Neurogenic Thoracic Outlet Syndrome (TOS)

20 Questions

Cervical extension/rotation Muscle adaptations: - poor performance of ______ or serratus

traps

Short/stiff ______ minor, lats

pec

Insufficient rib cage ______

expansion

Short/stiff neck musculature esp ______, suboccipital or levator

scalenes

______ may reveal cervical rib, DJD of the spine, malunion of clavicle fx

X-rays

Neurogenic Thoracic Outlet Syndrome (TOS) refers to patients with known anomaly in the cervicobrachial region and complaints are mainly ______ weakness.

distal

Patients with neurogenic TOS commonly experience parasthesias and/or pain in the upper extremity, commonly down the medial arm and ______.

forearm

The most common type of TOS is the ______ TOS, which is often just referred to as TOS.

disputed

Patients with TOS may complain of dropping things and experiencing arm or hand ______.

weakness

The ______ TOS refers to patients with a known anomaly in the cervicobrachial region and complaints are mainly distal weakness.

true

Match the following symptoms with the corresponding health condition:

Parasthesias and/or pain in upper extremity = Neurogenic Thoracic Outlet Syndrome (TOS) Arm or hand weakness = Neurogenic Thoracic Outlet Syndrome (TOS) Muscular pain in scapular/suprascapular region = Neurogenic Thoracic Outlet Syndrome (TOS) Cold hands = Neurogenic Thoracic Outlet Syndrome (TOS)

Match the following tests with the corresponding health condition:

Arms overhead test = Neurogenic Thoracic Outlet Syndrome (TOS) Tinel’s at scalenes or pec minor = Neurogenic Thoracic Outlet Syndrome (TOS) Costoclavicular maneuver = Neurogenic Thoracic Outlet Syndrome (TOS)

Match the following movement impairments with the corresponding health condition:

Insufficient scapular motion = Neurogenic Thoracic Outlet Syndrome (TOS) Increased IR of scapula = Neurogenic Thoracic Outlet Syndrome (TOS) Depressed and/or downwardly rotated scapula = Neurogenic Thoracic Outlet Syndrome (TOS)

Match the following alignment impairments with the corresponding health condition:

Horizontal clavicle = Neurogenic Thoracic Outlet Syndrome (TOS) Protracted clavicle = Neurogenic Thoracic Outlet Syndrome (TOS)

Match the following onset characteristics with the corresponding health condition:

Gradual onset = Neurogenic Thoracic Outlet Syndrome (TOS) Onset associated with trauma = Neurogenic Thoracic Outlet Syndrome (TOS) Onset associated with an increase in a specific activity = Neurogenic Thoracic Outlet Syndrome (TOS)

Match the muscle adaptations with their descriptions:

Poor performance of traps or serratus = Cervical extension/rotation Short/stiff pec minor, lats = Insufficient rib cage expansion Short/stiff neck musculature esp scalenes, suboccipital or levator = Appearance Short/stiff abdominals = Movement Impairments

Match the potential medical diagnoses requiring referral with their related symptoms:

Subclavian or axillary artery aneurysm = Cervical radiculopathy Apical lung tumor = Brachial plexus neuritis Enlarged thyroid = Peripheral nerve compromise Peripheral nerve entrapment = Cervical Syndrome

Match the treatment methods with their corresponding descriptions:

Patient education = Primary goal is to decrease compression of the neurovascular bundle Symptom reduction = Use of taping techniques, etc to reduce stress in the region Posture and Movement pattern = Use position which allows best correction of mvmt with least symptoms- side-lying, supine, stand or prone Surgical Rx = Removal or dissection of anterior or mid scalene mm, 1st rib, with any congenital bands & removal of a cervical rib if present

Match the associated movement impairment diagnoses with their potential sources of symptoms:

Scapular Depression = Cervical radiculopathy Scapular IR/Abduction = Brachial plexus neuritis Scapular IR/ Tilt = Peripheral nerve compromise Cervical Syndrome = Cervical nerve root compression or disc herniation

Match the post-operative therapy goals with their corresponding methods:

Decrease symptoms & restore ROM = ROM of UE and neck will create neural gliding Address movement and alignment impairments = Use MSI principles Improve muscle performance = As sx-free range ROM is attained Exercise prescription = Be conservative until tolerance is known

Test your knowledge on Neurogenic Thoracic Outlet Syndrome (TOS) with this quiz. Learn about the different types of TOS, including disputed and true neurogenic TOS. Explore the history, symptoms, and treatment options for this condition.

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