The relationship between magnetic resonance Imaging findings and postural Maneuver and physical examination tests in patients with thoracic outlet syndrome: Results of a double-blind, controlled study

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dc.authoridDemir, Mustafa Kemal/0000-0002-7023-6153
dc.contributor.authorDemirbag, Derya
dc.contributor.authorUnlu, Ercument
dc.contributor.authorOzdemir, Ferda
dc.contributor.authorGenchellac, Hakan
dc.contributor.authorTemizoz, Osman
dc.contributor.authorOzdemir, Huseyin
dc.contributor.authorDemir, Kemal
dc.date.accessioned2024-06-12T11:08:00Z
dc.date.available2024-06-12T11:08:00Z
dc.date.issued2007
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjectives: To investigate the differences in findings from magnetic resonance imaging (MRI) in the neutral and provocative positions, and to examine the relationship between these differences and the results of physical examination tests in patients with thoracic outlet syndrome (TOS). Design: Prospective. Setting: University physical medicine and rehabilitation outpatient and radiology clinics. Participants: Twenty-nine patients and 12 healthy controls. All of the patients had positive bilateral TOS stress tests; control group participants were symptom free and had negative TOS stress tests bilaterally. Interventions: Not applicable. Main Outcome Measures: All participants underwent Adson's test, the Halsted maneuver, and a hyperabduction test. All were evaluated with MRI while in 2 positions: the neutral position (upper extremities adducted) and in a provocative position. Measurements were obtained at the interscalene triangle, at the costoclavicular space, and at the retropectoralis minor space. Results: There was a significant difference in MRI findings between the neutral and provocative position in the patient (P<.05), but there were no significant differences in the control group. There was a significant difference in the positional change values in MRI between the patients and the control subjects (P<.05). The difference was found in the minimum costoclavicular distance between patients with a positive Halsted maneuver and a negative Halsted maneuver (P<.05). Conclusions: Our findings indicate that MRI findings in patients in a provocative position are more valuable in the diagnosis of TOS, and these findings are in accord with findings from the physical evaluation tests.en_US
dc.identifier.doi10.1016/j.apmr.2007.03.015
dc.identifier.endpage851en_US
dc.identifier.issn0003-9993
dc.identifier.issn1532-821X
dc.identifier.issue7en_US
dc.identifier.pmid17601463en_US
dc.identifier.scopus2-s2.0-34250713478en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage844en_US
dc.identifier.urihttps://doi.org/10.1016/j.apmr.2007.03.015
dc.identifier.urihttps://hdl.handle.net/20.500.14551/22268
dc.identifier.volume88en_US
dc.identifier.wosWOS:000247869200004en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherW B Saunders Co-Elsevier Incen_US
dc.relation.ispartofArchives Of Physical Medicine And Rehabilitationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMagnetic Resonance Imagingen_US
dc.subjectPhysical Examinationen_US
dc.subjectRehabilitationen_US
dc.subjectThoracic Outlet Syndromeen_US
dc.subjectHelical Computed-Tomographyen_US
dc.subjectMr-Angiographyen_US
dc.subjectUltrasonographyen_US
dc.titleThe relationship between magnetic resonance Imaging findings and postural Maneuver and physical examination tests in patients with thoracic outlet syndrome: Results of a double-blind, controlled studyen_US
dc.typeArticleen_US

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