Tafler Leonid, Borkowski Sonia, Javaid Ghazal, Gandolfo David, Kleyn David
Primary Care, Touro College of Osteopathic Medicine, New York, USA.
Family Medicine, Touro College of Osteopathic Medicine, New York, USA.
Cureus. 2024 Oct 14;16(10):e71434. doi: 10.7759/cureus.71434. eCollection 2024 Oct.
This article presents a unique diagnostic test for the neurogenic thoracic outlet syndrome (nTOS). nTOS is one of the most misdiagnosed and controversial medical problems; the diagnosis is clinical, and there are few specific diagnostic criteria for this condition. We would like to share this unique diagnostic modality, the Tafler test, with medical professionals. The Tafler test helps diagnose nTOS, differentiate it from cervical radiculopathy and carpal tunnel syndrome, and effectively tailor treatment for its symptoms. The following case series aims to describe several patients with nTOS who had failed previous treatment with surgery, physical therapy, and analgesics. The implementation of the Tafler test as a treatment modality in combination with osteopathic manipulative treatment (OMT) and physical therapeutic modalities led to significant improvements in treatment efficiency.
本文介绍了一种针对神经源性胸廓出口综合征（nTOS）的独特诊断测试。nTOS是最易被误诊且存在争议的医学问题之一；其诊断基于临床，针对该病症几乎没有具体的诊断标准。我们希望与医学专业人士分享这种独特的诊断方法——塔夫勒测试。塔夫勒测试有助于诊断nTOS，将其与神经根型颈椎病和腕管综合征相鉴别，并能根据其症状有效制定治疗方案。以下病例系列旨在描述几位此前接受手术、物理治疗和镇痛药治疗均失败的nTOS患者。将塔夫勒测试作为一种治疗方法与整骨手法治疗（OMT）及物理治疗方法相结合，显著提高了治疗效率。
