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Assessment of posture and movement dysfunctions

In this article we will discuss about the assessment of posture and movement dysfunctions. The shoulder joint is a complex joint that allows for a wide range of motion. However, it is also a joint that is susceptible to injury and dysfunction. Posture and movement dysfunctions of the shoulder joint can be caused by a variety of factors, including overuse, injury, and poor posture.

Assessment of Posture

The assessment of posture is an important part of the assessment of shoulder dysfunction. The goal of the postural assessment is to identify any deviations from normal posture that may be contributing to the shoulder pain or dysfunction.

The postural assessment typically includes the following:

  • Observation of the patient’s posture from the front, back, and sides.
  • Palpation of the shoulder girdle and neck.
  • Measurement of the range of motion of the shoulder joint.
  • Functional testing of the shoulder joint.

Assessment of Movement Dysfunction

The assessment of movement dysfunction is also an important part of the assessment of shoulder dysfunction. The goal of the movement dysfunction assessment is to identify any restrictions in the range of motion or strength of the shoulder joint that may be contributing to the pain or dysfunction.

The movement dysfunction assessment typically includes the following:

  • Active range of motion testing of the shoulder joint.
  • Passive range of motion testing of the shoulder joint.
  • Manual muscle testing of the shoulder muscles.
  • Functional testing of the shoulder joint.

Common Postural and Movement Dysfunctions of the Shoulder Joint

Some of the most common postural and movement dysfunctions of the shoulder joint include:

  • Forward head posture (FHP)
  • Forward shoulder posture (FSP)
  • Scapular dyskinesis
  • Glenohumeral joint hypomobility
  • Glenohumeral joint instability

Forward Head Posture (FHP)

FHP is a postural deviation in which the head is positioned forward of the normal position. FHP can be caused by a variety of factors, including poor posture, weak neck muscles, and prolonged sitting or computer use.

It can contribute to shoulder pain and dysfunction by placing increased stress on the muscles and ligaments of the neck and shoulder girdle. It can also lead to decreased range of motion in the neck and shoulder joint.

Forward Shoulder Posture (FSP)

It is a postural deviation in which the shoulders are positioned forward of the normal position. FSP can be caused by a variety of factors, including weak shoulder muscles, poor posture, and prolonged overhead activities.

FSP can contribute to shoulder pain and dysfunction by placing increased stress on the muscles and ligaments of the shoulder joint. It can also lead to decreased range of motion in the shoulder joint.

Scapular Dyskinesis

Scapular dyskinesis is a condition in which the scapula (shoulder blade) does not move properly during shoulder movements. Caused by a variety of factors, including weak shoulder muscles, poor posture, and injury.

It can develop shoulder pain and dysfunction by causing the shoulder joint to become unstable. It can also lead to decreased range of motion in the shoulder joint.

Glenohumeral Joint Hypomobility

Glenohumeral joint hypomobility is a condition in which the glenohumeral joint (the joint between the humerus and the scapula) does not have a normal range of motion. GH hypomobility can be caused by a variety of factors, including injury, overuse, and poor posture.

Joint hypomobility can contribute to shoulder pain and dysfunction by causing the shoulder joint to become unstable. It can also lead to decreased range of motion in the shoulder joint.

Glenohumeral Joint Instability

Glenohumeral joint instability is a condition in which the glenohumeral joint is not stable. It can contribute to shoulder pain and dysfunction by causing the shoulder joint to become unstable. It can also lead to decreased range of motion in the shoulder joint.

Treatment of Postural and Movement Dysfunctions of the Shoulder Joint

The treatment of postural and movement dysfunctions of the shoulder joint typically involves a combination of the following:

  • Posture correction exercises
  • Strength training exercises
  • Manual therapy
  • Stretching exercises
  • Functional exercises

The specific treatment plan will vary depending on the individual’s specific needs.

Conclusion

Posture and movement dysfunctions of the shoulder joint can be a common cause of shoulder pain and dysfunction. The assessment of posture and movement dysfunctions is an important part of the evaluation of shoulder pain. Corrective exercises are important way to improve shoulder posture.

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