COMPARISON OF THE SCAPULAR STABILIZATION AND CONSCIOUS CONTROL TRAINING ON SELECTED KINEMATIC OF SCAPULAR IN SUBJECTS WITH SCAPULAR DYSKINESIS

Scapular orientation and movements can affect the function of the shoulder.
Changes in scapular alignment or movement in shoulder regions has the potential to alter the kinetic
chain of the body. This study aims at comparing scapular stabilization and conscious control training on
selected kinematic of scapular in subjects with scapular dyskinesias.
Materials & Methods: A cross-sectional study was conducted with forty four female subjects having
scapula dyskinesis (inferior angle & medial border pattern). The subjects were selected and randomly
assigned into 3 groups: 1. Stabilization (n=15), 2. Control conscious (n=15), 3. Control (n=14). All the
subjects were tested for investigating the degree of disorder in the scapular kinematic (using motion
analysis machine). Then the subjects in scapular stabilization and conscious control were trained three
days a week for six weeks (45 minutes for each session). In order to analyze the data, a dependent t-test
for examining the intergroup difference and a covariance for examining across group difference was
applied.
Results: The results of the study showed that participating in six weeks of the interventions may result
in decreased anterior tilt, internal rotation and improved upward rotation. Significant differences were
observed between intervention groups and the control group (p<0.05). There were no changes in the
control group before and after the interventions in all dependent variables (p>0.05). Also, concerning
all dependent variables significant differences between the experimental groups and the better efficiency
of the conscious control training were observed.
Conclusion: With reliance on the findings of the research, the use of scapular stabilization program and
conscious control program along with other exercise-therapy protocols of shoulder complex is suggested
to improving scapular orientation and movements in people with scapular dyskinesias.