Objective Biomechanics: Neck pain, scapular & glenohumeral mechanics
Objective Biomechanics: Scapular & glenohumeral mechanics is an in-depth and practical module which teaches the participant how to identify and correct scapular dyskinesis as well as glenohumeral dysfunction. Scapular dysfunction greatly affects the neck as well as the shoulders, and is therefore extremely important to consider when treating neck pain disorders.
This is the second part of my education line.
Learn about, and learn how to identify and treat (some of these elements are covered more in depth in the later classes):
- Cervical pain & disc herniations
- Cervical facet joints
- Scapular dyskinesis and its genesis
- What the [biomechanical] evidence says
- Subacromial impingement
- Coracoid impingement
- Rotator cuff dysfunction
- Costoclavicular space syndrome
- Proper scapular mechanics in vertical and horizontal push-/pull patterns
Please read the full description in the informational box below. Also, make sure to read the “Terms and conditions” page as you book your attendance.
Scapular dyskinesis has become a ‘black sheep’ of therapeutic intervention. The cause for this is probably that scapular dyskinesis is quite subjective, complex to assess, and even harder to treat. Many, including myself, has found that common exercises targeting the serratus anterior and lower trapezius (i.e ‘cookie cutter’ programs), rarely will yield fruitful results when dealing with these issues. Furthermore, the relatively few specialists that do understand scapular mechanics well, often have poor understanding of exercise, and is thus often not able to help resolving exercise induced pain.
This module will provide a practical, in depth approach to identifying and permanently resolving scapular dyskinesis, by addressing the motor dysfunction rather than the secondary dysfunctions, which are the muscles. Muscular imbalances relating to scapular dyskinesis are almost always secondary to motor and/or habitual impairment. Thus, the latter will need to be addressed first, and then either later or simultaneously, the muscles. It will also teach you to properly assess and rehabilitate the glenohumeral joint, which is quite simple once you’ve understood scapular mechanics, and virtually impossible if you don’t understand scapular mechanics.
We will go through scapular mechanics and ostekinematic angles in most common push and pull patterns, so that you will also be able to use these skills with athletes.
Scapular dyskinesis is also associated with both neck pain, thoracic outlet syndrome and costoclavicular space syndrome. Thus, working knowledge with regards to identification and treatment of scapular dyskinesis will be paramount. That is also why this module is obligatory before venturing forth to my nerve entrapment and upper cervical dysfunction modules.
The knowledge you learn in this class will be very practical, and you’ll be able to use it immediately after class. You will greatly improve your success-rate, both short and long term, when dealing with shoulder and neck pain syndromes.
Before you take this class, I recommend rehearsing the main scapular movements. You can review them here – This article also contains a great deal of scientific evidence regarding scapular dysfunction.:
- Larsen K. Postural cues for scapular retraction and depression promote costoclavicular space compression and thoracic outlet syndrome. Anaesth Pain & Intensive Care 2018;22(2):256-267
Kjetil Larsen is a Researcher and a Corrective exercise specialist. He is the owner of Training & rehabilitation. He specializes in the treatment of chronic pain and has developed several distinctive protocols both with regards to diagnosis and conservative rehabilitation of difficult conditions. Kjetil has also published several peer-reviewed studies on musculoskeletal and neurological topics. Full biography