A Practical Guide to Treating Thoracic Outlet Syndrome

Beyond Manual Therapy Courses

Course Description

3.88 Hours / .388 CEUs

Gain the knowledge and skills to provide treatment for patients with disputed neurogenic thoracic outlet syndrome (TOS)! This course will emphasize treatment for the 3 biggest impairments related to TOS: 1st rib elevation, poor scapular positioning, and posterior shoulder tightness. Via a virtual format, therapists will perform specific clinical testing, assessment and treatment of the 1st rib and posterior shoulder, as well techniques to improve resting scapular position and dynamic control.

Target group: PT, PTA, AT, OT

Education Level: Basic


Pre-approved in the following states

Contact info@iaom-us.com to verify approval in your state. Please contact us if you hold a Florida license.

For Pre-Approvals see the PDF - Continuing Education Accreditations & Approvals Requested and/or Received by Organization: PDF File

  • Financial: The instructor(s) receive an honorarium for presenting this course.
  • Non-financial: The instructor(s) have no relevant non-financial relationships to disclose.
  • We will not offer partial credit. Online courses: Passing an online exam and completing a course evaluation will be required to earn continuing education credit. Live courses: Participants must attend all the activities. Attendees must sign an attendance sheet for the course, placing their name, license number and state, and signature for both morning and afternoon attendance..

Objectives and Goals

1. Describe the 3 main passageways that can be involved with TOS: scalene triangle, costoclavicular space, and subcoracoid space.
2. Be able to identify the two different types of TOS clinical presentations: “compressors”: those who experience intermittent traction on the brachial plexus with overhead activity and “releasers”: those who experience more of their symptoms at night.
3. Perform a clinical examination involving the following special tests: Roos test (Elevated Arm Stress Test), Cyriax release test, & Cervical Rotation Lateral Flexion test.
4. Demonstrate ability to test and treat 1st rib limitations associated with TOS.
5. Identify scapular faults that can contribute to TOS problems and develop an understanding of how to best address them.
6. Perform assessment and treatment of posterior glenohumeral capsule limitations related to TOS.


Kimberly Ennis

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