New publication

2nd January 2014

This paper adds weight to the clinical observation that a loss of upward rotation of the scapula is a risk factor for developing shoulder pain. 


Does Scapular Positioning Predict Shoulder Pain in Recreational Overhead Athletes?Practical implementation of training strategies


F. Struyf, J. Nijs, M. Meeus, N. A. Roussel, S. Mottram, S. Truijen, R. Meeusen

International Journal of Sports Medicine DOI: 10.1055/s-0033-1343409


The objective of this prospective study is to investigate possible scapular related risk factors for developing shoulder pain. Therefore, a 2-year follow-up study in a general community sports centre setting was conducted. A sample of convenience of 113 recreational overhead athletes (59 women and 54 men) with a mean age of 34 (17–64; SD 12) years were recruited. At baseline, visual observation for scapular dyskinesis, measured scapular protraction, upward scapular rotation and dynamic scapular control were evaluated. 22% (n=25) of all athletes developed shoulder pain during the 24 months following baseline assessment. The Mean Shoulder Disability Questionnaire (SDQ) score for the painful shoulders was 34.8 (6.3–62.5; SD 17.4). None of the scapular characteristics predicted the development of shoulder pain. However, the athletes that developed shoulder pain demonstrated significantly less upward scapular rotation at 45° (p=0.010) and 90° (p=0.016) of shoulder abduction in the frontal plane at baseline in comparison to the athletes that remained pain-free. In conclusion, although these scapular characteristics are not of predictive value for the development of shoulder pain, this study increases our understanding of the importance of a scapular upward rotation assessment among recreational overhead athletes.


See this paper (free access) for strategies for retraining uncontrolled movement.

Worsley P, Warner M, Mottram S, Gadola S, Veeger H, Hermens H, Morrissey D, Little P, Cooper C, Carr A, Stokes M

Motor control retraining exercises for shoulder impingement: effects on function, muscle activation and biomechanics in young adults

Journal of Shoulder and Elbow Surgery

To follow shortly our latest paper on identifying movement faults

Keywords: Review 2014