Systematic Evaluation and Treatment of TOS CTJ Nashville TN Nov 2022

UE Track Courses

Course Description

15.25 Contact Hours/1.525 CCU

This course will facilitate therapists’ confidence in identifying and treating patients who present with adverse neural tension in the upper extremity. Course content covers clinical testing for disputed neurogenic thoracic outlet syndrome (TOS) and treatment techniques for the 3 biggest impairments related to neurogenic TOS: 1st rib elevation, poor scapular positioning, and posterior shoulder tightness.  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 to optimize blood flow to the upper extremity. If you treat patients with distal nerve compression syndromes, this course provides valuable information to optimize your clinical results!

Target Audience: OT, COTA, PT, PTA.

Educational Level: Intermediate

Course Agenda

Instructional Method

Our live courses are made up of lectures that are taught through audiovisual systems (Power Point / Keynote), and all course information is sent to participants before the starting day of the actual course for further review and discussion. The hands-on section is carried out through demonstration of techniques performed by the instructors, and then replicated by the participants under instructors’ supervision, guidance, and feedback. The hands-on section is evaluated by the instructors using an observable skills rubric.

Pre-approved in the following states

Alabama, Oregon, Idaho, Iowa, Maine, Mass, Missouri, Nebraska, Washington, Georgia, Hawaii, Indiana, North Carolina, North Dakota, South Carolina, Vermont, Wyoming, South Dakota

Contact to verify approval in your state.

  • 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..
  • Continuing Education Accreditations & Approvals Requested and/or Received by Organization: PDF File

Objectives and Goals

At the end of the presentation, participants will:
  1. Describe the 3 main passageways that can be involved with Thoracic Outlet Syndreom (TOS): scalene triangle, costoclavicular space, and thoraco-coraco-pectoral space.
  2. 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 how 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.
  7. Verbalize the importance of the sympathetic nervous system and its role in treatment of TOS.
This course will consist of live lecture and hands-on lab demonstration modeling techniques over the course of 2 days.


Vanderbilt Orthopaedic Institute - South Tower #3200
1215, 21st Avenue South, Nashville, Tennessee, 37232, United States


Ann Porretto-Loehrke

Full Profile


Check In

November 12, 2022 7:30 am

Instruction Hours

November 12, 2022
8:00 am – 6:30 pm

November 13, 2022
8:00 am – 3:00 pm


I understand it is my responsibility to confirm the IAOM-US has CCUs approved for this course in my state and/or inform IAOM-US what is required to obtain CCU approval. Please review our policies for Refunds, Cancellations, EULA