The role of scapular dyskinesis on rotator cuff tears: a narrative review of the current knowledge

Abstract

■ Scapular dyskinesis can be present in healthy individuals as in patients with shoulder pathology. ■ Altered patterns of scapular kinematics can cause or exacerbate rotator cuff tear pathology. However, more research is needed. ■ Regardless of the cause or the consequence of rotator cuff tear, scapular dyskinesis impairs shoulder function, worsens the symptoms, and compromises the success of clinical intervention. ■ The available literature suggests physical therapy as the first treatment for degenerative cuff tears, and scapular dyskinesis should be addressed if present. Non-responsive cases or traumatic tears may require surgery. ■ Postsurgical physical therapy protocols after rotator cuff repair must consider scapular dyskinesia to improve the outcomes.