Assessment of movement coordination strategies to inform health of movement and guide retraining interventions.

Introduction: Exploring characteristics of human movement has long been the focus of clinicians and researchers. Changes in movement coordination strategies have been identified in the presence of pain highlighting the need for assessment in clinical practice. A major development in the understanding of movement related disorders is recognition of individual differences in presentation and consequently the need to tailor interventions based on assessment.

Retraining in a Female Elite Rower with Persistent Symptoms Post-Arthroscopy for Femoroacetabular Impingement Syndrome: A Proof-of-Concept Case Report.

Athletes with femoroacetabular impingement syndrome (FAIS) managed arthroscopically do not always return to sport. Inability to control back/pelvis, hip and lower limb movements may contribute to the onset and recurrence of symptoms. Our hypothesis is that results from a battery of cognitive movement control tests can inform a cognitive movement control (neuromuscular) retraining programme for improving the clinical presentation and quality of life in an athlete with FAIS.

A 'Movement Screening Test' of Functional Control Ability in Female Recreation Golfers and Non-Golfers over the Age of 80 Years: A Reliability Study.

Assessing function in elderly populations predominantly aims to quantify the risk of falling. Current assessment methods do not consider changes associated with aging in movement coordination patterns and the ability to control movement. The aim of this study was to examine the intra-rater reliability of a 'Movement Screening Test' (MST) in females over 80 years across a range of physical activity levels, who were golfers and non-golfers.

The assessment of movement health in clinical practice: A multidimensional perspective.

This masterclass takes a multidimensional approach to movement assessment in clinical practice. It seeks to provide innovative views on both emerging and more established methods of assessing movement within the world of movement health, injury prevention and rehabilitation. A historical perspective of the value and complexity of human movement, the role of a physical therapist in function of movement health evaluation across the entire lifespan and a critical appraisal of the current evidence-based approach to identify individual relevant movement patterns is presented.

Scapular kinematics in professional wheelchair tennis players.

Background: Participating in wheelchair tennis increases the demands placed on the shoulder and could increase the risk of developing shoulder pain and injury that might be associated with differences in scapular kinematics. The aim of the study was to examine the presence of shoulder pain and scapular kinematics in professional wheelchair tennis players.

Method: Scapular kinematics were obtained in 11 professional wheelchair tennis players, 16 people with shoulder impingement and 16 people without shoulder impingement during humeral elevation and lowering.

A novel cadaveric study of the morphometry of the serratus anterior muscle: one part, two parts, three parts, four?

The serratus anterior is portrayed as a homogeneous muscle in textbooks and during functional activities and rehabilitation exercises. It is unclear whether the serratus anterior is composed of subdivisions with distinctive morphology and functions. The purpose of this study was to determine whether the serratus anterior could be subdivided into different structural parts on the basis of its segmental architectural parameters.

Intra and inter-rater reliability of screening for movement impairments: movement control tests from the foundation matrix.

Pre-season screening is well established within the sporting arena, and aims to enhance performance and reduce injury risk. With the increasing need to identify potential injury with greater accuracy, a new risk assessment process has been produced; The Performance Matrix (battery of movement control tests). As with any new method of objective testing, it is fundamental to establish whether the same results can be reproduced between examiners and by the same examiner on consecutive occasions.

Objective classification of scapular kinematics in participants with movement faults of the scapula on clinical assessment.

The aim of this study was to assess the potential of employing a classification tool to objectively classify participants with clinically assessed movement faults (MFs) of the scapula. Six participants with a history of shoulder pain with MFs of the scapula and 12 healthy participants with no movement faults (NMFs) performed a flexion movement control test of the scapula, while scapular kinematic data were collected. Principal component scores and discrete kinematic variables were used as input into a classifier.

Motor control retraining exercises for shoulder impingement: effects on function, muscle activation, and biomechanics in young adults.

Objective: Evidence for effective management of shoulder impingement is limited. The present study aimed to quantify the clinical, neurophysiological, and biomechanical effects of a scapular motor control retraining for young individuals with shoulder impingement signs.

Method: Sixteen adults with shoulder impingement signs (mean age 22 ± 1.

Clinical assessment of the scapula: a review of the literature.

Scientific evidence supporting a role for faulty scapular positioning in patients with various shoulder disorders is cumulating. Clinicians who manage patients with shoulder pain and athletes at risk of developing shoulder pain need to have the skills to assess static and dynamic scapular positioning and dynamic control. Several methods for the assessment of scapular positioning are described in scientific literature.

Altered alignment of the shoulder girdle and cervical spine in patients with insidious onset neck pain and whiplash-associated disorder.

Clinical theory suggests that altered alignment of the shoulder girdle has the potential to create or sustain symptomatic mechanical dysfunction in the cervical and thoracic spine. The alignment of the shoulder girdle is described by two clavicle rotations, i.e, elevation and retraction, and by three scapular rotations, i.

Altered scapular orientation during arm elevation in patients with insidious onset neck pain and whiplash-associated disorder.

Study Design: Controlled laboratory study using a cross-sectional design.

Objectives: To investigate whether there is a pattern of altered scapular orientation during arm elevation in patients with insidious onset neck pain (IONP) and whiplash-associated disorder (WAD) compared to asymptomatic people.

Background: Altered activity in the axioscapular muscles and impairments in scapular orientation are considered to be important features in patients with cervical disorders.

Scapular positioning and motor control in children and adults: a laboratory study using clinical measures.

Introduction: The scapular muscular system is the major determinant of scapular positioning. In addition, strength and muscular endurance develops from childhood through adolescence. It is not known whether differences in scapular positioning and motor control between adults and children may exist.

Clinical assessment of scapular positioning in musicians: an intertester reliability study.

Context: The reliability of the measurement of the distance between the posterior border of the acromion and the wall and the reliability of the modified lateral scapular slide test have not been studied. Overall, the reliability of the clinical tools used to assess scapular positioning has not been studied in musicians.

Objective: To examine the intertester reliability of scapular observation and 2 clinical tests for the assessment of scapular positioning in musicians.

Altered breathing patterns during lumbopelvic motor control tests in chronic low back pain: a case-control study.

The objective of the study was to evaluate the breathing pattern in patients with chronic non-specific low back pain (LBP) and in healthy subjects, both at rest and during motor control tests. Ten healthy subjects and ten patients with chronic LBP participated at this case-control study. The breathing pattern was evaluated at rest (standing and supine position during both relaxed breathing and deep breathing) and while performing clinical motor control tests, i.

Altered lumbopelvic movement control but not generalized joint hypermobility is associated with increased injury in dancers. A prospective study.

Dancers experience significant more low back pain (LBP) than non-dancers and are at increased risk of developing musculoskeletal injuries. Literature concerning the relationship between joint hypermobility and injury in dancers remains controversial. The purpose of this study was therefore to examine whether lumbopelvic movement control and/or generalized joint hypermobility would predict injuries in dancers.

A new perspective on risk assessment.

Pre-season screening is routinely promoted as part of either an injury risk management strategy or as a performance enhancement strategy. Many of these processes focus on testing joint range, muscle strength (both power and endurance) and testing muscle extensibility. Although some functional tests based on work specific tasks and sport specific skills are applied they are specific to one task or a sport specific skill.

Motion analysis study of a scapular orientation exercise and subjects' ability to learn the exercise.

Exercises to retrain the orientation of the scapula are often used by physiotherapists to optimise shoulder girdle function. The movements and muscle activity required to assume this position have not yet been quantified. Further, patients often find this a difficult exercise to learn accurately, with no data being available on the accuracy of repeated performance.