Scapula under the spotlight: The influence of scapula control on neck and shoulder pain and function
Masterclass with Sarah Mottram MSc MCSP MMACP
Sarah Mottram educator, clinician and researcher with a particular interest in the influence of uncontrolled movement on movement impairments, activity limitations, recurrence of pain and performance. Sarah lectures internationally for Kinetic Control and Performance Matrix on evidence-based solutions to better understand, prevent and manage musculoskeletal pain and injury. She is co-author of the text Kinetic Control - The Management of Uncontrolled Movement (Comerford & Mottram 2012)- published by Elsevier. A particular interested in the integration of Pilates and other movement therapies into retraining of uncontrolled movement. Sarah is a Research Fellow at the University of Southampton. She has published papers on scapula movement control.
The assessment of movement control of the scapula is an important factor associated with shoulder pain and dysfunction. Abnormal scapular movements have an influence neck pain and function. This masterclass will explore the influence of scapular uncontrolled and the clinical advantages of retraining scapular movement control.
A common feature of movement impairments is the reduced control of active movements. Uncontrolled movement is defined as an individual’s inability to cognitively control movement to benchmark standards. The assessment of uncontrolled movement of the scapula will be detailed with movement control test including the Shoulder Flexion Scapular Movement Control Test and the Kinetic Medial Rotation Test.
A cognitive movement control retaining approach to manage scapula uncontrolled movement will be presented and will include: optimising the orientation of the scapula, maintaining this optimum alignment during arm movement, and during muscle specific exercise motor control training for the trapezius and serratus anterior. Key retraining strategies for clinical application will be detailed.
Current research to support the assessment and retraining of scapula uncontrolled movement will be presented with a case study providing proof of concept for a motor control retraining intervention for managing uncontrolled scapula.
- Identifying optimal and non-optimal orientation of the scapula
- Presentation of clinical tests to identify scapula uncontrolled movement
- Current research exploring the mechanism of impairment
Following this course the student should be able to:
- Identify uncontrolled movements of the scapula
- Evaluate the influence of uncontrolled movement of the scapula on neck and shoulder pain and function
- Provide an evidence based assessment and rehabilitation of uncontrolled scapula movement
- Consider the impairments that relate to uncontrolled movement
- Use retraining strategies to regain efficient control of scapula movement
Kinetic Control courses are designed for medical health professionals such as physiotherapists, osteopaths, chiropractors, podiatrists etc registered with the HPC. In exceptional circumstances experienced non medical health professionals may be allowed to attend Kinetic Control courses but these participants MUST be able demonstrate that the course material is within their scope of practice and that they have appropriate professional liability insurance to cover them for their attendance at the course and the course content.
This course has both theortical and practical elements. Please come prepared for the practical work.