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Διεθνείς Δημοσιευσεις - Science Direct

Conservative treatment of thoracic outlet syndrome (TOS): Creating an evidence-based strategy through critical research appraisal

aFiloktitis Medical Center, Center of Excellence in Physical Medicine and Rehabilitation, Athens, Greece

bSchool of Health and Social Care, Oxford Brookes University, Oxfordshire, UK

cAcademic Department of Trauma & Orthopaedics, Leeds Teaching Hospitals, University of Leeds, Leeds, UK

Available online 28 January 2008.



Thoracic outlet syndrome (TOS) is initially treated non-operatively. Upon failure or unsatisfactory improvement surgical treatment is contemplated. The purpose of this review is to critically appraise available primary research on non-operative treatment of TOS, explore the effectiveness of non-operative treatment approaches and propose an evidence-based treatment strategy.

Keywords: Thoracic outlet syndrome; Conservative treatment; Rehabilitation; Compression Syndromes

Article Outline

Surgery and conservative treatment
Considerations regarding primary research studies on the conservative treatment of TOS
Constructing an evidence-based rehabilitation strategy
Conclusion and recommendations for future research

Corresponding author at: Orfeos 3, P.O. Box 16672, Vari, Athens, Greece. Tel.: +30 210 9654809.