Resting Scapular Postures

Question 1

The vertical alignment of the scapulae is compared using the inferior angle as a landmark.
The normal height is located at about T7-9.

Answer 1

Vertical Scapular Position

Question 2

The distance from the T4 spinous process to the medial border of the scapula is measured with the patient standing.
Normal resting value is about 6cm.
An increased distance represents a protracted scapular position, a decreased distance, or a retracted scapula.

Answer 2

Horizontal Scapular Position

Question 3

The distance from the T7 vertebra to the inferior angle of each scapula is measured.
An increased distance indicates an upwardly rotated scapula.

Answer 3

Scapular Rotation

Question 4

Protrusion of the medial border of the scapula “Pseudowinging” is apparent when the inferior angle is prominent and is associated with increased anterior tipping of the scapula.

Answer 4

Scapular Winging