Magazine054 Question 12

Distractors

The glenohumeral joint takes over the entire 180 degrees of humeral elevation without scapular contribution

The rhomboids shorten chronically, pulling the medial border of the scapula closer to the spine

The pectoralis minor relaxes, causing an exaggerated posterior tilt of the scapula

Key

The nervous system over-recruits the upper trapezius and levator scapulae, causing a shoulder hitching problem

Question

As described in “Scapular Mechanics and Upper Back Pain” by Whitney Lowe, what is a primary mechanical consequence when the serratus anterior and lower trapezius become inhibited or underactive in scapular dyskinesis?