What is normal alignment of the scapula?
In normal scapular alignment, the scapular borders are about 2.5–3 inches from, and parallel to, the spine, and the scapula is held flat against the thorax between T2 and T7 at an angle of 5° to the frontal plane3).
What causes anterior tilt of scapula?
Evaluation of other soft tissue structures around the shoulder should be included during scapular examination. Posterior shoulder tightness is thought to be a contributing cause of the anterior tilted scapula.
What are the six motions of the scapula?
The scapula is an important bone in the function of the shoulder joint. It engages in 6 types of motion, which allow for full-functional upper extremity movement including protraction, retraction, elevation, depression, upward rotation, and downward rotation.
What is neutral scapular position?
When in neutral alignment, the scapula should be centered on the upper back (both vertically and horizontally). Your shoulders should be centered within the socket, with the creases of the elbow facing forward. Be sure to keep your forearms relaxed and your chest open.
How do you fix anterior shoulder tilt?
Stand or sit upright in a chair with your shoulders down and back. Gently pull your left ear towards your left shoulder to get a stretch in the right side of your neck. Repeat on the other side. Complete 1–2 sets on each side, holding for 15–30 seconds.
How is scapular Elevation measured?
This external rotation is necessary to reach full elevation with the arm in the plane of the scapula. The goniometric measurement is performed by placing one arm of the goniometer vertically so that it is 90 degrees from the horizontal (90 degrees to the floor) (Fig. 2-13).
What is scapular asymmetry?
Scapular asymmetry, as assessed by the LSST, reflects decreased stability of the scapula, and can lead to functional deterioration of most of the muscles contributing to this stability. The correlation between scapular asymmetry and muscle activity can be analyzed by objectively measuring muscle activity and movement.
What is scapular depression?
Scapular depression refers to the caudal motion of the scapula (scapulothoracic joint). In most instances, depression of the scapula is a passive process (due to gravity) that is facilitated by movement at the acromioclavicular joint.