Shoulder, upper and middle back structure (muscles), scapular movements and deviations; how to correct them through pilates exercises and cues Flashcards
Scapular movements (6)
Elevation
Depression
Protraction
Retraction
Upward rotation
Downward rotation
Scapular movements:
Elevation:
the scapulae move upward (toward the ears), such as when shrugging the shoulders
the scapulae move upward (toward the ears), such as when shrugging the shoulders
elevation
Scapular movement: depression
the scapula move downward, away from the ears, which occurs when the shoulders are relaxed or in a neutral position
the scapula move downward, away from the ears, which occurs when the shoulders are relaxed or in a neutral position
Scapular movement depression
Scapular movement: Protraction
the scapulae move away from the spine, rounding outward. This occurs during actions like reaching forward or pushing.
the scapulae move away from the spine, rounding outward. This occurs during actions like reaching forward or pushing.
scapular movement: protraction
scapular movement: retraction
the scapulae move toward the spine, squeezing together. This occur during actions like pulling or rowing
the scapulae move toward the spine, squeezing together. This occurs during actions like pulling or rowing
scapular movement: retraction
scapular movement: upward rotation
the top of the scapula moves upward and outward, allowing the arm to lift overhead
the top of the scapula moves upward and outward, allowing the arm to lift overhead
scapular movement: upward rotation
the top of the scapula moves downward, such as when the arm is lowered from an overhead position
scapular rotation: Downward rotation:
scapular rotation: Downward rotation: the top of the ___ moves downward, such as when the arm is __ from an __ position
the top of the scapula moves downward, such as when the arm is lowered from an overhead position
Scapular misalignments can significantly affect shoulder mechanics, potentially leading to
pain, limited mobility, and increased risk of injury, especially during overhead activities and heavy lifting
Proper scapular alignment and movement are crucial for maintain optimal function of the _____ ____ ____, which are essential for shoulder stability
rotator cuff muscles
Scapular Winging (deviation)
the medial (inner) border of the scapula sticks out, making it appear “winging” away from the rib cage
Caused by weakness or dysfunction of the muscles that stabilize the scapula, particularly the serratus anterior (often due to nerve injury or weakness).
Consequences: reduced stability of the shoulder, which can lead to pain, strict shoulder mobility, and increased risk of injury.
Deviation: scapular protration
Scapular Protraction (forward shoulders): the scapula move __, __ from the spine, and the shoulders __ __.
Caused by prolonged poor __, tight __ muscles, and weak upper __ muscles (like the rhomboids and middle trapezius)
Consequences: can contribute to __ head posture, neck __, and ___ impingement
Scapular Protraction (forward shoulders): the scapula move forward, away from the spine, and the shoulders round forward
Caused by prolonged poor posture, tight chest muscles, and weak upper back muscles (like the rhomboids and middle trapezius)
Consequences: can contribute to forward head posture, neck pain, and should impingement
Deviation causing the scapula move forward, away from the spine, and the shoulders round forward
scapular protraction
deviation: the medial (inner) border of the scapula sticks out, making it appear “winging” away from the rib cage
Scapular winging
deviation: Scapular elevation (high shoulder)
the scapulae are lifted excessively, causing the shoulders to appear “shrugged”
Caused by tight upper traps, levator scapula, or stress-related muscle tension often seen when individuals are under physical or emotional stress
Consequences: overactive upper traps can lead to neck and shoulder pain, tension headaches, and even nerve compression
deviation: the scapulae are lifted excessively, causing the shoulders to appear “shrugged”
scapular elevation
deviation: Scapular Depression:
the scapulae are pulled downward, which can cause the shoulders to drop too low
Caused by weakness in the lower trapezius and rhomboids or poor posture, often leading to an imbalance between the muscles of the upper back
Consequences: poor posture, difficulty with overhead movements, discomfort in the shoulders and neck
deviation: the scapulae are pulled downward, which can cause the shoulders to drop too low
scapular depression
deviation: Scapular Imbalance (Asymmetry)
one scapula sits higher, lower, or further forward than the other, resulting in an uneven appearing
Cause: muscle imbalances, scoliosis, or past injuries (such as rotator cuff injury or fracture)
Consequences: asymmetry can affect overall shoulder function, lead to discomfort, and increase the risk of injury in the shoulder joint