Summary of Guidelines for Management of Thoracic Outlet Syndrome

By Carolyn Kisner PT, MS and Lynn Allen Colby PT, MS on February 24th 2009

Educate the patient
• Teach posture correction
• Teach how to modify provoking stresses
• Teach safe exercises for home exercise program
Correct impaired posture

Mobilize restricted neurological tissue

• Nerve mobilization techniques if testing is positive for restricted mobility
Mobilize restricted joints, connective tissue, and muscle
• Tissue-specific manual techniques to restricted structures if testing is positive for restricted mobility
• Self-stretching exercises for restricted muscle flexibility
Improve muscle performance
• Develop control and endurance in postural muscles
• Progress strengthening exercises

Correct faulty breathing patterns

• Relax upper thorax
• Teach abdominodiaphragmatic or bi-basalar breathing patterns
Progress functional independence
• Involve patient in all aspects of program

Buy the Book that holds this excerpt: Therapeutic Exercise: Foundations and Techniques (Therapeutic Exercise: Foundations & Techniques)

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Filed Under: Jeff, Physical Therapy
Tags: Guidelines, Management, TOS

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