presented by Ann Porretto-Loehrke
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
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Ann Porretto-Loehrke, PT, DPT, CHT, COMT, CMTPT
Ann Porretto-Loehrke is a skilled clinician and dynamic instructor. She is the therapy manager of a large department at the Hand to Shoulder Center. Ann is a Certified Hand Therapist (CHT) and a Certified Orthopedic Manual Therapist (COMT) for treatment of the upper quadrant through the International Academy of Orthopedic Medicine (IAOM). She has extensive…
Read full bio1. Types of Thoracic Outlet Syndrome
This chapter covers the anatomy of the thoracic outlet and the types of thoracic outlet syndrome (TOS). It is important to differentiate vascular versus neurogenic TOS to identify the most appropriate therapy intervention.
2. Clinical Testing for TOS
This chapter identifies key information to glean from the patient history, as well as instruction on how to perform a cervical screen and clinical testing for disputed neurogenic TOS. Therapists will develop an understanding of a cluster of tests needed to confirm the diagnosis of TOS.
3. 1st & 2nd Rib Mobility Assessment
This chapter covers the mechanics of the 1st and 2nd ribs, reviews how motion occurs at both the costovertebral and costotransverse joints, followed by instruction in how to assess 1st and 2nd ribs mobility. This is critical for TOS patients, as an elevated 1st rib can contribute to brachial plexus irritation at both the scalene triangle and costoclavicular space.