PMID: 16512627Mar 4, 2006Paper

Neurorehabilitation in children with thoracic outlet syndrom and its assessment

Przegla̧d lekarski
Anna SwierczyńskaSławomir Kroczka

Abstract

Thoracic outlet syndrome (TOS), a rare clinical condition develops as a consequence of compression of the brachial plexus and/or subclavian vessels in the thoracic outlet area. The aim of this research was the clinical and electrophysiological evaluation of results of therapeutic rehabilitation in female patients diagnosed with TOS. 3 girls diagnosed in the Department of Pediatric Neurology and Neurophysiology Laboratory and treated in the Neurorehabilitation Division at the University Children's Hospital were evaluated. The TOS diagnosis was established in children aged 12-14 years with the use of doppler examination of subclavian vessels. Two girls underwent conservative management and in the third case surgical decompression and subsequent neurorehabilitation was provided. The methods of conservative management were addressed to relaxation of scalenic muscles, flexibility of cervical and thoracic vertebral column, stretching of pectoral smaller muscles, relaxation and relief of cervical vertebral column, and postural correction of shoulder girdle. The treatment plan assumed improvement of balance of muscle tone, postural correction and diaphragmatic mode of breathing. The first evaluation was conducted before rehabilitation,...Continue Reading

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