Thoracic Outlet Syndrome: Assessing the Elevation Chain
Presented by Ann Porretto-Loehrke
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CHTs, when submitting this for recertification through HTCC, this course can be used for CAT B (hand therapy courses < 3 hours in length); however, if this course certificate is submitted with the following course certificates listed below (or any combination totaling 3 hours or more), they can be submitted under CAT A (hand therapy courses > 3 hours in length).
Meet your instructor
Ann Porretto-Loehrke
Ann Porretto-Loehrke is a skilled clinician with a passion for teaching and clinical treatment of upper extremity disorders. She has been practicing for 30 years and teaching continuing education courses for the past 20. She is the Clinical Development Coordinator at the Hand to Shoulder Center in Appleton, Wisconsin. Ann is…
Chapters & learning objectives
1. Scapular & Elevation Chain Assessment
Poor scapular alignment and limited mobility in the upper extremity elevation chain can contribute to TOS, especially with compressors. This chapter covers how to assess resting scapular position and dynamic control as well as performing the Passive Elevation Test to determine if further joint-specific testing is indicated at the acromioclavicular joint (ACJ) or sternoclavicular joint (SCJ).
2. Glenohumeral Joint Assessment
Posterior glenohumeral joint (GHJ) tightness can contribute to poor scapular mechanics. In addition, end-range GHJ limitations can contribute to TOS “compressor” symptoms. This chapter covers how to assess posterosuperior and posteroinferior GHJ with the arm at the side as well as how the Passive Elevation Test can determine if further joint-specific testing is indicated at the GHJ at end-range.
3. Cervicothoracic Assessment
Stiffness in the upper thoracic spine can be a culprit with poor scapular mechanics and brachial plexus issues. This chapter covers how to assess upper thoracic extension and rotation mobility.
More courses in this series
Identification and Evaluation of Thoracic Outlet Syndrome
Ann Porretto-Loehrke
Treatment of Thoracic Outlet Syndrome: Where to Begin
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Treatment of Thoracic Outlet Syndrome: Addressing Shoulder and Upper Thoracic Limitations
Ann Porretto-Loehrke
Thoracic Outlet Syndrome: Assessing the Elevation Chain
Ann Porretto-Loehrke