Role of Lifestyle in Thoracic Outlet Syndrome: A Narrative Review
The presence of a positional compression of the neurovascular bundle in the outlet between the thorax and the upper limb during arm movements (mainly abduction) is common but remains asymptomatic in most adults. Nevertheless, a certain number of subjects with thoracic outlet positional compression w...
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| Veröffentlicht in: | Journal of clinical medicine 2024-01, Vol.13 (2), p.417 |
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| creator | Abraham, Pierre Lecoq, Simon Mechenin, Muriel Deveze, Eva Hersant, Jeanne Henni, Samir |
| description | The presence of a positional compression of the neurovascular bundle in the outlet between the thorax and the upper limb during arm movements (mainly abduction) is common but remains asymptomatic in most adults. Nevertheless, a certain number of subjects with thoracic outlet positional compression will develop incapacitating symptoms or clinical complications as a result of this condition. Symptomatic forms of positional neurovascular bundle compression are referred to as "thoracic outlet syndrome" (TOS).
This paper aims to review the literature and discuss the interactions between aspects of patients' lifestyles in TOS. The manuscript will be organized to report (1) the historical importance of lifestyle evolution on TOS; (2) the evaluation of lifestyle in the clinical routine of TOS-suspected patients, with a description of both the methods for lifestyle evaluation in the clinical routine and the role of lifestyle in the occurrence and characteristics of TOS; and (3) the influence of lifestyle on the treatment options of TOS, with a description of both the treatment of TOS through lifestyle changes and the influence of lifestyle on the invasive treatment options of TOS.
We report that in patients with TOS, lifestyle (1) is closely related to anatomical changes with human evolution; (2) is poorly evaluated by questionnaires and is one of the factors that may induce symptoms; (3) influences the sex ratio in symptomatic athletes and likely explains why so many people with positional compression remain asymptomatic; and (4) can sometimes be modified to improve symptoms and potentially alter the range of interventional treatment options available.
Detailed descriptions of the lifestyles of patients with suspected TOS should be carefully analysed and reported. |
| doi_str_mv | 10.3390/jcm13020417 |
| format | Article |
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This paper aims to review the literature and discuss the interactions between aspects of patients' lifestyles in TOS. The manuscript will be organized to report (1) the historical importance of lifestyle evolution on TOS; (2) the evaluation of lifestyle in the clinical routine of TOS-suspected patients, with a description of both the methods for lifestyle evaluation in the clinical routine and the role of lifestyle in the occurrence and characteristics of TOS; and (3) the influence of lifestyle on the treatment options of TOS, with a description of both the treatment of TOS through lifestyle changes and the influence of lifestyle on the invasive treatment options of TOS.
We report that in patients with TOS, lifestyle (1) is closely related to anatomical changes with human evolution; (2) is poorly evaluated by questionnaires and is one of the factors that may induce symptoms; (3) influences the sex ratio in symptomatic athletes and likely explains why so many people with positional compression remain asymptomatic; and (4) can sometimes be modified to improve symptoms and potentially alter the range of interventional treatment options available.
