Objective indexes of post-treatment improvement in a patient with thoracic outlet syndrome

P. Capodaglio, R. Gibellini, C. Grilli

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction. In this case report we proposed an instrumental approach for the evaluation of a patient with thoracic outlet syndrome. Methods. The patient was asked to perform an isokinetic endurance test (1 min), which consisted of bilateral hand gripping, in the following two positions: elbow flexed at 90°and supported; extrarotated arm with elbow flexed at 90°. A computerized dynamometer for the upper limbs (Lido WorkSET) was utilized. A customized software calculated the decay of the strength values and the temporal values at which a reduction of 20%, 30% and 50% of the basal strength values occurred. A dynamic eco Doppler examination was conducted while the patient was abducting the arms. We monitored the angle at wich blood flow reduction occurred. These evaluations were repeated after a 4- week rehabilitation period. Results. The functional improvement following rehabilitation treatment was highly correlated with the increase in the parameters obtained in the endurance test. Conclusions. The isokinetic endurance test monitored the patient's progress after treatment. Test-retest reliability has been previously studied. The reliability of the eco Doppler examination for post-treatment evaluation needs further investigation.

Original languageEnglish
Pages (from-to)3-8
Number of pages6
JournalEuropa Medicophysica
Volume33
Issue number1
Publication statusPublished - 1997

Keywords

  • Hand strength
  • Physical endurance isokinetics
  • Thoracic outlet syndrome

ASJC Scopus subject areas

  • Rehabilitation

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