Treatment of Thoracic Outlet Syndrome: Where to Begin
Presented by Ann Porretto-Loehrke
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Now that you’ve determined that your patient has disputed neurogenic thoracic outlet syndrome (TOS), what should be addressed first? This course will provide a step-by-step process for how to address your patient’s impairments at the 1st and 2nd ribs, scapular resting position and acromioclavicular, and sternoclavicular joints.
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. Joint-Specific Treatment to Address 1st & 2nd Rib Limitations
This chapter covers the manual therapy techniques to address limitations at the 1st and 2nd ribs. This is critical for TOS patients, as an elevated 1st rib can contribute to brachial plexus irritation at both the scalene triangle and costoclavicular space.
2. Addressing Scapular Alignment & Dynamic Control
Poor scapular alignment and limited mobility in the upper extremity elevation chain can contribute to TOS, especially with compressors. This chapter covers how to address poor resting scapular position and dynamic control with scapular taping techniques and therapeutic exercise.
3. Joint-Specific Treatment to Address Limitations at the Acromioclavicular and Sternoclavicular Joints
TOS patients who experience their symptoms with overhead motion can sometimes present with clavicular dysfunction. This chapter covers joint-specific techniques to address limitations at the sternoclavicular joint (SCJ) or acromioclavicular joint (ACJ).
More courses in this series
Identification and Evaluation of Thoracic Outlet Syndrome
Ann Porretto-Loehrke
Treatment of Thoracic Outlet Syndrome: Where to Begin
Ann Porretto-Loehrke
Treatment of Thoracic Outlet Syndrome: Addressing Shoulder and Upper Thoracic Limitations
Ann Porretto-Loehrke
Thoracic Outlet Syndrome: Assessing the Elevation Chain
Ann Porretto-Loehrke