Physical Therapy Volunteer 6/27/12

• Florence Kendall - developed the modern strength tests. 
• ? Sick Scapula - 
• S- Scapular malposition, I- Inferior medial scapular winging, C - Coracoid tenderness K- scapular dysKinesis
• Scapular malposition - When arms are at side, one scapula (usually the throwing side) is significantly lower, rises higher when arms are elevated to the side or overhead
• often misdiagnosed as rotator cuff injury
• increased tightness of the posterior shoulder capsule changes the axis of the shoulder causing decreased ROM w/ internal rotation and increased ROM w/ external rotation
• often leads to a SLAP (Superior Labrum Anterior Posterior) lesion due to increased ROM in external rotation causing the long head of biceps brachii to peal the cartilage off the bone
• Inferior medial scapular winging - Inferior tip sticks out from rib cage caused by
• weak mid, low traps, serratus anterior
• tight pectoralis minor
• Scapular DysKinesis - the inferior tip gets stuck in the lower position
• Treatment 
• stretch the posterior glenohumeral capsule
• stretch relax tight anterior muscles (pect minor)
• strengthen the posterior weak muscles (blackburn exercises)
• Passive stability - can't control
• bone, capsule, ligament, labrum,
• Active stability - control
• muscles
• anterior flexors of the shoulder
• anterior deltoid
• subscapularis
• biceps brachii
• coracobrachialis
• supraspinatus