P5140039

Thoradc Outlet Syndrome

I    Thoradc outlet syndrome is a compression of the neurovascular bimdlę in the neck and shoulder.

Structures which arecommonlyinvolved indude;subdavian artery, subclavian vein, and brachial plexus. Compression may occur in the areas of the pectoralis minor, /jrst rib and clavicle, space between the antenor and middle scalone muscles.

The Kinesio Taping Method will assist in reducing tension in the regions in which compression occu^ Following the practitioners evaluation they will be able to determine the specific compression causing the thoradc outlet syndrome. The taping technigue demonstrated indudes the most clinicaJiy effective.

Basic Kinesio Taping Method applicationof

subciavius muscie, insertion to origin.

Begin by placing the base of the Kinesio I strij inch width, interior and slightly medially to the acrominodavicuIar joint, with no tension.

Have the patient move into shoulder abduction and extemai rotation.

AppJy very light to Iight, 15-25% of avai!abIeor paper off tension to the Kinesio I strip. FolJow ata the inferior aspect of the clavicle to the stemocalicular joint. Lay the distal 1 to 2 inches down with no tension.

Initiate glue activa tion prior to any further paij^ i movement.

W

Basic Kinesio Taping Method application of pectoralis minor muscie, insertion to origin.

Begin by placing the base of the Kinesio Y strip, superior to the coracoid process of the scapula, wi| no tension.

Have the patient móve into shoulder abduction above 90 degrees and extemal rotation, as much as possible.

Apply very light to light tension to the Kinesio I strip. The superior taił should aim for the 3rd costo-chondral joint.

The interior taił should aim for the 5th costo-chondrał joint. Lay the distal 1 to 2 inches down with no tension.

Initiate glue activation prior to any further patient movement.

Basic Kinesio Taping Method application of biceps brachii muslce, insertion to origin. For review of see bicipital tenosynovitis.

Basic Kinesio Taping Method application of scalenes anterior, insertion to origin.

With the patient's neck in neutral, begin by placing the base of the Kinesio Y strip along cervical 3-6 spinous process, with no tension.

For anterior fibers, have the patient move into lateral flexion to the opposite side of pain with rotation to the same side (ear on opposite shoulder, and chin in the air on the same side of injury). Apply very light tension to the Kinesio Y strip. The medial taił should aim for the lrst costo-chondral joint.

For lateral fibers, have the patient move into lateral flexion to the opposite side with rotation to the same side as the inury (ear on opposite shoulder, and chin in the air to opposite side of injury) taił should follow for the junction of the proximal and medial 1/3 rd of the lst rib. Lay the distal 1 inch down with no tension, the taił should end approxi-mately 1 inch below the First rib.

Initiate glue activation prior to any further patient movement.

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