Scapula Winging/Weakness

Definition:
Lack of strength or potency of the scapula; inability to perform normally.

Symptoms
  • Fatigue
  • Weakness in shoulder and shoulder girdle
  • Affects ability to lift, pull, and push weighty objects
Causes
  • Serratus anterior paralysis
  • Damage to long thoracic nerve
  • Blunt trauma- blow to the neck or shoulder, sudden depression of the shoulder girdle, unusual twisting of the neck and shoulder
  • Repetitive movements
  • Household activities- gardening, digging, car washing, prolonged abduction of the arms when sleeping, propping up the head to read
  • Inflammation of subcorocoid or subscapular bursa press on the nerve
  • Viral illness
  • C7 radiculopathy
Treatment
  • Shoulder stabilization exercises
  • Upper extremity strengthening
  • ROM and stretching
  • Posture program
Scapula Winging/Weakness Phase I

Purchase Phase

  • Passive Shoulder Internal Rotation
  • Foam Wedge In Flexion
  • Foam Wedge In Abduction
  • Passive Shoulder Abduction
  • Swiss Ball Stretch
  • T Band Wall Push W ER
  • Thoracic Stretch III
  • Standing Posture
  • Sitting Posture

Scapula Winging/Weakness Phase II

Purchase Phase

  • Down Dog
  • Prone Rotator Cuff Circuit
  • Wall Slides
  • Superman Holds
  • Shoulder Ext Rot Scap Plane 90 Abd
  • Push Up Hold Top

Scapula Winging/Weakness Phase III

Purchase Phase

  • Push Ups
  • Hummers
  • Sumo Flies 3 Positions
  • Wall Slides
  • Prone Rows
  • Single Arm Push Up Holds
  • Push Up Hand Fire