Publish in this journal
Journal Information
Vol. 22. Issue 5.
Pages 370-375 (01 September 2018)
Download PDF
More article options
Vol. 22. Issue 5.
Pages 370-375 (01 September 2018)
Original Research
DOI: 10.1016/j.bjpt.2018.03.007
Effect of flexibility deficit on scapular asymmetry in individuals with and without shoulder pain
Elif Turguta,
Corresponding author

Corresponding author at: Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Samanpazari, 06100 Ankara, Turkey.
, Gul Baltacib
a Hacettepe University, Ankara, Turkey
b Private Guven Hospital, Ankara, Turkey

  • Deficit in pectoralis minor flexibility was associated with scapular asymmetry at rest.

  • Deficit in posterior capsule flexibility was associated with scapular asymmetry at rest.

  • No relationship was found between flexibility deficit and scapular asymmetry during arm elevation.

This item has received
Article information
Full Text
Download PDF
Figures (3)
Show moreShow less
Tables (2)
Table 1. Characteristics of the asymptomatic and symptomatic shoulder groups.
Table 2. Correlation between flexibility deficit and symmetry angle for asymptomatic and symptomatic shoulder groups.
Show moreShow less

Many studies have investigated the relationship between soft tissue tightness and shoulder kinematics. However, there is a lack of information on the dynamic properties responsible for side-to-side differences such as scapular asymmetry.


To determine the relationship between a deficit in soft tissue flexibility and scapular asymmetry.


A total of 58 individuals (29 patients with shoulder pain and 29 asymptomatic participants) were enrolled. Bilateral shortening of the pectoralis minor muscle and posterior shoulder tightness were assessed. Additionally, side-to-side flexibility deficit was calculated. Scapular kinematics were measured with an electromagnetic tracking device while individuals were standing in a resting position and during arm elevation. The symmetry angle was calculated to quantify scapular asymmetry.


The pectoralis minor and the posterior capsule flexibility deficit showed a significant positive relationship with the symmetry angle in the resting position separately for both asymptomatic (r=0.47, r=0.37 relatively) and symptomatic groups (r=0.58, r=0.38 relatively), indicating that the increased deficit in the pectoralis minor and posterior capsule flexibility were associated with increased scapular asymmetry. However, no significant relationship was found between flexibility deficit and scapular asymmetry during arm elevation and lowering for both asymptomatic and symptomatic groups.


The findings of the study provided information on the relationship of a flexibility deficit on the scapular position and orientation in asymptomatic and symptomatic populations.

Pectoralis minor
Posterior capsule
Physical therapy


These are the options to access the full texts of the publication Brazilian Journal of Physical Therapy

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Brazilian Journal of Physical Therapy

Subscribe to our newsletter

Article options
en pt
Cookies policy Política de cookies
To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here. Utilizamos cookies próprios e de terceiros para melhorar nossos serviços e mostrar publicidade relacionada às suas preferências, analisando seus hábitos de navegação. Se continuar a navegar, consideramos que aceita o seu uso. Você pode alterar a configuração ou obter mais informações aqui.