Specialized Toolkit Series: Shoulder Instability-Don’t Overlook Scapular Training for Shoulder Instability

Don’t Overlook Scapular Training for Shoulder Instability

Video Transcription

Video Summary

Dr. Thigpen emphasizes the importance of the scapula in shoulder instability, highlighting its critical role in restoring normal shoulder function. He discusses tests like internal/external rotation ratios, closed kinetic chain, and prone endurance to objectively assess muscle function. Rehabilitation starts early with controlled, gradual loading focused on co-contraction of the subscapularis, serratus, and posterior cuff to stabilize scapular motion. Progression includes closed-chain and dynamic exercises like the Baber maneuver, side rotation test, and timed one-arm hop. These improve scapular control and function, enhancing patient outcomes and return to sport, reflecting the scapula’s vital role in shoulder stability management.

Asset Caption

Charles A. Thigpen, Ph.D., P.T., A.T.C.

Keywords

scapula

shoulder instability

rehabilitation exercises

muscle function assessment

shoulder stability