PT Course Details

Course # 1237
Evaluation & Treatment of Thoracic Outlet Syndrome

Tuesday, October 9, 2012 at 12:00 pm EDT

The Live Webinar has already taken place.

Cost: This course is included in a $99 CEU Total Access package.
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CEUs/Hours Offered: See All State Associations

CA/2.0; KY/2.0; NY/2.0; AK/1.0; AR/1.0; CO/1.0; CT/1.0; DE/1.0; GA/1.0; HI/1.0; ID/1.0; IN/1.0; IA/1.0; ME/1.0; MA/1.0; MI/1.0; MO/1.0; MT/1.0; NE/1.0; NH/1.0; NC/1.0; ND/1.0; OR/1.0; RI/1.0; SD/1.0; TN/1.0; UT/1.0; VT/1.0; VA/1.0; WA/1.0; WI/1.0; WY/1.0

Course Abstract

What do I do with patients that hurt all over? Why can’t they pin-point their symptoms? Why do the carpal tunnel symptoms seem to keep coming back? Have you ever had patients like this? Then this is for you! This course is designed to assist practicing clinicians in the identification, evaluation, and treatment of thoracic outlet syndrome (TOS) using a manual therapy approach. Therapists will learn about the types of TOS, how to perform a TOS assessment, and gain an understanding of what to prioritize with the rehabilitation process.
Disclosure: This learning event does not focus exclusively on any specific product or service.

Course Learning Outcomes

Preview 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.

Time-ordered Agenda

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

Average Rating (4 Reviews)

Most Recent Comments
Review by: Member on October 11, 2012
the instructor is very dynamic and interesting, presents the information in a systematic manner that is easy to understand and apply to treatments. I immediately incorportated this material into the patient I saw immediately after taking this course. I think it would be a good idea to present this information to my co-workers in a short presentation in the near future!
Review by: Member on October 11, 2012
Clear power point presentation with live arrows pointing to what the speaker was talking about. Presentation followed a logical pattern.

Course Information

The Event has already taken place, you may no longer register.

Course Presenter

ann porretto loehrke

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.

If you have any technical questions or problems related to this course,
please contact PhysicalTherapy.com toll free at 1-866-782-6258

 
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