Is pushing the wall, the best known method for scapular winging, really the best? A Comparative analysis of various methods in neuromuscular disorders

Khadilkar, Satish V; Chaudhari, Chetan; Soni, Girish; Bhutada, Ashish

doi:10.1016/j.jns.2015.02.026

Cited by 7 publications

(2 citation statements)

References 5 publications

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“…Mild scapular winging is not always visible at rest. The most sensitive way to detect scapular winging is to observe the scapula while the patient slowly lowers the arms forwards and/or sidewards 8. Another important sign is the ‘overriding scapula’, an upward movement of the scapula due to loss of its inferior fixation.…”

Section: Symptoms and Signsmentioning

confidence: 99%

What's in a name? The clinical features of facioscapulohumeral muscular dystrophy

et al. 2016

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Facioscapulohumeral muscular dystrophy (FSHD) is an inherited and progressive muscle disorder. Although its name suggests otherwise, it comprises weakness of the facial, shoulder and upper arm muscles, and also of the trunk and leg muscles. Its severity and disease course vary greatly and mild or early FSHD can be difficult to recognise. Knowledge of its subtle signs and symptoms can lead directly to the correct diagnosis without diagnostic delay and without needing multiple diagnostic procedures. We give an overview of the signs and symptoms of FSHD in severe as well as in mild cases, to facilitate correct and instant recognition of this relatively common muscle disorder.

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Section: Symptoms and Signsmentioning

confidence: 99%

What's in a name? The clinical features of facioscapulohumeral muscular dystrophy

et al. 2016

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“…Currently, despite there being a number of published methods examining scapular winging, there is no reliable clinical grading system to document its severity. 2 It is known that dynamic motion of the shoulder can be more sensitive in revealing scapular winging compared with static postures 12 and that elevation of the arm past the horizontal plane may be limited or impossible in patients with dyskinesis, as the scapula cannot be stabilized against the thorax. 13 Statically, winging due to SA dysfunction is expected to occur during the wall-press test as a result of loss of scapular protraction 13 and may also be present when the arms are at rest by the patient’s side when it is severe.…”

Section: Clinical Assessmentmentioning

confidence: 99%