Detailed descriptions of the lifestyles of patients with suspected TOS should be carefully analysed and reported.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm13020417</identifier><identifier>PMID: 38256551</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Aneurysms ; Asymptomatic ; Compression therapy ; Development and progression ; Females ; Health aspects ; Human evolution ; Life style ; Lifestyles ; Males ; Monkeys & apes ; Neurovascular diseases ; Patients ; Questionnaires ; Rare diseases ; Risk factors ; Thoracic outlet syndrome</subject><ispartof>Journal of clinical medicine, 2024-01, Vol.13 (2), p.417</ispartof><rights>COPYRIGHT 2024 MDPI AG</rights><rights>2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c379t-e64568905f2569f2d3a263c50a09101725932dd7029f38a827d382a2154382e53</cites><orcidid>0000-0003-3609-956X ; 0000-0001-5906-6854 ; 0000-0001-7053-2801</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38256551$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Abraham, Pierre</creatorcontrib><creatorcontrib>Lecoq, Simon</creatorcontrib><creatorcontrib>Mechenin, Muriel</creatorcontrib><creatorcontrib>Deveze, Eva</creatorcontrib><creatorcontrib>Hersant, Jeanne</creatorcontrib><creatorcontrib>Henni, Samir</creatorcontrib><title>Role of Lifestyle in Thoracic Outlet Syndrome: A Narrative Review</title><title>Journal of clinical medicine</title><addtitle>J Clin Med</addtitle><description>The presence of a positional compression of the neurovascular bundle in the outlet between the thorax and the upper limb during arm movements (mainly abduction) is common but remains asymptomatic in most adults. Nevertheless, a certain number of subjects with thoracic outlet positional compression will develop incapacitating symptoms or clinical complications as a result of this condition. Symptomatic forms of positional neurovascular bundle compression are referred to as "thoracic outlet syndrome" (TOS).
This paper aims to review the literature and discuss the interactions between aspects of patients' lifestyles in TOS. The manuscript will be organized to report (1) the historical importance of lifestyle evolution on TOS; (2) the evaluation of lifestyle in the clinical routine of TOS-suspected patients, with a description of both the methods for lifestyle evaluation in the clinical routine and the role of lifestyle in the occurrence and characteristics of TOS; and (3) the influence of lifestyle on the treatment options of TOS, with a description of both the treatment of TOS through lifestyle changes and the influence of lifestyle on the invasive treatment options of TOS.
We report that in patients with TOS, lifestyle (1) is closely related to anatomical changes with human evolution; (2) is poorly evaluated by questionnaires and is one of the factors that may induce symptoms; (3) influences the sex ratio in symptomatic athletes and likely explains why so many people with positional compression remain asymptomatic; and (4) can sometimes be modified to improve symptoms and potentially alter the range of interventional treatment options available.
Detailed descriptions of the lifestyles of patients with suspected TOS should be carefully analysed and reported.</description><subject>Aneurysms</subject><subject>Asymptomatic</subject><subject>Compression therapy</subject><subject>Development and progression</subject><subject>Females</subject><subject>Health aspects</subject><subject>Human evolution</subject><subject>Life style</subject><subject>Lifestyles</subject><subject>Males</subject><subject>Monkeys & apes</subject><subject>Neurovascular diseases</subject><subject>Patients</subject><subject>Questionnaires</subject><subject>Rare diseases</subject><subject>Risk factors</subject><subject>Thoracic outlet syndrome</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptkU1LAzEQhoMottSevMuCF0G25qPZJN5K8QuKhVrPS9ydaMrupmZ3K_33prRqFTOHyYRnJm_yInRK8IAxha8WWUkYpnhIxAHqUixEjJlkh3v7DurX9QKHJeWQEnGMOkxSnnBOumg0cwVEzkQTa6Bu1qGwVTR_c15nNoumbVNAEz2tq9y7Eq6jUfSovdeNXUE0g5WFjxN0ZHRRQ3-Xe-j59mY-vo8n07uH8WgSZ0yoJoZkyBOpMDfhamVozjRNWMaxxopgIihXjOa5wFQZJrWkIg8qNSV8GDJw1kMX27lL797boDUtbZ1BUegKXFunVBEhE0GxCuj5H3ThWl8FdRtKChF-TP5Qr7qA1FbGNeHRm6HpSEgcMMqSQA3-oULkUNrMVWBsOP_VcLltyLyraw8mXXpbar9OCU43nqV7ngX6bCe1fSkh_2a_HGKfJyyLdw</recordid><startdate>20240101</startdate><enddate>20240101</enddate><creator>Abraham, Pierre</creator><creator>Lecoq, Simon</creator><creator>Mechenin, Muriel</creator><creator>Deveze, Eva</creator><creator>Hersant, Jeanne</creator><creator>Henni, Samir</creator><general>MDPI