| Outcome following conservative management of thoracic outlet syndrome. | |
| | |
MedLine Citation:
|
PMID: 7594276 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Conservative management of thoracic outlet syndrome is recommended as the initial treatment of choice, and yet few studies have evaluated patient outcome. This study evaluates patient subjective outcome following conservative management of thoracic outlet syndrome. Forty-two patients (37 women, 5 men), mean age 38 years, participated in a telephone questionnaire. Patients clinically diagnosed with thoracic outlet syndrome who had participated in physical therapy at least 6 months prior to the study were selected. Mean duration of symptoms before treatment was 38 months, and mean follow-up time after therapy was 1 year. Twenty-five patients reported symptomatic improvement, 10 were the same, and 7 had worse symptoms. Sixteen patients reported full work and recreational activities, and 8 patients reported restrictions in both work and recreational activities. Poor overall outcome was related to obesity (p < .04), workers' compensation (p < .04), and associated carpal or cubital tunnel syndrome (p < .04). Neck and shoulder symptoms were improved in 38 patients. Improvement in hand and arm pain was significantly better in those without concomitant distal nerve compression (p < .006). |
| | |
Authors:
|
C B Novak; E D Collins; S E Mackinnon |
Related Documents
:
|
11801426 - Postoperative nerve conduction changes after open and endoscopic carpal tunnel release. 3189676 - Bilaterality in anterior cruciate ligament injuries: associated intercondylar notch ste... 12937506 - Concussion in rugby: the hidden epidemic. 23073656 - Nephrostomy in percutaneous nephrolithotomy (pcnl): does nephrostomy tube size matter? ... 12487226 - Anti-inflammatory effects of montelukast in mild cystic fibrosis. 19796586 - Ankle function and sports activity after total ankle arthroplasty. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Journal of hand surgery Volume: 20 ISSN: 0363-5023 ISO Abbreviation: J Hand Surg Am Publication Date: 1995 Jul |
Date Detail:
|
Created Date: 1995-11-28 Completed Date: 1995-11-28 Revised Date: 2009-06-08 |
Medline Journal Info:
|
Nlm Unique ID: 7609631 Medline TA: J Hand Surg Am Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 542-8 Citation Subset: IM |
Affiliation:
|
Division of Plastic & Reconstructive Surgery, Washington University School of Medicine, St. Louis, MO, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Body Height Body Mass Index Body Weight Carpal Tunnel Syndrome / complications Case-Control Studies Female Follow-Up Studies Humans Male Patient Satisfaction Physical Therapy Modalities* Posture Thoracic Outlet Syndrome / complications, rehabilitation* Time Factors Treatment Outcome Ulnar Nerve Compression Syndromes / complications |
| Comments/Corrections | |
Comment In:
|
J Hand Surg Am. 1996 May;21(3):528-9
[PMID:
8724498
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Upper extremity disorders: a literature review to determine work-relatedness.
Next Document: Symptoms, functional status, and neuromuscular impairment following carpal tunnel release.