Conservative treatment of thoracic outlet syndrome (TOS): Creating an evidence-based strategy through critical research appraisal

Balakatounis, Konstantine C; Angoules, Antonios G; Panagiotopoulou, Kalomoira A

doi:10.1016/j.cuor.2007.11.006

Cited by 4 publications

(2 citation statements)

References 20 publications

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“…A 6-month physical therapy program consisting of home-exercises, stretching, postural corrections, and muscle recruitment patterns, primarily focusing on the neck and shoulder, can alleviate symptoms associated with TOS. Generally, patients with mild TOS are expected to improve within 6 weeks ( 43 , 44 ). In refractory cases undergoing decompressive surgery, post-surgical rehabilitation plays a key role in the recovery of autonomy and upper limb range of motion, and in the improvement of the patients' quality of life ( 45 – 47 ).…”

Section: Treatmentmentioning

confidence: 99%

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Diagnostic and Therapeutic Management of the Thoracic Outlet Syndrome. Review of the Literature and Report of an Italian Experience

Camporese

Bernardi

Venturin

et al. 2022

Front. Cardiovasc. Med.

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The Thoracic Outlet Syndrome is a clinical potentially disabling condition characterized by a group of upper extremity signs and symptoms due to the compression of the neurovascular bundle passing through the thoracic outlet region. Because of the non-specific nature of signs and symptoms, to the lack of a consensus for the objective diagnosis, and to the wide range of etiologies, the actual figure is still a matter of debate among experts. We aimed to summarize the current evidence about the pathophysiology, the diagnosis and the treatment of the thoracic outlet syndrome, and to report a retrospective analysis on 324 patients followed for 5 years at the Padua University Hospital and at the Naples Fatebenefratelli Hospital in Italy, to verify the effectiveness of a specific rehabilitation program for the syndrome and to evaluate if physical therapy could relieve symptoms in these patients.

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Section: Treatmentmentioning

confidence: 99%

“…The rehabilitation program must be guided by a physiotherapist specialized in TOS treatment (see Section 4 in Supplementary Material for details) ( 43 , 44 ). A summary of exercises targeting the shoulder muscles are shown in Supplementary Figure 4S and Supplementary Table 3S .…”

Section: Treatmentmentioning

confidence: 99%