AG</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3609-956X</orcidid><orcidid>https://orcid.org/0000-0001-5906-6854</orcidid><orcidid>https://orcid.org/0000-0001-7053-2801</orcidid></search><sort><creationdate>20240101</creationdate><title>Role of Lifestyle in Thoracic Outlet Syndrome: A Narrative Review</title><author>Abraham, Pierre ; Lecoq, Simon ; Mechenin, Muriel ; Deveze, Eva ; Hersant, Jeanne ; Henni, Samir</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c379t-e64568905f2569f2d3a263c50a09101725932dd7029f38a827d382a2154382e53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aneurysms</topic><topic>Asymptomatic</topic><topic>Compression therapy</topic><topic>Development and progression</topic><topic>Females</topic><topic>Health aspects</topic><topic>Human evolution</topic><topic>Life style</topic><topic>Lifestyles</topic><topic>Males</topic><topic>Monkeys & apes</topic><topic>Neurovascular diseases</topic><topic>Patients</topic><topic>Questionnaires</topic><topic>Rare diseases</topic><topic>Risk factors</topic><topic>Thoracic outlet syndrome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Abraham, Pierre</creatorcontrib><creatorcontrib>Lecoq, Simon</creatorcontrib><creatorcontrib>Mechenin, Muriel</creatorcontrib><creatorcontrib>Deveze, Eva</creatorcontrib><creatorcontrib>Hersant, Jeanne</creatorcontrib><creatorcontrib>Henni, Samir</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Abraham, Pierre</au><au>Lecoq, Simon</au><au>Mechenin, Muriel</au><au>Deveze, Eva</au><au>Hersant, Jeanne</au><au>Henni, Samir</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Role of Lifestyle in Thoracic Outlet Syndrome: A Narrative Review</atitle><jtitle>Journal of clinical medicine</jtitle><addtitle>J Clin Med</addtitle><date>2024-01-01</date><risdate>2024</risdate><volume>13</volume><issue>2</issue><spage>417</spage><pages>417-</pages><issn>2077-0383</issn><eissn>2077-0383</eissn><abstract>The presence of a positional compression of the neurovascular bundle in the outlet between the thorax and the upper limb during arm movements (mainly abduction) is common but remains asymptomatic in most adults. Nevertheless, a certain number of subjects with thoracic outlet positional compression will develop incapacitating symptoms or clinical complications as a result of this condition. Symptomatic forms of positional neurovascular bundle compression are referred to as "thoracic outlet syndrome" (TOS).
This paper aims to review the literature and discuss the interactions between aspects of patients' lifestyles in TOS. The manuscript will be organized to report (1) the historical importance of lifestyle evolution on TOS; (2) the evaluation of lifestyle in the clinical routine of TOS-suspected patients, with a description of both the methods for lifestyle evaluation in the clinical routine and the role of lifestyle in the occurrence and characteristics of TOS; and (3) the influence of lifestyle on the treatment options of TOS, with a description of both the treatment of TOS through lifestyle changes and the influence of lifestyle on the invasive treatment options of TOS.
We report that in patients with TOS, lifestyle (1) is closely related to anatomical changes with human evolution; (2) is poorly evaluated by questionnaires and is one of the factors that may induce symptoms; (3) influences the sex ratio in symptomatic athletes and likely explains why so many people with positional compression remain asymptomatic; and (4) can sometimes be modified to improve symptoms and potentially alter the range of interventional treatment options available.
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| subjects | Aneurysms Asymptomatic Compression therapy Development and progression Females Health aspects Human evolution Life style Lifestyles Males Monkeys & apes Neurovascular diseases Patients Questionnaires Rare diseases Risk factors Thoracic outlet syndrome |
| title | Role of Lifestyle in Thoracic Outlet Syndrome: A Narrative Review |
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