Scapulothoracic Assessment in Three Simple Steps
Unique Three Dimensional Approach
by Janet C Delorme

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Sometimes, a ‘winging scapula’ reveals a disabling scapulothoracic condition. Sometimes it does not. Often, despite no observable winging, debilitating scapulothoracic conditions go undiagnosed or misdiagnosed. This “shoulder” problem is poorly understood. Disruption of essential scapular connections within the chest wall results in multiple, seemingly unrelated symptoms, obfuscating the true source of the problem. Scapular dyskinesis can masquerade as a neck problem, a back problem, a chest, head or arm problem. Current musculoskeletal assessments do not identify an isolated scapulothoracic condition unless there is obvious deformity or X-ray evidence of a fracture. In 2012, Janet Delorme, a physiotherapist with over thirty years’ experience in orthopedic assessment and treatment, suffered a peculiar loss of movement and strength in her arm. Only a physiotherapist would puzzle over this problem. Her curiosity and persistence, her specialized knowledge and experience, andher unique opportunity to truly understand this problem from the “inside” has unlocked an entirely new understanding of this complex biomechanical region. This assessment method is presented in an easy-to-use format, and it can be added to an existing assessment protocol. It is designed for any clinician who has the desire to learn how to recognize and manage a condition that may otherwise go undiagnosed.

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”After decades with no diagnosis and worsening pain, Janet finally helped me to understand and manage my condition. Long thoracic nerve palsy is very difficult to identify and treat, which is why her expertise on this subject is so rare and invaluable to both patients and medical professionals alike. By following the protocol outlined in this book, I was able to make the lifestyle modifications needed to avoid flare ups, reduce my pain and lead a more normal life.” — Beth Turner

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Janet Delorme Bsc PT Queens University, Kingston, Ontario 1981 Owner/Partner Kenora Physiotherapy and Sports Injury Centre 1987-2012 Canadian Advanced Manual and Manipulative Therapist 2000 – 2012 Acupuncture Canada Anatomical Acupuncture, BTCM (traditional acupuncture), Certification in Dry Needling. Facilitator and lecturer CAFCI-1990-2012 Publications: Case Study Long Thoracic Nerve Palsy 2012-2015. ODR Sept/Oct 2017 Vol 30. No3. Upper Fibres of Serratus Anterior – The Hidden Powerhouse -Part 1, Upper Branches of the Long Thoracic Nerve – The Hidden Powerhouse – Part 2. ODR Sept/Oct 2017 Vol 30. No3. Electrodiagnostic testing and the diagnosis of neuropathy in patients with scapulo-thoracic or proximal shoulder pathology. ODR Sept/Oct 2018 Vol 31 No3. Electrodiagnostic tests-understanding the basics. ODR Sept/Oct 2018 Vol 31 No3.

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Contributors

Author

Janet C Delorme

Editor

Scott Sugden, Medical Journal Editors

Illustrator

Mesa Schumacher

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