What exercise is most effective in addressing medial scapular winging due to serratus anterior weakness?

• A. Bench press with shoulder adduction
• B. Push-up position with scapular protraction
• C. Cable external rotation
• D. Shoulder shrug exercise

Answer: (B)

The exercise focusing on the push-up position with scapular protraction is highly effective in addressing medial scapular winging caused by serratus anterior weakness. This exercise targets the serratus anterior specifically, which is crucial for stabilizing the scapula against the thoracic wall.

In a push-up position, when the individual actively engages in protracting their scapula—moving them away from the spine—it encourages the serratus anterior to activate and strengthen. This activation is vital for improving scapular mobility and proper positioning, thereby reducing the winging associated with weakness of this muscle.

Moreover, other options, like the bench press with shoulder adduction and cable external rotation, do not target the serratus anterior effectively and instead emphasize different muscle groups. While shoulder shrugs may strengthen the upper trapezius, they do not contribute significantly to the function of the serratus anterior or address scapular winging. Thus, the selected exercise provides the specific engagement needed to improve scapular stability through enhanced serratus anterior function.