Functional Thoracic Outlet Syndrome

Open access

Abstract

Thoracic Outlet Syndrome (TOS) is one of the most controversial compression (vascular and neurogenic) syndromes both due to the fact it is difficult to diagnose and because of the lack of generally accepted standard procedures. It is estimated that this condition occurs in 10 out of 100 000 people, while clinical examinations reveal that arterial symptoms are more common than neurogenic ones. This work presents a pathogenesis of the functional type of the syndrome with regard to contemporary studies analysing the effects of currently applied forms of conservative treatment. The study presents arguments concerning the significance of proper diagnosis which makes it possible to individualise the therapy according to current trends in rehabilitation mentioned in the available literature and resulting from the authors’ own experience.

1. Povlsen B, Belzberg A, Hansson T, Dorsi M. Treatment for thoracic outlet syndrome. Cochrane Database Syst Rev 2010;20(1):CD007218.

2. Peet RM, Hendricksen JD, Anderson TP, Martin GM. Thoracic outlet syndrome: evaluation of a therapeutic exercise program. Prc Mayo Clin 1956;31:281-7.

3. Edwards DP, Mulkern E, Raja AN, Barker P. Trans-axillary first rib excision for thoracic outlet syndrome. J R Coll Surg Edinb 1999;44(6):362-5.

4. Wilbourn AJ. The thoracic outlet syndrome is overdiagnosed. Arch Neurol 1990;47(3):328-30.

5. Wilbourn AJ. Thoracic outlet syndromes. Neurol Clin 1999;17(3):477-97.

6. Redman L, Robbs J. Neurogenic thoracic outlet syndrome: Are anatomical anomalies significant? S Afr J Surg 2015;53(1):22-5.

7. Urbanek T, Ziaja D, Kwiecień A, Wasiak M, Ziaja K. Występowanie zespołu uciskowego górnego otworu klatki piersiowej (TOS) w populacji w wieku 19-26 lat. Chir Pol 2008;10(1): 8-15.

8. Demirbag D, Unlu E, Ozdemir F Genchellac H, Temuzoz O, Ozdemir H et al. The Relationship Between Magnetic Resonance Imaging Findings and Postural Maneuver and Physical Examination Tests in Patients with Thoracic Outlet Syndrome: Results of a Double-Blind, Controlled Study. Arch Phys Med Rehabil 2007;88(7):844-51.

9. Paoletti S. Fascien. Urban Fischer, 2001.p.51-57.

10. Godek P. Górny Otwór klatki piersiowej - między strukturą a funkcją. Prakt Fizjoter Rehabil 2016;75:8-16.

11. Szarnecka- Sojda A. Zespół górnego otworu klatki piersiowej. Acta Angiol 2004;10:99-113.

12. Rakowski A. Terapia manualna holistyczna. Poznań, 2011.p.366- 7.

13. Chandra V, Little C, Lee JT. Thoracic outlet syndrome in high-performance athletes. J Vasc Surg 2014;60(4):1012-7.

14. Vanti C, Natalini L, Romeo A, Tosarelli D, Pillastrini P. Conservative treatment of thoracic outlet syndrome. A review of the literature. Eura Medicophys 2007;43(1):55-70.

15. Lindgren KA. Conservative treatment of thoracic outlet syndrome: a 2-year follow-up. Arch Phys Med Rehabil 1997;78(4):373-8.

16. Kenny RA, Traynor GB, Withington D, Keegan DJ. Thoracic outlet syndrome: a useful exercise option. Am J Surg 1993;165:282-4.

17. Novak CB. Conservative management of thoracic outlet syndrome. Semin Thorac Cardiovasc Surg 1996;8(2):201-7.

18. Godek P, Ruciński W. Sonofeedback w praktyce fizjoterapeuty, Cz.I i Cz.II. Prakt Fizjoter Rehabil 2015;64:18-25.

19. Taskaynatan MA, Balaban B, Yasar E, Ozgul A, Kalyon TA. Cervical traction in conservative management of thoracic outlet syndrome. J Musc Pain 2007;15(1):89-94.

20. Nakatsuchi Y, Saitoh S, Hosaka M, Matsuda S. Conservative treatment of thoracic outlet syndrome using an orthosis. J Hand Surg Br 1995;20(1):34-9.

21. Stecco L, Stecco C. Manipulacja powięzi w zespołach bólowych narządu ruchu. Polska: wyd. Odnowa, 2015.p.51-8.

22. Moraleida F, Ferreira P, Pereira L, Vasconcelos C, Ferreira M. Ultrasonographic Analysis of the Neck Flexor Muscles in Patients with Chronic Neck Pain and Changes After Cervical Spine Mobilization. J Manipulative Physiol Ther 2011;34(8):514-24.

23. Chaitow L. Techniki energii mięśniowej. Wrocław: Wyd. Elsevier Urban Partner, 2011.p.143-216.

24. Shacklock M. Neurodynamics. Physiotherapy 1995;81: 9-16.

25. Butler DS. Mobilisation of the nervous system. Churchill Livingstone, 1991.p.16-21.

26. Szprynger J, Sozańska G. Neuromobilizacje. Kined, 2013.p.26-35.

27. Kutchera W, Kutchera M. Osteopathic Principles in Practice. Greyden Press,1992.p. 602-12.

Advances in Rehabilitation

The Journal of Academy of Physical Education, Warsaw

Journal Information


CiteScore 2016: 0.04

SCImago Journal Rank (SJR) 2016: 0.104
Source Normalized Impact per Paper (SNIP) 2016: 0.014

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