About this trial
The aim of this observational study was to learn about the characteristics of dysfunctional breathing in individuals with thoracic outlet syndrome. The main question to be answered is:
Is there a dysfunctional breathing pattern in individuals with Thoracic outlet syndrome? These features will be compared with a healthy control group to evaluate the association of Thoracic outlet syndrome with dysfunctional breathing
Eligibility criteria
This trial accepts healthy volunteersQualifiers
To agree to participate in the study,
To have been diagnosed with TOS by a thoracic surgeon,
To be between 18-65 years old,
Having pain for more than 6 months
Disqualifiers
Patients with a history of spinal or thoracic surgery for TOS or any other reason,
People with traumatic cervical injury,
Severely obese people (BMI >40 kg/m2),
People with clinical abnormalities in the thoracic cage or vertebral column,
Trial population
In the study, adult patients aged between 18-65 years who were diagnosed with TOS by a thoracic surgeon at the Cardiopulmonary Rehabilitation Unit of the Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, and who had pain complaints for more than 6 months without surgery will be evaluated. Control cases planned to be included in the study to compare with the results of the patients will be formed by using the snowball method from the immediate environment.
Trial design
Case-control
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Nijmegen Questionnaire
A cut-off score of ≥20 in Nijmegen will be used to define dysfunctional breathing. The minimum score is 0 and the maximum score is 60 points. Higher scores mean worse outcome.
End tidal CO2
A standard value of \<35 mmHg will be used as the cut-off point for dysfunction
Manual Assessment of Respiratory Motion
This technique is used to assess and measure the distribution of respiratory movement between the upper and lower parts of the rib cage and abdomen
Secondary outcomes
Forced Vital Capacity (FVC)
Forced Vital Capacity (FVC) will be done with a spirometer according to the American Thoracic Society and European Respiratory Society criteria. The total amount of air (L) that can be forced out after taking a deep breath will be recorded. Measures lung capacity.
Forced Expiratory Volume in 1 second (FEV1)
Forced Expiratory Volume in 1 second (FEV1) will be done with a spirometer according to the American Thoracic Society and European Respiratory Society criteria. The amount of air (L) a person can forcefully expel in the first second of a breath will be recorded
FEV1/FVC Ratio
The percentage of the ratio of FEV1 to FVC will be calculated and recorded
Forced Expiratory Flow 25-75% (FEF25-75)
Forced Expiratory Flow 25-75% (FEF25-75%) will be assessed with a spirometer according to American Thoracic Society and European Respiratory Society criteria. The air flow rate (L/s) during the middle part of the exhalation (25%-75%) will be recorded.
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