/bjsports-2016-096927

Mulvad, B., Nielsen, R. O., Lind, M., & Ramskov, D. (2018). Diagnoses and time to recovery among injured recreational runners in the RUN CLEVER trial. Plos One, 13(10), Artigo e0204742. https://doi.org/10.1371/journal.pone.0204742

Nodehi Moghadam, A., Rahnama, L., Noorizadeh Dehkordi, S., & Abdollahi, S. (2020). Exercise therapy may affect scapular position and motion in individuals with scapular dyskinesis: A systematic review of clinical trials. Journal of Shoulder and Elbow Surgery, 29(1), Artigo e29-e36. https://doi.org/10.1016/j.jse.2019.05.037

Nowotny, J., Kasten, P., Kopkow, C., Biewener, A., & Mauch, F. (2018). Evaluation of a new exercise program in the treatment of scapular dyskinesis. International Journal of Sports Medicine, 39(10), 782–790. https://doi.org/10.1055/a-0608-4584

Oliveira, V. M. A. d., Silva, H. A. d., Pitangui, A. C. R., Passos, M. H. P. d., & Araújo, R. C. d. (2018). Scapular dyskinesis was not associated with pain and function in male adolescent athletes. Revista Dor, 19(1). https://doi.org/10.5935/1806-0013.20180008

Ozer, S. T., Karabay, D., & Yesilyaprak, S. S. (2018). Taping to improve scapular dyskinesis, scapular upward rotation, and pectoralis minor length in overhead athletes. Journal of Athletic Training, 53(11), 1063–1070. https://doi.org/10.4085/1062-6050-342-17

Romkes, J., & Bracht-Schweizer, K. (2017). The effects of walking speed on upper body kinematics during gait in healthy subjects. Gait & Posture, 54, 304–310. https://doi.org/10.1016/j.gaitpost.2017.03.025

Tooth, C., Gofflot, A., Schwartz, C., Croisier, J.-L., Beaudart, C., Bruyère, O., & Forthomme, B. (2020). Risk factors of overuse shoulder injuries in overhead athletes: A systematic review. Sports Health: A Multidisciplinary Approach, 12(5), 478–487. https://doi.org/10.1177/1941738120931764

Published

18/12/2021

How to Cite

NOGUEIRA, M. M.; SANTANA JÚNIOR, V. . Scapular Dyskinesis in above head sports athletes: integrative review. Research, Society and Development, [S. l.], v. 10, n. 16, p. e542101623987, 2021. DOI: 10.33448/rsd-v10i16.23987. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/23987. Acesso em: 25 apr. 2024.

Issue

Section

Health Sciences