Abstract :
[en] tThe role played by the scapula in the sporting gestures of arming-throwing or striking a projectile appearsfundamental; it concerns placement and proper scapular mobilization to facilitate the functionality of theshoulder. On the other hand, an inappropriate position or mobilization of the scapula during the gesturecould limit the performance or exacerbate an injury. Scapulo-thoracic dysfunction, called dyskinesia, iscommon in the sports shoulder including the upper limb; it is observed in pathological athletes, butalso in asymptomatic sports shoulder. In the presence of a pathology of shoulder, an oriented balanceshould make it possible to identify a possible dyskinesis. The reeducative follow-up then includes a spe-cific management dedicated to the functional causes of this scapulo-thoracic dysfunction. The preventiveapproach is also essential, given the links revealed by prospective studies between the presence of dys-kinesia and the occurrence of lesions. In addition, the benefit of the preventive intervention appears tobe demonstrated during a longitudinal follow-up of athletes integrating a preventive program comparedto a control group.
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