Neurogenic Thoracic Outlet Syndrome (TOS)

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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 Signup and view all the answers

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

X-rays Signup and view all the answers

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

distal Signup and view all the answers

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

forearm Signup and view all the answers

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

disputed Signup and view all the answers

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

weakness Signup and view all the answers

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

true Signup and view all the answers

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) Signup and view all the answers

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) Signup and view all the answers

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) Signup and view all the answers

Match the following alignment impairments with the corresponding health condition:

Horizontal clavicle = Neurogenic Thoracic Outlet Syndrome (TOS) Protracted clavicle = Neurogenic Thoracic Outlet Syndrome (TOS) Signup and view all the answers

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) Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers