scapulastabilisering

Scapulastabilisering refers to the set of assessment, neuromuscular training and strengthening strategies aimed at stabilizing the scapula (shoulder blade) against the thoracic wall during arm movement. The goal is to improve shoulder function, normalize the scapulohumeral rhythm, and reduce pain by ensuring coordinated activation of periscapular muscles during elevation and rotation of the arm.

The scapulothoracic joint relies on muscles and fascia for stability, as it lacks true bony articulation. Key muscles involved are serratus anterior, the middle and lower trapezius, rhomboids, levator scapulae, and the pectoralis minor. Proper control allows the scapula to upwardly rotate, posteriorly tilt, and externally rotate during arm elevation, maintaining space for tendons and reducing impingement.

Assessment and indications: Scapular dyskinesis, shoulder pain, rotator cuff tendinopathy, instability, and post-operative rehab commonly involve scapular stabilization methods. Clinicians assess scapular motion during arm elevation, look for winging or dysrhythm, and evaluate strength deficits with resisted tests and observation.

Exercises and approach: Training focuses on activating the serratus anterior and trapezius muscles and retraining neuromuscular timing. Common techniques include scapular setting, wall slides, push-up plus, serratus anterior punches, and Y-T-W lower trapezius exercises. Progression starts with low-load, closed-chain movements before advancing to dynamic resisted exercises in the scapular plane.

Outcomes and considerations: Consistent scapular stabilization work can improve shoulder function, reduce pain, and lower injury recurrence risk in athletes and patients with rotator cuff disease or impingement. Clinicians emphasize gradual progression, individualization, and monitoring for compensations to avoid overloading the shoulder girdle.