Presentation on theme: " Be familiar with the pathology of a patient with a typical T4 syndrome. Be familiar with the typical subjective and objective signs of a patient with."— Presentation transcript:
Be familiar with the pathology of a patient with a typical T4 syndrome. Be familiar with the typical subjective and objective signs of a patient with T4 syndrome. Be familiar with the most widely used physiotherapy treatment protocol for a patient with typical T4 syndrome.
Unknown origin May sometimes be associated with outonomous nervous system involvement Not necessarily T4 which is affected, one or more levels can be affected between T2-T7 T4 is almost always involved
Intermittent symptoms Widely spread headache (dull, painful or a pressing sensation) Arm and hand symptoms (tingling or a dead sensation) – glove type and never a specific dermatome Interscapular areas is stiff during rotation Diffuse posterior neck pain in some patients
Symptoms are relieved: Changing position Rubbing or shaking the area Active flexion often slightly reduced Hypomobility of T3/4, T4/5 or T5/6 Local segmental muscle spasm One spinal process is usually slightly rotated and deeper in comparison with the others Tenderness over T4 Loss of PAIVM between T3 and T4 Interspineous and laminar hypertrophy