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As a DPT student graduating into two months, I'd like to put my 2 cents into this discussion.
First of all, it is very hard to tell what "issues" someone is having by just looking at pictures. In order to properly diagnose a patient, a physical exam needs to be done. Based on the pictures, it looks like the left scapula when compared to the right is in a position of elevation and retraction, leading me to believe the upper trap is short on that side. It's hard to tell, but there also may be some anterior tipping, which would indicate a short pec minor. If this is true, then the lower traps are likely long and weak in a shortened position. The treatment hear would be to place the lower trap in a shortened position and work on exercises here.
Like I said, it's hard, or rather impossible to diagnose based on pictures alone. I heard some discussion on whether musculature or capsular limitations are affecting this individual. The answer is, it could be either, and it can only be differentiated by "end feel." So this question is up in the air.
I also heard some talk about the GHJ and no mention of the surrounding joints at the shoulder (SC, AC, ST). This is a common problem we've been learning about at school. During shoulder flexion, the first 60 degrees come from GH motion and the scapula sets itself, most of the remainder comes largely from those other joints which are often neglected during treatment. I'm not saying this is the exact problem the person has, just saying those joints need to be checked out.
All that can be said for certain from those pictures is that there seems to be some muscle imbalance, and while that is most likely not the primary cause of the problem, it is something that is a contributing factor, and needs to be addressed.
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