Evaluation of a New Exercise Program in the Treatment of Scapular Dyskinesis

Int J Sports Med. 2018 Oct;39(10):782-790. doi: 10.1055/a-0608-4584. Epub 2018 Aug 27.


An abnormal motion of the scapula, or scapular dyskinesis (SD), can be effectively treated through conservative therapy. The aim of this study is to evaluate a new specific exercise program to restore normal position. A standardized and specific exercise program was created. In a prospective multi-center approach, patients were randomized into two groups: one group received the specific exercise program over a period of six weeks and the controls received massage therapy. The visual-analog scale, QuickDASH score, SICK scapula rating scale, hand press-up position test, lateral scapular slide test and internal rotation of the shoulder were evaluated. Twenty-eight patients were included in the study: fifteen in the exercise group and thirteen in the control group. Pain levels on the visual analog scale (VAS) were significantly reduced in both groups (exercise p=0.007; control p=0.004). The scores for QuickDASH (p=0.001), SICK scapula rating scale (p=0.003) and hand press-up position test (p=0.026) were significantly improved in the exercise group only. Scapula-focused exercise programs, as well as massage therapy, can effectively relieve pain in patients with SD. However, scapula-focused exercises resulted, specifically, in greater improvement of shoulder function.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Dyskinesias / therapy*
  • Exercise Therapy / methods*
  • Female
  • Humans
  • Male
  • Massage*
  • Myalgia / prevention & control
  • Program Evaluation
  • Prospective Studies
  • Rotation
  • Scapula / injuries
  • Scapula / physiopathology*
  • Shoulder Pain / prevention & control*