Outline Of Treatment

For complete paralysis of the serratus anterior: The brace should be worn day and night. Exercises should consist of muscle-setting, exercising the serratus anterior in its function as a rotator of the scapula: With the patient supine, the arm is placed overhead, resting on one or two pillows, and the patient is asked to press the arm down on the pillow (in the direction of completing arm-raising overhead). He should be made aware of trying to bring the inferior angle of the scapula forward during this movement and may be encouraged to palpate the

Figure 5: Photograph of a patient with serratus anterior palsy but with strong lower trapezius fibers which prevent backward rotation of the lower border of the scapula on abduction and allow full movement. (Reproduced by permission from Muscles: Testing and Function, by Henry O. Kendall and Florence P. Kendall, p. 127 Baltimore, The Williams and Wilkins Co., 1949.)

Figure 5: Photograph of a patient with serratus anterior palsy but with strong lower trapezius fibers which prevent backward rotation of the lower border of the scapula on abduction and allow full movement. (Reproduced by permission from Muscles: Testing and Function, by Henry O. Kendall and Florence P. Kendall, p. 127 Baltimore, The Williams and Wilkins Co., 1949.)

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