Thoracic Outlet Syndrome: Assessment, Differential Diagnosis and Hands On Treatment
Places available
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Date(s) |
16th Oct 2010 |
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Length | 1 day |
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Cost | £125.00 |
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CPD hours | 7 |
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Venue | Bristol Royal Infirmary |
Summary
Teri was amazing. She was probably the best lecturer I have had the pleasure of hearing in years. Her approach was refreshingly clear, theoretical and evidence based and very practical. She was amazing and a role model for us all! (from Band 7 physio)
(see below for more participant feedback)
The controversy surrounding Thoracic Outlet Syndrome (TOS) over the past decade or more has left medical professionals, especially musculoskeletal therapists, without the knowledge and the skills to treat this frequently occurring syndrome.
This intense 1 day course covers the aetiology, presentation, assessment, differential diagnosis and manual treatment of Thoracic Outlet Syndrome (TOS). Clinical reasoning is strongly underpinned throughout.
The course consists of both short lectures and practical sessions. Participant numbers are limited to a maximum of 20.
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Tutor
Objectives
On completion of this course participants will be able to:
- Discuss the history, aetiology and clinical presentation of Thoracic Outlet Syndrome (TOS).
- Discuss relevant neuroanatomical and neuro physiological necessary to effectively manage TOS.
- Describe possible differential diagnoses for a patient presenting with TOS signs and symptoms in the upper limb.
- Formulate, justify and demonstrate an appropriate treatment programme for a patient presenting with TOS.
- Demonstrate and justify the use of manual therapy techniques in the management of TOS.
Content
Reasons underlying gaps in the medical knowledge regarding TOS is that objective investigations, for example, electrodiagnostic testing are frequently unremarkable. However, the error is a patient may experience symptoms pertaining to the compromise of a neural structure without evidence of morphological change. This means that a symptomatic syndrome may exist yet electrodiagnostic tests remain within ‘normal' parameters.
This intense one day course explains the aetiology of the syndrome, the differential diagnosis between Thoracic Outlet Syndrome, Cervical Radiculopathy, Carpal Tunnel Syndrome, Cubital Tunnel Syndrome and Guyons Canal entrapment. A thorough assessment is taught; utilising palpatory neurological and auscultatory skills, to name just a few, in order to formulate the working diagnosis.
The hands on treatment of thoracic outlet syndrome is presented allowing critical thinking around the use of the techniques presented. Also, following a review of neural anatomy and physiology, the participants will be challenged to reason for themselves; the use, delayed use or non-use of treatment techniques commonly propounded in the areas of neurodynamics and thoracic outlet stretching.
The sessions covering both the examination and treatment of thoracic outlet syndrome will broaden the participants' scope of practice and allow for more accurate diagnosis and successful treatment.
Course preparation
Pre course reading is recommended, this information will be made available in your PhysioUK account on successful application. It is HIGHLY recommended you set aside time to do the pre course reading to gain as much from the course as possible.
Restrictions
All eligible participants, as listed in the audience section, must have appropriate UK professional liability insurance to cover them for the techniques to be taught, as detailed in the summary / content section. To ensure eligibility to attend, we reserve the right to ask for proof of this.
For any participant that is or maybe pregnant when attending any of our courses with a practical component we advise they email us to let us know.
Audience
This course is aimed at any grade of physiotherapist, osteopath, chiropractor or sports therapist / rehabilitator treating upper limb problems and especially those with a particular interest in Thoracic Outlet syndrome.
Programme
Day 1
| 8.00 | Registration |
| 8.30 | Lecture: The thoracic outlet: The history, controversy, aetiology, classification & signs and symptoms |
| 9.30 | Practical: Thoracic outlet surface anatomy palpation |
| 10.15 | Working tea break |
| Aetiology of thoracic outlet symptoms: Neurogenic signs & symptoms and behaviour of symptoms | |
| 11.15 | Practical: Neural and vascular palpation - ulnar nerve / brachial artery |
| 11.40 | Lecture: Arterial signs & symptoms |
| Practical: Vascular palpation / auscultation / median nerve pathway at wrist / BP measurement | |
| 12.20 | LUNCH |
| 13.00 | Lecture and practical: Venous signs & symptoms / TOS aggravating factors / tests of provocation / subjective assessment |
| 13.45 | Differential diagnosis / neural anatomy / physiology / pathophysiology / case study |
| 14.45 | BREAK |
| 15.05 | Practical: Objective assessment |
| 15.35 | Practical: Hand grips and treatment techniques |
| 16.55 | Final questions |
| 17.00 | Close |
Participant feedback
- Brilliant course. Very helpful in diagnosing, treating and understanding thoracic outlet syndrome. Clear and concise information that is very practical
- It is an excellent well thought out course which provides a good understanding of thoracic outlet as a condition and provides good clinical reasoning with regards to treatment.
- The tutor's knowledge base and enthusiasm for this topic made it a pleasure to attend.
- Excellent lecturer - good pace and kept to timing. Well presented and delivered
- Teaching was VERY clear.
- The tutor was enthusiastic and highly knowledgeable and wanted to give us as much as she could.
- A very informative course with excellent teaching technique and hands on practice.
- Attend the course !
- An excellent course. The pre course reading was essential as it helped on the day.
- Absolutely must do the pre course reading or you have no hope. I am glad I did spend time studying
- It is a full on day and you must do the pre course learning which I know you did highlight after I had applied for a place. I think a working knowledge of the brachial plexus is a must.
