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The thoracic outlet syndrome is a rare but debilitating pathology, responsible for upper limb pain. Its frequency is probably underestimated because of diagnostic difficulties. This syndrome encompasses several entities including compressions of neurological, venous or arterial origin. In addition to pain, the majority of patients report fatigability and loss of strength in the upper limbs. However, the quantification of this loss of strength and fatigability has hardly been studied.
In addition, the rehabilitation treatment is the first-line treatment of this pathology. It most often includes a muscle building phase.
In this project, we would like to evaluate the proximal and distal force of patients presenting a thoracic outlet syndrome by comparing them to a population free from any pathology in the upper limbs. This evaluation would involve an isokinetic strength analysis of shoulder rotators at the proximal level, using an isokinetic dynamometer. At the distal level, the evaluation would be done using force clamps.Similarly, performing a 6-minute walk test will assess whether there is a difference between patients and controls, which may also impact endurance in addition to the pathology.
In a second step, we will also be able to evaluate the effects of the reeducation on the strength and the muscular fatigability of the patients presenting a thoracic outlet syndrome.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patient |
| ||
| Control |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 6-minute walk test | Other | The 6-minute walk test is performed as part of routine practice for patients with BMDS to assess patients' overall endurance. In order to compare patients' global endurance with controls, this walking test will also be offered to 50 of the healthy subjects already recruited in the study. |
| Measure | Description | Time Frame |
|---|---|---|
| Comparing proximal force between patients with thoracic outlet syndrome and healthy subjects | Isokinetic evaluation of the internal shoulder rotators | 1 year |
| Comparing distal force between patients with thoracic outlet syndrome and healthy subjects | Isokinetic evaluation of the external shoulder rotators | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Muscular fatigue in patients with thoracic outlet syndrome | Isokinetic evaluation of internal and external shoulder rotator fatigue at 180 ° / s | 1 year |
| Evaluation of the effects in terms of strength of rehabilitation |
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Inclusion Criteria:
Exclusion Criteria:
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50 patients with an thoracic outlet syndrome will be needed, which corresponds to the annual recruitment in this care within the department of the University Hospital of Nantes.
Patients will be included during their usual management of rehabilitation at the center.
50 healthy subjects will be included, in order to have a patient for a healthy subject. We will call on the staff and student volunteers of the rehabilitation center we will match on age, sex and weight.
For both groups, we will only use major topics that do not benefit from any legal protection measures
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Alban FOUASSON-CHAILLOUX | Contact | +33-2 40 84 62 11 | Alban.FOUASSONCHAILLOUX@chu-nantes.fr |
| Name | Affiliation | Role |
|---|---|---|
| Alban FOUASSON-CHAILLOUX | Nantes University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Nantes | Recruiting | Nantes | 44093 | France |
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| ID | Term |
|---|---|
| D013901 | Thoracic Outlet Syndrome |
| ID | Term |
|---|---|
| D009408 | Nerve Compression Syndromes |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
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|
Isokinetic evaluation of rotators in strength
| 1 year |
| Evaluation of the effects in terms of fatigue of rehabilitation | Isokinetic evaluation of rotators in fatigue | 1 year |
| Impact on pain | Visual analogue pain scale (from 0 to 10: 0 absence of pain, 10 maximum pain imaginable) | 1 year |
| Evolution of cardiorespiratory performance | Evalution of changes in cardiorespiratory performance using a 6-minute walk test. | 1 month |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |