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Orthopedics
Shoulder Rehabilitation
Subacromial Impingement vs Rotator Cuff Tendinopathy: Scapular Dyskinesis & Isotonic Loading
Topic Summary & Background: A 34-year-old swimmer presents with painful arc (60°-120° abduction) and positive Hawkins-Kennedy test. Kibler Type II scapular winging noted during lowering phase of arm elevation.
Key Discussion Questions:
- Serratus Anterior & Lower Trapezius muscle re-education vs upper trap dominance.
- Role of scapular retraction (scapular assistance test) in restoring subacromial space width.
- Progressive eccentric loading of supraspinatus vs subscapularis.
Standard Clinical Consensus: Standard Ortho Consensus: Scapular motor control training restores normal upward rotation and posterior tilt, opening subacromial clearance without surgical acromioplasty.
DA
Dr. Anand Kumar, MPT (Ortho)
Senior Faculty • Just now
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