Document Detail


Thoracic outlet syndrome part 2: conservative management of thoracic outlet.
MedLine Citation:
PMID:  20382063     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thoracic outlet syndrome (TOS) is a symptom complex attributed to compression of the nerves and vessels as they exit the thoracic outlet. Classified into several sub-types, conservative management is generally recommended as the first stage treatment in favor of surgical intervention. In cases where postural deviations contribute substantially to compression of the thoracic outlet, the rehabilitation approach outlined in this masterclass will provide the clinician with appropriate management strategies to help decompress the outlet. The main component of the rehabilitation program is the graded restoration of scapula control, movement, and positioning at rest and through movement. Adjunctive strategies include restoration of humeral head control, isolated strengthening of weak shoulder muscles, taping, and other manual therapy techniques. The rehabilitation outlined in this paper also serves as a model for the management of any shoulder condition where scapula dysfunction is a major contributing factor.
Authors:
L A Watson; T Pizzari; S Balster
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Publication Detail:
Type:  Journal Article; Review     Date:  2010-04-09
Journal Detail:
Title:  Manual therapy     Volume:  15     ISSN:  1532-2769     ISO Abbreviation:  Man Ther     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-06-28     Completed Date:  2010-10-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9610924     Medline TA:  Man Ther     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  305-14     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Ltd. All rights reserved.
Affiliation:
LifeCare Prahran Sports Medicine Centre, 316 Malvern Road, Prahran, VIC 3181, Australia.
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MeSH Terms
Descriptor/Qualifier:
Humans
Musculoskeletal Manipulations*
Patient Positioning
Physical Examination
Rotation
Scapula / physiopathology*
Thoracic Outlet Syndrome / physiopathology*,  rehabilitation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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