KINETIC CONTROL EXERCISES FOR UNCONTROLLED GLENOHUMERAL–SCAPULAR DISSOCIATION IN A RECREATIONAL BADMINTON PLAYER WITH SCAPULAR DYSKINESIA: A CASE REPORT

Abstract

Background: Scapular dyskinesia is frequently observed in athletes who perform overhead movements and is linked to changes in shoulder mechanics, discomfort, and diminished functional performance.  It is often overlooked as a cause of ongoing neck and shoulder pain, especially in people facing both occupational and one-sided overhead sports-related stress, where poor scapular muscle control can keep symptoms going despite conventional cervical-focused therapies. Case Presentation: A 43-year -old male, right-handed and employed in the IT field, who also plays recreational badminton, has experienced recurring neck pain over the past three months. Had previously received cervical traction and dry needling therapy. Clinical examination identified Type III scapular dyskinesia, with the Scapular Dyskinesia Test, Scapular Assistance Test, and Scapular Retraction Test, indicating uncontrolled glenohumeral-scapular dissociation as the primary cause of symptoms. Intervention: The subject underwent a 4-week Kinetic Control Exercise (KCE) program, which advanced from low-load motor re-education to progressive strength training and sport-specific integration, followed by a reassessment at 6 weeks. Outcomes: During the intervention, pain decreased, scapular muscle strength increased, and dynamic scapular control improved, with these benefits maintained at follow-up. Conclusion: Targeted KCE focusing on the scapula may serve as an effective and time-saving rehabilitation approach for individuals experiencing neck and shoulder pain linked to scapular dyskinesis, especially among those with dual exposure to occupational and overhead sports activities.