Wierciak-Rokowska Agnieszka, Sliwka Agnieszka, Maga Mikolaj, Gajda Mateusz, Bogucka Katarzyna, Kaczmarczyk Pawel, Maga Pawel
Independent Researcher, Reha Centrum, Physiotherapy Practice, Orthopaedic Field, Zakopianska Street 166, 30-435 Krakow, Poland.
Institute of Physiotherapy, Faculty of Health Sciences, Jagiellonian University Medical College, 31-126 Krakow, Poland.
Biomedicines. 2024 Aug 12;12(8):1829. doi: 10.3390/biomedicines12081829.
Thoracic outlet syndrome (TOS) is recognised in approximately 8% of the population. Vascular presentation is rare and diagnosis is often elusive due to its rarity. As episodes of TOS in the upper extremities are rare, proven protocols for rehabilitation management are lacking. The purpose of our article is to present a clinical examination protocol and a treatment protocol for patients after an episode of venous thrombosis in the upper limb (VTOS). We report the case of a middle-aged woman with right venous TOS with pain in the right upper extremity, accompanied by oedema and mild violet discolouration. The results after 10 sessions of physiotherapy were as follows: a reduction in symptoms of approximately 40%, an improvement of approximately 15% in sports performance, and an improvement of approximately 25% in work. There was also an improvement in the results of TOS provocation tests, i.e., a 50-100% improvement in pulse rate and about 30% less discolouration in the extremity. Additionally, there was a significant improvement in posture between the two sides of the upper quadrant. The results after 10 physiotherapy sessions are surprising due to chronic disease after the thrombosis episode. It appears that even after a long period of time since diagnosis, improvement is possible.
胸廓出口综合征（TOS）在大约8%的人群中被发现。血管型表现罕见，因其罕见性，诊断往往难以捉摸。由于上肢TOS发作罕见，缺乏经过验证的康复管理方案。我们文章的目的是为上肢静脉血栓形成发作（VTOS）后的患者提供一种临床检查方案和治疗方案。我们报告了一例中年女性右上肢静脉型TOS病例，伴有右上肢疼痛、水肿和轻度紫绀。10次物理治疗后的结果如下：症状减轻约40%，运动表现提高约15%，工作能力提高约25%。TOS激发试验结果也有所改善，即脉搏率提高50 - 100%，肢体紫绀减少约30%。此外，上象限两侧的姿势有显著改善。血栓形成发作后由于慢性病，10次物理治疗后的结果令人惊讶。似乎即使在诊断后很长一段时间，仍有可能改善。
