PT Course Details
Course # 1237
Evaluation & Treatment of Thoracic Outlet Syndrome
Tuesday, October 9, 2012 at 12:00 pm EDT
Cost: This course is included in a $99 CEU Total Access package.
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CEUs/Hours Offered: See All State Associations
Course Learning OutcomesPreview Exam
- Describe the anatomy of the thoracic outlet region, and the 3 main areas of brachial plexus impingement: scalene triangle, costoclavicular space, and beneath the pect minor muscle.
- Identify the two different types of TOS clinical presentations: “compressors” (those who experience intermittent traction on the brachial plexus with overhead activity) and “releasers” (those who experience more of their symptoms at night.)
- Describe the basic clinical examination, including the following special tests: Roos test (Elevated Arm Stress Test), Cyriax release test, & Lindgren’s (Cervical Rotation Lateral Flexion) test.
- Explain how to test and treat 1st and 2nd rib limitations associated with TOS.
- Describe neural flossing techniques for the median, radial, and ulnar nerves.
- Identify scapular faults that can contribute to TOS problems. Participants will also demonstrate how to test and treat posterior capsule tightness at the glenohumeral joint and will also become familiar with treatment interventions and home exercise programs.
|0-25 Minutes||Disputed neurogenic thoracic outlet syndrome (TOS): history and pathomechanics|
|25-50 Minutes||Special tests for TOS|
|50-65 Minutes||1st & 2nd rib mobilization|
|65-80 Minutes||Issues at the glenohumeral joint: posterior capsule tightness and end-range limitations|
|80-95 Minutes||Scapular alignment and intervention|
|95-110 Minutes||Issues at the AC and SC joints|
|110-115 Minutes||Hypomobility at the upper thoracic spine|
|115-120 Minutes||Q & A|
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Ann Porretto-Loehrke, PT, DPT, CHT, COMT
Ann Porretto-Loehrke is a Certified Hand Therapist (CHT) and a Certified Orthopedic Manual Therapist (COMT) for treatment of the upper quadrant through the International Academy of Orthopedic Medicine-United States (IAOM-US). She earned a post-professional Doctorate in Physical Therapy (DPT) degree from Drexel University with a specialty in hand and upper quarter rehabilitation. Ann co-authored the chapter “Therapist’s Management of Other Nerve Compressions About the Elbow and Wrist” in the most recent edition of Rehabilitation of the Hand & Upper Extremity. She is a dynamic, passionate instructor who loves teaching and providing patient care.
Disclosure: I co-own the material that I am presenting with Mirka Normand, MA/OTR/CHT, and the International Academy of Orthopedic Medicine. I have no financial relationship with any of the products that I show in my slides.
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