Physical and occupational therapy for patients with VTOS

Abstract

While surgical treatment has an important place in the management of most patients with VTOS, physical therapists play a crucial role in helping patients attain optimal post-operative outcomes. Physical therapy should be focused on the individual needs of each patient with VTOS. The initial goals should be aimed at range of motion deficits, patient comfort, diaphragmatic breathing exercises and patient education on post-surgical precautions. Based upon symptoms, exercise tolerance, neurological deficits, and the protocol of the surgeon, the patient should gradually progress to strengthening activities. Postures, faulty movement patterns, habits and work duties which contribute to impairments for one individual may be different from another. Addressing the unique needs of each patient with VTOS is essential in order to achieve optimal recovery and long-term functional outcomes following surgical treatment.