Physiotherapists’ Perceptions to Scapular Assessment and its use in Clinical Practice

A bstract Background: Scapular position and movement play a critical role in shoulder biomechanics. Alterations in scapular alignment and kinematics have been associated with various shoulder conditions, underscoring the importance of scapular assessment prior to their management. Objective: To explore the perceptions of physiotherapists regarding the clinical relevance of scapular evaluation and the assessment tools currently used in practice. Materials and Methods: A cross-sectional survey, using a validated questionnaire, was conducted among qualified physiotherapists to examine commonly used scapular evaluation techniques and assessment tools in clinical settings. In addition, an online focus group discussion was conducted with experts specializing in sports and musculoskeletal physiotherapy to obtain in-depth qualitative insights. Statistical Analysis: Quantitative survey data were analyzed using descriptive statistics. Qualitative data obtained from the focus group discussion were analyzed thematically to identify recurring concepts and perspectives. Results: All participants reported the clinical importance of scapular evaluation in the management of shoulder disorders. Observational assessment and palpation were the most commonly used techniques in routine practice, whereas advanced tools such as motion analysis systems and electromyography were rarely utilized. Focus group participants identified the lack of standardized scapular assessment tools and the need for specialized training as key challenges. They also emphasized the potential benefits of using advanced technologies in providing quantitative data in routine clinical practice. Conclusion: Physiotherapists perceive scapular assessment as an essential component of shoulder evaluation. However, there are limitations related to the standardization and accessibility of assessment. It is suggested that the development of a clinically feasible scapular assessment device or tool may help enhance physiotherapy management of shoulder conditions.